Active NPI 1588673800 Individual Practitioner Male Practitioner

Dr. Thomas O Higginbotham , MD

Orthopaedic Surgery • Logan, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Higginbotham, MD is a certified Orthopaedic Surgery practicing in Logan, UT. With approximately 27 years of clinical experience since graduating from University Of Utah School Of Medicine in 1999, Dr. Higginbotham delivers high-quality medical care to the local community at 1350 N 500 E.

Dr. Higginbotham is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1350 N 500 E

Logan, UT 843412400

Telephone 4357162800

Associated Practice Facility / Clinic

🏢 Ihc Health Services Inc Facility NPI 1023125739

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Logan, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -3.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Logan, UT (277 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higginbotham (27 Years) 27 Yrs

Logan Specialty Average (30.5 Years) 30.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	4,560	43	$0.29	$0.13
20610 Aspiration and/or injection of fluid from large joint	92	52	$157.00	$59.55
99213 Established patient office or other outpatient visit, typically 15 minutes	73	56	$205.00	$85.65
73030 X-ray of shoulder, minimum of 2 views	58	44	$67.81	$30.71
73560 X-ray of knee, 1-2 views	43	17	$82.63	$31.18
73562 X-ray of knee, 3 views	38	29	$89.29	$35.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$254.00	$106.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$377.00	$159.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$289.00	$115.30
J1040 Injection, methylprednisolone acetate, 80 mg	16	14	$23.00	$9.68
20985 Computer-assisted surgery for muscle and bone procedure	11	11	$365.00	$136.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	106	58	$157.09	$53.95
J1040 Injection, methylprednisolone acetate, 80 mg	91	56	$23.00	$11.21
99213 Established patient office or other outpatient visit, typically 15 minutes	65	55	$144.00	$84.16
73562 X-ray of knee, 3 views	38	30	$76.00	$38.15
73030 X-ray of shoulder, minimum of 2 views	38	30	$62.00	$32.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$203.83	$121.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$259.87	$148.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$179.00	$106.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	110	57	$166.02	$55.82
J1040 Injection, methylprednisolone acetate, 80 mg	93	59	$23.00	$11.02
99213 Established patient office or other outpatient visit, typically 15 minutes	73	59	$121.81	$86.10
73030 X-ray of shoulder, minimum of 2 views	39	29	$64.90	$32.01
73562 X-ray of knee, 3 views	39	36	$74.38	$38.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$271.04	$160.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$177.08	$107.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$176.67	$122.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	116	67	$163.00	$55.78
J1040 Injection, methylprednisolone acetate, 80 mg	115	75	$23.00	$10.05
99213 Established patient office or other outpatient visit, typically 15 minutes	99	77	$116.00	$86.72
73562 X-ray of knee, 3 views	44	36	$76.00	$37.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$173.00	$106.61
73030 X-ray of shoulder, minimum of 2 views	31	28	$62.00	$32.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$171.00	$125.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$264.00	$162.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	95	51	$157.00	$53.53
99213 Established patient office or other outpatient visit, typically 15 minutes	93	75	$116.00	$70.71
J1040 Injection, methylprednisolone acetate, 80 mg	79	50	$23.00	$11.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$173.00	$104.89
73562 X-ray of knee, 3 views	37	32	$76.00	$37.10
73030 X-ray of shoulder, minimum of 2 views	35	25	$62.00	$31.43
73560 X-ray of knee, 1-2 views	20	11	$63.65	$28.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	115	68	$153.00	$53.11
J1040 Injection, methylprednisolone acetate, 80 mg	111	72	$23.00	$11.67
99213 Established patient office or other outpatient visit, typically 15 minutes	90	75	$116.63	$68.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$173.00	$102.33
73562 X-ray of knee, 3 views	57	41	$72.00	$32.56
73030 X-ray of shoulder, minimum of 2 views	30	25	$62.60	$27.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	122	64	$153.00	$52.88
J1040 Injection, methylprednisolone acetate, 80 mg	122	65	$20.39	$12.65
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$115.00	$69.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$173.00	$104.26
73562 X-ray of knee, 3 views	38	31	$75.95	$33.90
73030 X-ray of shoulder, minimum of 2 views	35	30	$62.20	$26.32
73560 X-ray of knee, 1-2 views	20	11	$62.25	$28.69
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$1333.00	$154.94
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$1430.00	$487.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	115	70	$147.00	$52.21
J1040 Injection, methylprednisolone acetate, 80 mg	112	73	$16.04	$10.47
99213 Established patient office or other outpatient visit, typically 15 minutes	103	83	$115.00	$67.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$173.00	$103.88
73562 X-ray of knee, 3 views	50	43	$74.00	$32.94
73560 X-ray of knee, 1-2 views	37	19	$60.86	$28.58
73030 X-ray of shoulder, minimum of 2 views	23	21	$64.00	$27.49
73501 X-ray of hip with pelvis, 1 view	17	15	$57.65	$26.50
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1280.00	$164.62

Medical Specialties & State Licenses

CMS Verified: 2025-03-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License UT 58846571205

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1350 N 500, Logan, UT 843412400

Phone: 4357161980

Practice Associates & Co-Workers

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

20 Associated Practitioners

Tyson Cluff , PA-C

Physician Assistant

NPI 1023253754

Physician Assistant (Certified)

Dr. Morgan Carlson , MD

Physical Medicine & Rehabilitation

NPI 1073833976

Doctor of Medicine (M.D.)

Benjamin Seale , PA-C

Physician Assistant

NPI 1073994810

Physician Assistant (Certified)

Dr. Kimberly Souza , MD

Orthopaedic Surgery

NPI 1134623358

Doctor of Medicine (M.D.)

Dr. Cameron Peterson , MD

Physical Medicine & Rehabilitation

NPI 1164604765

Doctor of Medicine (M.D.)

Dr. Bryan King , MD

Orthopaedic Surgery

NPI 1194735670

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 27, 2025

Registered at 1350 N 500 E, LOGAN, UT 843412400 (Tel: 4357162800)

📍

Updated Business Mailing Address March 27, 2025

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

✅

NPI Profile Active July 31, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2008

Registered at 1300 N 500 E, #130, LOGAN, UT 843412408 (Tel: 4357162800)

📍

Updated Business Mailing Address July 31, 2008

Registered at 1300 N 500 E, #130, LOGAN, UT 843412408 (Tel: 4357162800)

👤

Provider Name / Credentials Updated July 31, 2008

Recorded as THOMAS HIGGINBOTHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2008

Orthopaedic Surgery (License #58846571205 in UT)

🟢

Initial NPI Registration & Enumeration August 05, 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: 1588673800

Entity Type:

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

Enumeration Date: August 05, 2006

Last Update: March 27, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.