Martin Gerald Higgins, M.D.
NPI 1851917751ActiveIndividual· Family Medicine· Ellsworth, ME
Family Medicine (M.D.) with Maine Coast Regional Health Facilities, practicing in Ellsworth, Maine. Their prescriptions cost Medicare Part D more than their services did: $782,171 for 6,408 claims, against $29,173 paid for services in 2024. Lists Down East Community Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1851917751 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 17, 2020 |
| Last updated in NPPES | Jul 14, 2023 |
| Certified by provider | Jul 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD26460 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 269 |
|---|---|
| Services billed | 638 across 21 procedure codes |
| Paid by Medicare | $29,173 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,408 · 14,556 30-day fills |
|---|---|
| Patients | 623 |
| Total drug cost | $782,171 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Maine Coast Regional Health FacilitiesEllsworth, ME · 66 clinicians
Hospital affiliations
- Down East Community HospitalMachias, ME
- Northern Light Blue Hill Memorial HospitalBlue Hill, ME
- Northern Light Eastern Maine Medical CenterBangor, ME
- Northern Light Maine Coast HospitalEllsworth, ME
Other facilities
- Amedisys Home HealthHome health agency · Bangor, ME
- Centerwell Home HealthHome health agency · Bangor, ME
- Community Health & Counseling ServicesHome health agency · Bangor, ME
- Northern Light Home Care & HospiceHome health agency · So Portland, ME
- Northern Light Home Care & HospiceHospice · South Portland, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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