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Edit this profileAt a glance
- 11 Carleton Ave, East Islip, NY 11730
About Dr. Higgins
James A. Higgins, D.O. is a healthcare provider in East Islip, NY specializing in family medicine. Medicare claims data shows James provided 768 services to 465 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more. This provider record is associated with NPI 1083708697.
Factual summary compiled by Guide.md from public records; not written by this provider.
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (631) 224-7474
- Email not available
Practice Locations
11 CARLETON AVE
East Islip, NY 11730
Conditions Commonly Evaluated or Treated
Within Family Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
- Allergies
- Diabetes
- Flu
- Hypothyroidism
- Strep throat
- UTI
Cardiometabolic
Digestive
- Acid reflux
- IBS
Genitourinary and reproductive
- Erectile dysfunction
- Heavy periods
Musculoskeletal and pain
Neurologic and behavioral
Respiratory and infectious
- Acute bronchitis
- Asthma
- Sinus infection
Skin
Common childhood and ear conditions
- Ear infection
- Pink eye
Pain & Joints
- Arthritis
- Back pain
Procedures & services
Most searched procedures
- Annual physical
- Blood test
- Flu shot
- Medicare wellness visit
- Sick visit
- TB test
- Well-woman exam
Preventive interventions
- Birth control counseling
- Smoking cessation counseling
Screening and testing
- Cholesterol screening
- Depression screening
- Diabetes and prediabetes screening
- EKG
Diagnostic Tests
- COVID-19 testing
- Rapid Strep and Flu Swabs
- Urine Drug Screen
Exams & Screenings
- Camp and School Physical
- Pre-Op Clearance Exam
Foot and Leg Pain
- Toenail Fungus Treatment
Heart & Circulation
Injections
- Immunotherapy
- Vitamin B12 Injections
Lungs & Breathing
- Pulmonary function test
Minor Procedures
- Burn and Wound Care
- Ingrown toenail removal
- Suture removal
Occupational Health
- DOT Physical
Office procedures
- Earwax removal
- Incision and drainage of an abscess
- Superficial foreign-body removal
Pain Management
- Joint injections
Preventive Care
- Chronic Illness Checkup
- Routine Vaccines
- Travel Vaccines And Consult
Respiratory
- Breathing Treatment
Senior Care
- Cognitive Assessment
Sexual & Reproductive Health
- STD Swabs and Screening
Skin Procedures
- Cyst Removal
- Precancerous Sun Spot Freezing
- Skin Tag Removal
- Wart Removal
Sleep Health
- At-Home Sleep Study Order
Urgent Care Procedures
- Stitches and Laceration Repair
Wellness & Weight
- Weight Management Consult
Women's Health
- Hormone Replacement Therapy Consultation
Procedures Most Often Billed to Medicare
768 services · 465 patients · 10 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Treatment | 93000 |
19 | As often as other peers in Family Medicine |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
295 | More often than most peers in Family Medicine |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
189 | More often than most peers in Family Medicine |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
143 | More often than most peers in Family Medicine |
| Annual depression screening, 5 to 15 minutes | Billing code | G0444 |
30 | Less often than most peers in Family Medicine |
| Advance care planning, first 30 minutes | Office visit | 99497 |
27 | Less often than most peers in Family Medicine |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
26 | Less often than most peers in Family Medicine |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Office visit | 99203 |
15 | Less often than most peers in Family Medicine |
| Transitional care management services for problem of high complexity | Office visit | 99496 |
12 | Less often than most peers in Family Medicine |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
12 | Less often than most peers in Family Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 2
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other family doctors in East Islip 3
Same specialty, same city.
Also performs Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 8
Providers in NY who bill this service to Medicare most often.
Common questions
What does James A. Higgins specialize in?
James A. Higgins is a family doctor in East Islip, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.
NPI registry
Where is James A. Higgins located?
James A. Higgins is listed at 11 Carleton Ave, East Islip, NY 11730. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is James A. Higgins's phone number?
The number on file is (631) 224-7474. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for James A. Higgins?
James A. Higgins's National Provider Identifier is 1083708697. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
How much experience does James A. Higgins have?
James A. Higgins has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
What does James A. Higgins do most often?
According to Medicare billing data, James A. Higgins provides treatments such as routine electrocardiogram using at least 12 leads with interpretation and report, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is James A. Higgins's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by James A. Higgins. If this is you, claiming it is free.
Guide.md
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