PHILLIP RICHARD HIGGINBOTHAM
NPI 1215598537
Family Medicine in Center Point, AL

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment
2152 OLD SPRINGVILLE RD, CENTER POINT, AL 35215(205) 838-6000 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip Richard Higginbotham NPPES

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

PHILLIP RICHARD HIGGINBOTHAM (NPI 1215598537) is an individual family medicine provider in Center Point, Alabama, licensed in Kentucky (61186) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2019).

NPPES Registry Identity

NPI1215598537
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILLIP RICHARD HIGGINBOTHAM
Location Address2152 OLD SPRINGVILLE RDCenter Point, AL 35215-4005
Mailing Address2152 Old Springville RdCenter Point, AL 35215-4005 · (205) 937-9632
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2019
Enumeration DateJune 26, 2019
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
NPI 1215598537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in KY · 61186 Licensed in AL · 4981R
Definition
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.
2152 OLD SPRINGVILLE RD, Center Point, AL 35215

Accepted 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

Phillip Richard Higginbotham 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 ID2961885132
PECOS Enrollment IDI20220822000462, I20260218001488
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
274 services255 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35215 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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 20

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

Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Student in an Organized Health Care Education/Training Program
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
General Acute Care Hospital (Rural)
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Student in an Organized Health Care Education/Training Program
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
Student in an Organized Health Care Education/Training Program
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215

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 Phillip Higginbotham's NPI number?

The NPI number for Phillip Higginbotham is 1215598537. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Phillip Higginbotham located?

Phillip Higginbotham practices at 2152 Old Springville Rd, Center Point, AL 35215. The listed phone number is (205) 838-6000.

What is Phillip Higginbotham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phillip Higginbotham enrolled in Medicare?

Yes. Phillip Higginbotham 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 Phillip Higginbotham accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Phillip Higginbotham 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.

When was this NPI record last updated?

The NPPES record for Phillip Higginbotham was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.