Luke James Higgins, M.D., PH.D.
NPI 1316264328ActiveIndividual· Radiology, Diagnostic Radiology· Baltimore, MD
Radiology, Diagnostic Radiology (M.D., PH.D.) in Baltimore, Maryland, trained at Stanford University School of Medicine (class of 2010). Mostly services rather than prescriptions: Medicare paid $129,009 for 648 patients in 2024, with only 17 Part D claims. Stryker Corporation was the largest of 5 companies reporting payments in 2025, $349.32 in all, mostly food and beverage.
Overview
| NPI | 1316264328 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., PH.D. |
| Sole proprietor | No |
| NPI issued | Apr 29, 2010 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 25MA12786200 | NJ |
| Radiology, Diagnostic Radiology | 2085R0202X | 83026 | CT |
| Radiology, Diagnostic Radiology | 2085R0202X | 277384 | MA |
| Radiology, Diagnostic Radiology | 2085R0202X | 27076 | WV |
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 - Diagnostic Radiology (CT); Practitioner - Diagnostic Radiology (IA); Practitioner - Diagnostic Radiology (MA); Practitioner - Diagnostic Radiology (MT); Practitioner - Diagnostic Radiology (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 648 |
|---|---|
| Services billed | 1,710 across 221 procedure codes |
| Paid by Medicare | $129,009 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 25 30-day fills |
|---|---|
| Total drug cost | $4,043 |
| Generic share | 65% of claims |
Education and affiliations
| Medical school | Stanford University School of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Diagnostic Radiology |
| Telehealth | Offers telehealth |
Medical groups
- Geisinger ClinicDanville, PA · 3,467 clinicians
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
- Rwjbh Observation Associates LLCJersey City, NJ · 1,008 clinicians
- Virtual Radiologic Professionals LLCPensacola, FL · 397 clinicians
- Physicians of Cape Cod HospitalHyannis, MA · 334 clinicians
- Midstate Radiology Associates LLCBristol, CT · 92 clinicians
- Coastal Imaging LLCManahawkin, NJ · 68 clinicians
- Bridgeport Radiological Associates LLCBridgeport, CT · 48 clinicians
- Umass Memorial Radiology Phys ServMilford, MA · 39 clinicians
- Advanced Radiology SolutionsSomers Point, NJ · 36 clinicians
Hospital affiliations
- Cape Cod HospitalHyannis, MA
- Milford Regional Medical CenterMilford, MA
- Ocean Medical CenterBrick, NJ
- Shore Medical CenterSomers Point, NJ
- St Vincent's Medical CenterBridgeport, CT
Industry payments (Open Payments)
- 2025$349.32 · 11 payments from 5 companies
- 2024$146.41 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $190.46 | 7 |
| Sirtex Medical Inc | $69.09 | 1 |
| Penumbra, Inc. | $60.18 | 1 |
| Boston Scientific Corporation | $15.18 | 1 |
| Inari Medical, Inc. | $14.41 | 1 |
What the 2025 payments were for
- Food and Beverage$349.32 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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