Active NPI 1295781508 Individual Practitioner Male Practitioner

Dr. David A Higginbotham , DO

Family Medicine • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Dr. David Higginbotham, DO is a registered healthcare professional specializing in Family Medicine in Bothell, WA. Practice services are available at 10025 NE 186TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10025 Ne 186th St

Bothell, WA 980113839

Telephone 4254869131

Associated Practice Facility / Clinic

🏢 Lakeshore Clinic Pllc Facility NPI 1841399870

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Bothell, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 21.2 Yrs

Regional Practice Density

50 Specialists

Practicing in Bothell, WA (5714 Statewide)

Telehealth Adoption Rate

36.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	72	$276.00	$135.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	49	$370.46	$188.08
G2211 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's	55	43	$83.00	$17.21
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$190.00	$98.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$293.00	$138.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	66	$263.00	$137.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	50	$353.00	$186.20
36415 Insertion of needle into vein for collection of blood sample	70	61	$8.00	$7.52
80061 Blood test, lipids (cholesterol and triglycerides)	44	43	$46.00	$12.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$275.51	$139.17
80053 Blood test, comprehensive group of blood chemicals	36	35	$29.00	$10.10
83036 Hemoglobin A1C level	34	30	$34.00	$9.27
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$181.00	$97.80
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	32	$8.00	$7.17
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	30	28	$22.00	$6.34
84443 Blood test, thyroid stimulating hormone (TSH)	18	17	$57.00	$16.46
84153 Psa (prostate specific antigen) measurement, total	14	14	$66.00	$16.73
82270 Stool analysis for blood to screen for colon tumors	13	13	$19.00	$4.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	73	$263.00	$137.91
36415 Insertion of needle into vein for collection of blood sample	90	77	$8.00	$2.93
80061 Blood test, lipids (cholesterol and triglycerides)	58	55	$46.00	$13.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$279.00	$142.15
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	50	48	$22.00	$6.30
99213 Established patient office or other outpatient visit, typically 15 minutes	43	41	$181.00	$98.36
83036 Hemoglobin A1C level	42	33	$34.00	$9.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	27	$353.00	$193.99
84443 Blood test, thyroid stimulating hormone (TSH)	28	26	$57.00	$16.61
80053 Blood test, comprehensive group of blood chemicals	25	22	$29.00	$10.46
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	24	24	$57.00	$17.13
84153 Psa (prostate specific antigen) measurement, total	19	19	$66.00	$18.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	15	$8.00	$7.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	89	75	$8.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	59	$263.00	$143.82
99213 Established patient office or other outpatient visit, typically 15 minutes	59	51	$181.00	$100.45
80061 Blood test, lipids (cholesterol and triglycerides)	55	52	$46.00	$13.22
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	52	50	$22.00	$6.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$279.00	$148.00
83036 Hemoglobin A1C level	39	30	$34.00	$9.71
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	34	34	$57.00	$17.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	26	$353.00	$201.03
84443 Blood test, thyroid stimulating hormone (TSH)	30	26	$57.00	$16.80
96127 Assessment of emotional or behavioral problems	21	16	$12.00	$5.44
80053 Blood test, comprehensive group of blood chemicals	20	19	$29.00	$10.56
84153 Psa (prostate specific antigen) measurement, total	13	13	$66.00	$18.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	64	51	$8.00	$2.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	39	$259.00	$116.53
80061 Blood test, lipids (cholesterol and triglycerides)	35	34	$46.00	$12.94
80053 Blood test, comprehensive group of blood chemicals	30	23	$29.00	$10.12
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$176.00	$81.49
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	27	26	$22.00	$6.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$281.00	$130.53
84443 Blood test, thyroid stimulating hormone (TSH)	23	18	$57.00	$16.71
83036 Hemoglobin A1C level	23	17	$34.00	$9.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	13	$350.00	$162.48
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	16	16	$57.00	$15.73
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	14	$8.00	$7.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	47	$259.00	$110.77
36415 Insertion of needle into vein for collection of blood sample	73	56	$8.00	$2.76
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$176.00	$76.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	42	$17.50	$7.83
80061 Blood test, lipids (cholesterol and triglycerides)	34	33	$46.00	$14.58
80053 Blood test, comprehensive group of blood chemicals	33	29	$29.00	$10.96
83036 Hemoglobin A1C level	27	18	$34.00	$9.99
84443 Blood test, thyroid stimulating hormone (TSH)	19	17	$57.00	$18.30
G0103 Prostate cancer screening; prostate specific antigen test (psa)	15	15	$64.40	$20.03
81001 Manual urinalysis test with examination using microscope, automated	15	12	$9.00	$3.45
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	14	14	$57.00	$17.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$281.00	$128.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	33	$259.00	$108.54
36415 Insertion of needle into vein for collection of blood sample	49	36	$8.00	$2.89
99213 Established patient office or other outpatient visit, typically 15 minutes	48	31	$176.00	$78.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	31	29	$27.00	$9.10
83036 Hemoglobin A1C level	20	13	$34.00	$11.28
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	14	14	$57.00	$19.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$105.00	$48.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	35	$250.29	$111.41
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$171.22	$75.82
36415 Insertion of needle into vein for collection of blood sample	52	44	$9.38	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	34	32	$26.82	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	30	28	$45.67	$16.02
G0103 Prostate cancer screening; prostate specific antigen test (psa)	21	21	$62.33	$24.73
80053 Blood test, comprehensive group of blood chemicals	20	20	$28.80	$9.66
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	20	20	$56.10	$21.38
83036 Hemoglobin A1C level	17	13	$33.76	$13.05
84443 Blood test, thyroid stimulating hormone (TSH)	13	12	$56.23	$22.50

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License WA OP00001239

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Practice Associates & Co-Workers

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

15 Associated Practitioners

Kelly Grenner , ARNP-FNP

Nurse Practitioner - Family

NPI 1003424128

ARNPFNP

Dr. Gary Limarzi , MD

Family Medicine

NPI 1093761207

Doctor of Medicine (M.D.)

Dr. Thomas Wilson , MD

Family Medicine

NPI 1174560213

Doctor of Medicine (M.D.)

Dr. Lilaine Leonardo , MD

Family Medicine

NPI 1205889219

Doctor of Medicine (M.D.)

Dr. Sally Esser , MD

Family Medicine

NPI 1205889284

Doctor of Medicine (M.D.)

Dr. Ann Lu , MD

Family Medicine

NPI 1275754657

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2009

Registered at 10025 NE 186TH ST, BOTHELL, WA 980113839 (Tel: 4254869131)

📍

Updated Business Mailing Address April 03, 2009

Registered at PO BOX 646, BOTHELL, WA 980410646 (Tel: 4254853955)

👤

Provider Name / Credentials Updated April 03, 2009

Recorded as DAVID HIGGINBOTHAM, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2009

Family Medicine (License #OP00001239 in WA)

🟢

Initial NPI Registration & Enumeration May 26, 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: 1295781508

Entity Type:

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

Enumeration Date: May 26, 2006

Last Update: April 03, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 646

Bothell, WA 980410646

Phone: 4254853955

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.