Active NPI 1780622670 Individual Practitioner Male Practitioner

James Ray Higginbotham , CNP

Nurse Practitioner • Dover, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Higginbotham, CNP is a certified Nurse Practitioner practicing in Dover, OH. With approximately 21 years of clinical experience since completing medical education in 2005, James Higginbotham delivers high-quality medical care to the local community at 659 BOULEVARD ST.

James Higginbotham is affiliated with Mid-South Home Care Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with straightforward medical decision making, per day, if using time, at least, new patient home visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

659 Boulevard St

Dover, OH 446222026

Telephone 3306020767

Fax 3303653831

Associated Practice Facility / Clinic

🏢 Neurology And Neuroscience Associates, Inc. Facility NPI 1790737930

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dover, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +5.9 yrs vs City Avg

City Avg: 15.1 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Dover, OH (4294 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higginbotham (21 Years) 21 Yrs

Dover Specialty Average (15.1 Years) 15.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	50	22	$101.78	$61.81
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	24	12	$60.33	$36.64
99344 New patient home visit, typically 1 hour	19	19	$189.25	$114.97
99497 Advance care planning, first 30 minutes	11	11	$109.41	$66.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	702	227	$90.00	$55.72
80305 Testing for presence of drug, read by direct observation	125	113	$100.00	$12.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$140.00	$74.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	708	228	$90.00	$42.94
80305 Testing for presence of drug, read by direct observation	139	120	$100.00	$12.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	882	271	$90.00	$41.74
80305 Testing for presence of drug, read by direct observation	142	129	$100.00	$12.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	903	279	$90.00	$42.11
80305 Testing for presence of drug, read by direct observation	134	126	$100.00	$12.98
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	22	13	$240.00	$29.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	898	295	$90.00	$41.61
80305 Testing for presence of drug, read by direct observation	129	121	$100.00	$8.56
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	16	11	$240.00	$29.92

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH RN271748

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Mid-South Home Care Services Llc

None, Whitehouse, OH 43571

Phone: 4192914500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Robert Ward , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033155130

Certified Registered Nurse Anesthetist

Staci Christner , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144556697

Certified Registered Nurse Anesthetist

Stacy Lapish , CRNA

Nurse Anesthetist, Certified Registered

NPI 1164776621

Certified Registered Nurse Anesthetist

Dr. Gregory Knapinski , MD

Anesthesiology

NPI 1437392669

Doctor of Medicine (M.D.)

Dr. Andrew Luxenberg , MD

Anesthesiology

NPI 1447236518

Doctor of Medicine (M.D.)

Brandy Cooley-Debolt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1801940671

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2010

Registered at 659 BOULEVARD ST, DOVER, OH 446222026 (Tel: 3306020767)

📍

Updated Business Mailing Address April 21, 2010

Registered at 659 BOULEVARD ST, DOVER, OH 446222026 (Tel: 3306020767)

👤

Provider Name / Credentials Updated April 21, 2010

Recorded as JAMES HIGGINBOTHAM, C.N.P

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2010

Nurse Practitioner (License #RN271748 in OH)

🟢

Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780622670

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 03, 2006

Last Update: April 21, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

659 Boulevard St

Dover, OH 446222026

Phone: 3306020767

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.