NICHOLAS DAVID HIGINBOTHAM DO
NPI 1154841872
Orthopaedic Surgery in Princeton, WV

Q: What is Nicholas Higinbotham's NPI number?

The NPI number for Nicholas Higinbotham is 1154841872. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Q: What is Nicholas Higinbotham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment

311 COURTHOUSE RD, PRINCETON, WV 24740(304) 487-2297(304) 487-4802 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Jun 23, 2017 (2 updates tracked since 2017).

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About Nicholas David Higinbotham Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS DAVID HIGINBOTHAM DO (NPI 1154841872) is an individual orthopaedic surgery provider in Princeton, West Virginia, licensed in West Virginia (3843) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154841872

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameNICHOLAS DAVID HIGINBOTHAMCredential: DO

Location Address311 COURTHOUSE RDPrinceton, WV 24740-2421

Mailing Address311 Courthouse RdPrinceton, WV 24740-2421 · (304) 487-2297

Phone(304) 487-2297

Fax(304) 487-4802

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 23, 2017

Last NPPES UpdateMay 23, 20222 updates tracked since enumeration

NPPES CertifiedMay 23, 2022

✔ NPI 1154841872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WV · 3843✔ Licensed in MI · 5101023487

Definition

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.

311 COURTHOUSE RD, Princeton, WV 24740

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas David Higinbotham Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335410380

PECOS Enrollment IDI20220901001028

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

570 services82 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

148 services91 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

127 services127 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

106 services73 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

80 services73 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

69 services48 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

65 services53 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

55 services32 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

46 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services31 patients

Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010

A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.

28 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

25 services25 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

22 services12 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number510046

Location122 12th StreetPrinceton, WV 24740 · Mercer County

Emergency services Birthing friendly

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number510070

Location1710 Harper RoadBeckley, WV 25801 · Raleigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT P. KROPAC MD

Orthopaedic Surgery

311 COURTHOUSE RD
PRINCETON, WV 24740

Mercer County (304) 487-2297

DR. PHILIP J BRANSON MD

Orthopaedic Surgery

311 COURTHOUSE RD
PRINCETON, WV 24740

Mercer County (304) 487-2297

ORTHOPAEDIC CENTER OF THE VIRGINIAS PHYSICAL THERAPY INC.

Physical Therapist

311 COURTHOUSE RD, SUITE #3
PRINCETON, WV 24740

Mercer County (304) 425-9857

DR. ROBERT CARL PENNINGTON M.D.

Orthopaedic Surgery

311 COURTHOUSE RD
PRINCETON, WV 24740

Mercer County (304) 487-2297

MR. GREGORY G. SOUTHERS PA-C

Physician Assistant

311 COURTHOUSE RD
PRINCETON, WV 24740

Mercer County (304) 487-2297

LORI LEE PERSINGER-LOVERN PT, OCS

Physical Therapist

311 COURTHOUSE RD, SUITE #3
PRINCETON, WV 24740

Mercer County (304) 425-9857

NICK HIGINBOTHAM DO PC

Orthopaedic Surgery

311 COURTHOUSE RD
PRINCETON, WV 24740

Mercer County (304) 487-2297

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Higinbotham's NPI number?

The NPI number for Nicholas Higinbotham is 1154841872. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Nicholas Higinbotham located?

Nicholas Higinbotham practices at 311 Courthouse Rd, Princeton, WV 24740. The listed phone number is (304) 487-2297.

What is Nicholas Higinbotham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nicholas Higinbotham enrolled in Medicare?

Yes. Nicholas Higinbotham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Higinbotham accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Nicholas Higinbotham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Higinbotham affiliated with any hospitals?

According to CMS data, Nicholas Higinbotham is affiliated with Princeton Community Hospital and Raleigh General Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Higinbotham was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.