# Derek Craig Higgins, DO

Source: https://ourhealthnetwork.com/doctor/derek-higgins-do-1568611655
NPI: 1568611655
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Derek Craig Higgins, DO is a physical medicine and rehabilitation based in Gilbert, AZ practicing at Pioneer Sports And Spine Pllc with NPI 1568611655 and offers telehealth visits.

## Profile

- Primary specialty: Physical Medicine And Rehabilitation
- Secondary specialties: PAIN MANAGEMENT, SPORTS MEDICINE
- Credential: DO
- Gender: Male
- Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
- Graduation year: 2011
- Telehealth: Yes
- NPI: 1568611655 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1568611655))

## Practice and contact

- Practice name: Pioneer Sports And Spine Pllc
- Address: 4915 E Baseline Rd, Suite 108, Gilbert, AZ, 852342966
- Phone: (480) 249-5525
- Group practice size: 2 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 93.86/100
- Quality category score: 79.37/100
- Improvement Activities score: 40.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (6 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 10 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 8 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 7 plans
- [BCBS Arizona](https://ourhealthnetwork.com/insurance/bcbs-arizona) — 2 plans
- [Highmark BCBS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bcbs-pennsylvania) — 1 plan
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Derek Craig Higgins, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1568611655).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 2 disclosed payments from medical industry sources totaling approximately $189.

Largest disclosed payer: Medtronic, Inc. ($166 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Physical Medicine And Rehabilitation doctors in GILBERT, AZ](https://ourhealthnetwork.com/physical-medicine-and-rehabilitation/az/gilbert)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1568611655)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)