James Higginbotham, P. A. - C
NPI 1609865658 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Higginbotham, P. A. - C is a Physician Assistant provider in Fort Wayne, IN (NPI 1609865658).
Provider details
- NPI number
- 1609865658
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P. A. - C
- Sex
- Male
- Sole proprietor
- No
- License
- 10001186A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
27 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) |
|---|---|---|
| Coronary Artery Bypass Using Artery Graft, 1 Graft33533 | 14 | $215 |
| Harvest of Vein Using an Endoscope33508 | 13 | $2 |
Typical Medicare-allowed amounts for these services range $2–$215 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 15 | 15 |
| Atorvastatin Calcium | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$93 across 5 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
Additional practice locations (2)
- 5050 N Clinton StFort Wayne, IN 46825Phone: (260) 484-8551Fax: (260) 482-5060
- 1500 Provident Dr Ste BWarsaw, IN 46580-3297Phone: (574) 269-8301Fax: (574) 269-8302
Registry dates
- Enumerated
- 2005-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Frequently asked questions
- What is James Higginbotham's NPI number?
- James Higginbotham's National Provider Identifier (NPI) is 1609865658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Higginbotham's specialty?
- James Higginbotham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is James Higginbotham located?
- James Higginbotham's practice location on file with NPPES is 11108 Parkview Circle Dr Ste 5100, Fort Wayne, IN 46845.
- What is James Higginbotham's phone number?
- The practice phone number listed in the NPPES registry for James Higginbotham is (260) 266-2800.
- Does James Higginbotham accept Medicare?
- James Higginbotham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Higginbotham's NPI active?
- Yes — James Higginbotham's NPI (1609865658) is active in the NPPES registry as of the last update on 2022-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.