Raphael Higginbotham, M.D.
NPI 1477507531 · Nephrology Physician · Opelousas, LA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raphael Higginbotham, M.D. is a Nephrology Physician provider in Opelousas, LA (NPI 1477507531).
Provider details
- NPI number
- 1477507531
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 025644 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,269 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 611 | $111 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 517 | $67 |
| 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'SG2211 | 452 | $14 |
| Dialysis Services, 2-3 Physician Visits Per Month (20 Years Or Older)90961 | 205 | $259 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 178 | $314 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 109 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Calcitriol | 527 | 131 |
| Torsemide | 501 | 135 |
| Amlodipine Besylate | 483 | 134 |
| Carvedilol | 355 | 86 |
| Dapagliflozin Propanediolbrand: Farxiga | 328 | 68 |
| Valsartan | 279 | 72 |
| Furosemide | 278 | 93 |
| Atorvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$873 across 46 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Raphael Higginbotham's NPI number?
- Raphael Higginbotham's National Provider Identifier (NPI) is 1477507531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raphael Higginbotham's specialty?
- Raphael Higginbotham is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Raphael Higginbotham located?
- Raphael Higginbotham's practice location on file with NPPES is 927 E Prudhomme St, Opelousas, LA 70570-8240.
- What is Raphael Higginbotham's phone number?
- The practice phone number listed in the NPPES registry for Raphael Higginbotham is (337) 594-8381.
- Does Raphael Higginbotham accept Medicare?
- Raphael Higginbotham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raphael Higginbotham's NPI active?
- Yes — Raphael Higginbotham's NPI (1477507531) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.