Patrick M. Higgins, MD
NPI 1285642470ActiveIndividual· Ophthalmology· Bloomfield, NJ
Ophthalmology (MD) with Eye Centers of America LLC and 1 other group, practicing in Bloomfield, New Jersey. In 2024 Medicare paid $1,941,873 for 615 patients, and Part D covered 1,352 of their prescriptions, 58% of them generic. Ocular Therapeutix, Inc. was the largest of 12 companies reporting payments in 2025, $1,705 in all, mostly food and beverage. Lists Clara Maass Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1285642470 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 3, 2006 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 25MA06558600 | NJ |
| Ophthalmology, Retina Specialist | 207WX0107X | 25MA06558600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (NJ); Practitioner - Ophthalmology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 615 |
|---|---|
| Services billed | 333,519 across 73 procedure codes |
| Paid by Medicare | $1,941,873 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,352 · 2,281 30-day fills |
|---|---|
| Patients | 406 |
| Total drug cost | $104,764 |
| Generic share | 58% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Ophthalmology |
Medical groups
- Eye Centers of America LLCToms River, NJ · 128 clinicians
- Ny Retina Eye Care, PLLCWest Nyack, NY · 4 clinicians
Hospital affiliations
- Clara Maass Medical CenterBelleville, NJ
- Good Samaritan Hospital of SuffernSuffern, NY
- Morristown Medical CenterMorristown, NJ
Industry payments (Open Payments)
- 2025$1,705 · 23 payments from 12 companies
- 2024$839.35 · 19 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ocular Therapeutix, Inc. | $573.08 | 3 |
| Glaukos Corporation | $396.57 | 3 |
| Sight Sciences, Inc. | $121.13 | 2 |
| Regeneron Healthcare Solutions, Inc. | $120.29 | 1 |
| Tarsus Pharmaceuticals, Inc. | $107.47 | 1 |
What the 2025 payments were for
- Food and Beverage$1,705 · 23 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 17 ophthalmologists in Bloomfield · All ophthalmologists in New Jersey