Medicare Enrolled

Dr. Lisa Higgins, FNP

Nurse Practitioner - Family · Exeter, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
216 E PINE ST, Exeter, CA 93221
5595922600
In practice since 2014 (11 years)
NPI: 1477956688 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Higgins from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Higgins? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Higgins

Dr. Lisa Higgins is a nurse practitioner - family in Exeter, CA, with 11 years of NPI registration. Based on federal Medicare data, Dr. Higgins performed 1,359 Medicare services across 475 unique beneficiaries.

Between the years covered by Open Payments, Dr. Higgins received a total of $254,055 from 30 pharmaceutical and/or device companies across 742 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Higgins is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 11 years in practice ▲ Top 10% volume in CA $254,055 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,359
Medicare services
Top 10% in CA for nurse practitioner - family
475
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~124 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
811 $81 $265
Continuous glucose monitoring with interpretation
This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results.
396 $22 $74
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
67 $110 $349
Diabetes self-management training, individual
Individualized education and training for managing diabetes, billed per 30-minute session.
48 $45 $120
Obesity behavioral counseling, 15 minutes
A 15-minute face-to-face session focused on behavioral counseling to help manage obesity.
20 $22 $60
Continuous glucose monitoring, tissue fluid
This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin.
17 $52 $134
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$254,055
Total received (2021-2024)
Avg $63,514/year across 4 years
Top 0% in CA for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
742
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$247,274 (97.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,781 (2.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$92,778
2023
$56,476
2022
$52,671
2021
$52,130

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$58,853
Corcept Therapeutics
$21,511
Novo Nordisk Inc
$9,610
Insulet Corporation
$2,000
AstraZeneca Pharmaceuticals LP
$290
Dexcom, Inc.
$118
Xeris Pharmaceuticals, Inc.
$88
Lilly USA, LLC
$75
Amgen Inc.
$75
Bayer Healthcare Pharmaceuticals Inc.
$53
Esperion Therapeutics, Inc.
$32
Novartis Pharmaceuticals Corporation
$30
Kyowa Kirin, Inc.
$25
Abbott Laboratories
$16
Top 3 companies account for 97.0% of 2024 payments
All-time payments by company (2021-2024) ›
Medtronic, Inc.
$139,956
Novo Nordisk Inc
$83,808
Corcept Therapeutics
$21,795
Amgen Inc.
$2,555
Insulet Corporation
$2,231
AstraZeneca Pharmaceuticals LP
$1,238
Lilly USA, LLC
$481
Bayer HealthCare Pharmaceuticals Inc.
$288
Bayer Healthcare Pharmaceuticals Inc.
$228
Novartis Pharmaceuticals Corporation
$183
Dexcom, Inc.
$177
Esperion Therapeutics, Inc.
$166
Abbott Laboratories
$158
Xeris Pharmaceuticals, Inc.
$126
Edwards Lifesciences Corporation
$116
ABBVIE INC.
$104
SANOFI-AVENTIS U.S. LLC
$86
MannKind Corporation
$56
Becton, Dickinson and Company
$45
Amarin Pharma Inc.
$37
AbbVie Inc.
$32
Tandem Diabetes Care, Inc.
$28
Kyowa Kirin, Inc.
$25
Boehringer Ingelheim Pharmaceuticals, Inc.
$25
VistaPharm, Inc.
$24
Merck Sharp & Dohme Corporation
$23
Alexion Pharmaceuticals, Inc.
$20
Nevro Corp.
$16
QIAGEN, LLC
$15
DEXCOM, INC.
$13
Top 3 companies account for 96.7% of all-time payments
Associated products mentioned in payments ›
ACCURIAN · AFREZZA · AIRSUPRA · Aimovig · BAQSIMI · BD Nano · Crysvita · DEXCOM G6 TRANSMITTER · DEXCOM G7 GSS (161) · Dexcom G6 Transmitter · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Lite system · GUARDIAN SENSOR (3) · GVOKE HYPOPEN · GVOKE PFS · HUMULIN · INPEN SMART INSULIN DELIVERY SYSTEM · InPen · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LOKELMA · LYUMJEV · MINIMED 630G · MINIMED 770G · MINIMED 780G · MOUNJARO · Minimed 670G System · Minimed 770G System · NEXLETOL · Omnia · Omnipod · Otezla · Ozempic · QULIPTA · RECORLEV · RYBELSUS · Repatha · Rybelsus · SOLIQUA 100/33 · SYNTHROID · Strensiq · TEZSPIRE · TOUJEO · TRULICITY · TZIELD · Thyquidity · Vascepa · Wegovy · t:slim X2 Insulin Pump with Control-IQ
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (97%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in nurse practitioner - family and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for nurse practitioner - family in CA.

Looking for a nurse practitioner - family in Exeter?
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Geographic Context

Family nurse practitioners within 10 mi
190
Per 100K population
39.9
County median income
$69,489
Nearest hospital
PORTERVILLE DEVELOPMENTAL CENTER
17.8 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Higgins is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with speaking/promotional industry engagement in the top 0% of CA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Higgins experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Higgins performed 811 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Higgins receive payments from pharmaceutical companies?
Yes. Dr. Higgins received a total of $254,055 from 30 companies across 742 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Higgins's costs compare to other family nurse practitioners in Exeter?
Dr. Higgins's average Medicare payment per service is $63. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Higgins) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →