Dr Luke James Higgins, MD, PHD - Medicare Diagnostic Radiology in Baltimore, MD

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Dr Luke James Higgins, MD, PHD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Baltimore, Maryland. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Physicians Of Cape Cod Hospital and his current practice location is 3001 S Hanover St, Dept Of Medicine, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 350-3565.

Dr Luke James Higgins is licensed to practice in New Jersey (license number 25MA12786200) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316264328.

Contact Information

Dr Luke James Higgins, MD, PHD
3001 S Hanover St, Dept Of Medicine,
Baltimore, MD 21225-1233
(410) 350-3565
(410) 354-0186

Map and Direction




Physician's Profile

Full NameDr Luke James Higgins
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location3001 S Hanover St, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Luke James Higgins graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1316264328
  • Provider Enumeration Date: 04/29/2010
  • Last Update Date: 09/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779732946
  • Enrollment ID: I20181214000085

Medical Identifiers

Medical identifiers for Dr Luke James Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316264328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 27076 (West Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology 83026 (Connecticut)Secondary
2085R0202XRadiology - Diagnostic Radiology 25MA12786200 (New Jersey)Primary
2085R0202XRadiology - Diagnostic Radiology 277384 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Cod HealthcareHyannis, MAHospital
Falmouth HospitalFalmouth, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Of Cape Cod Hospital9638326671270

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Luke James Higgins allows following entities to bill medicare on his behalf.
Entity NamePratt Radiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154361780
PECOS PAC ID: 8820989411
Enrollment ID: O20040521000110
Entity NameUmass Memorial Radiology Phys Serv
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639122096
PECOS PAC ID: 6800868779
Enrollment ID: O20040811000206
Entity NameCommonwealth Radiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295711661
PECOS PAC ID: 2668468406
Enrollment ID: O20081210000048
Entity NamePhysicians Of Cape Cod Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679832364
PECOS PAC ID: 9638326671
Enrollment ID: O20120828000193
Entity NameVirtual Radiologic Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932342029
PECOS PAC ID: 4981608817
Enrollment ID: O20121102000313
Entity NameMerrimack Radiology-cra Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275871154
PECOS PAC ID: 8426287269
Enrollment ID: O20140128000095
Entity NameMass General Brigham Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891112637
PECOS PAC ID: 1759273436
Enrollment ID: O20150723007726
Entity NameMw Radiology-cra Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114555398
PECOS PAC ID: 6406270040
Enrollment ID: O20200716000148
Entity NameTmc Radiology Cra Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851046726
PECOS PAC ID: 4486041746
Enrollment ID: O20220505000580

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luke James Higgins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Luke James Higgins, MD, PHD
3600 Minnesota Dr Ste 800,
Edina, MN 55435-7915

Ph: () -		Dr Luke James Higgins, MD, PHD
3001 S Hanover St, Dept Of Medicine,
Baltimore, MD 21225-1233

Ph: (410) 350-3565

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.