Medicare Enrolled
Dr. Nancy Higgins, M.D.
Critical Care Medicine · Galloway, NJ
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Nancy Higgins is a critical care medicine specialist in Galloway, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Higgins performed 1,621 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Higgins received a total of $10,284 from 50 pharmaceutical and/or device companies across 634 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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.
✓ 19 years of NPI registration
▲ Top 26% volume in NJ
$10,284 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,621
Medicare services
Top 26% in NJ for critical care medicine
Not available
Unique patients (not deduplicated)
$111
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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. |
375 | $106 | $281 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
285 | $75 | $200 |
| Lung volume test using gas dilution or washout A test that measures the amount of air in your lungs by using a gas dilution or washout method. |
177 | $38 | $100 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
173 | $33 | $89 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function. |
145 | $85 | $341 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
139 | $49 | $135 |
| 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. |
128 | $135 | $362 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
91 | $384 | $1,414 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
73 | $397 | $1,326 |
| New patient office visit, complex (60-74 min) | 21 | $164 | $483 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
14 | $143 | $395 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$10,284
Total received (2018-2024)
Avg $1,469/year across 7 years
Top 12% in NJ for critical care medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
634
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,093
2023
$2,592
2022
$1,455
2021
$856
2020
$437
2019
$1,544
2018
$1,308
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$497
GlaxoSmithKline, LLC.
$444
ABBVIE INC.
$163
United Therapeutics Corporation
$150
JAZZ PHARMACEUTICALS INC.
$116
Pulmonx Corporation
$113
Actelion Pharmaceuticals US, Inc.
$98
Regeneron Healthcare Solutions, Inc.
$72
GENZYME CORPORATION
$70
Amgen Inc.
$58
Grifols USA, LLC
$33
HARMONY BIOSCIENCES LLC
$32
Philips North America LLC
$22
Bayer Healthcare Pharmaceuticals Inc.
$20
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Genentech USA, Inc.
$19
Resmed Corp
$19
Merck Sharp & Dohme LLC
$19
SANOFI-AVENTIS U.S. LLC
$17
ANI Pharmaceuticals, Inc.
$17
Janssen Pharmaceuticals, Inc
$17
Harmony Biosciences Llc
$16
Avadel CNS Pharmaceuticals, LLC
$16
PFIZER INC.
$16
Axsome Therapeutics, Inc.
$16
Optinose US, Inc.
$15
Top 3 companies account for 52.8% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,256
GlaxoSmithKline, LLC.
$1,856
Boehringer Ingelheim Pharmaceuticals, Inc.
$672
Actelion Pharmaceuticals US, Inc.
$657
Mylan Specialty L.P.
$474
United Therapeutics Corporation
$452
Philips Electronics North America Corporation
$382
Genentech USA, Inc.
$367
GENZYME CORPORATION
$293
Harmony Biosciences LLC
$228
Regeneron Healthcare Solutions, Inc.
$226
Grifols USA, LLC
$199
ABBVIE INC.
$196
JAZZ PHARMACEUTICALS INC.
$172
Electromed, Inc.
$144
Amgen Inc.
$137
Bayer HealthCare Pharmaceuticals Inc.
$137
Novartis Pharmaceuticals Corporation
$119
Insmed, Inc.
$118
Pulmonx Corporation
$113
HARMONY BIOSCIENCES LLC
$93
ABIOMED
$88
Bayer Healthcare Pharmaceuticals Inc.
$69
Jazz Pharmaceuticals Inc.
$54
Teva Pharmaceuticals USA, Inc.
$53
Inspire Medical Systems, Inc.
$51
Sunovion Pharmaceuticals Inc.
$50
ANI Pharmaceuticals, Inc.
$50
Axsome Therapeutics, Inc.
$47
Allergan Inc.
$46
Resmed Corp
$44
Advanced Respiratory, Inc
$44
Merck Sharp & Dohme Corporation
$40
Mallinckrodt Enterprises LLC
$38
Circassia Pharmaceuticals Inc
$36
Mallinckrodt Hospital Products Inc.
$32
Avadel CNS Pharmaceuticals, LLC
$32
Gilead Sciences, Inc.
$24
Philips North America LLC
$22
Takeda Pharmaceuticals U.S.A., Inc.
$20
Merck Sharp & Dohme LLC
$19
SANOFI-AVENTIS U.S. LLC
$17
Janssen Pharmaceuticals, Inc
$17
Harmony Biosciences Llc
$16
PFIZER INC.
$16
Optinose US, Inc.
$15
Melinta Therapeutics, Inc.
$15
PORTOLA PHARMACEUTICALS, INC.
$15
Covidien LP
$13
Shire North American Group Inc
$13
Top 3 companies account for 46.5% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (AK6) Vest Therapy · ACTHAR · AIRSENSE · AIRSUPRA · ANORO · ARALAST · AREXVY · AVYCAZ · Adempas · AirDuo Digihaler · Arikayce · Astral · BEVESPI AEROSPHERE · BEVYXXA · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · BROVANA · Bravo · CHARTIS CATHETER · DALIRESP · DALVANCE · DUPIXENT · Dymista · Esbriet · FARXIGA · FASENRA · GLASSIA · INSPIRE · Impella · Kerendia · LONHALA MAGNAIR · LUMRYZ · MULTAQ · NUCALA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Orbactiv · PREVNAR 20 · PURIFIED CORTROPHIN GEL · Prolastin-C · Prolastin-C Liquid · Respiratoriy Care Undiv · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Sunosi · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · TYVASO · The Vest System Model 105 Home Care · UPTRAVI · WAKIX · WINREVAIR · Wakix · Wellcentive Undiv · XARELTO · XOLAIR · XYREM · XYWAV · Xhance · Xolair · Xyrem · YUPELRI · Yupelri · ZERBAXA · inCourage
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Critical care medicines in nearby ZIP areas
12
County median income
$76,819
Nearest hospital to ZIP centroid (approximate)
ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS
7.2 mi
7.2 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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 26% in NJ), with 19 years of NPI registration.
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 375 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Higgins receive payments from pharmaceutical companies?
Yes. Dr. Higgins received a total of $10,284 from 50 companies across 634 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 critical care medicines in Galloway?
Dr. Higgins's average Medicare payment per service is $111. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.
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