WILLIAM HIGGINBOTHAM III MD
NPI 1285605139
Orthopaedic Surgery in Southfield, MI

Q: What is William Higginbotham's NPI number?

The NPI number for William Higginbotham is 1285605139. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is William Higginbotham's specialty?

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

Active since January 30, 2006PECOS Enrolled

91.17/100

CMS Quality Rating

22250 PROVIDENCE DR, SUITE 401, SOUTHFIELD, MI 48075(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About William Higginbotham Iii Md NPPES

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

WILLIAM HIGGINBOTHAM III MD (NPI 1285605139) is an individual orthopaedic surgery provider in Southfield, Michigan, licensed in Michigan (4301042913) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285605139

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameWILLIAM HIGGINBOTHAM IIICredential: MD

Location Address22250 PROVIDENCE DR, SUITE 401Southfield, MI 48075-4825

Mailing Address18444 N 25th Ave, Ste 310Phoenix, AZ 85023-1261 · (866) 974-2673 · Fax (866) 939-2673

Phone(866) 974-2673

Fax(866) 939-2673

Sole ProprietorNo

Enumeration DateJanuary 30, 2006

Last NPPES UpdateJanuary 17, 2014

✔ NPI 1285605139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MI · 4301042913

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.

22250 PROVIDENCE DR, Southfield, MI 48075

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Other Identifiers 2

Medicaid4341367MI

Medicare UPINB45731MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Higginbotham Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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.

412 services42 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.

152 services115 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

73 services50 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

54 services44 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.

50 services42 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

34 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

77.23

Promoting Interoperability

100

Improvement Activities

Cost

93.34

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

70%450 patients4/55-star benchmark: 87%

Controlling High Blood Pressure

0%81 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%2,333 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

1%932 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,534 patients5/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,994 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 973 patients

Patients screened: 100% · 973 patients

100%81 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%1,205 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88%76 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 915 patients

Patients totalRate: 1% · 915 patients

1%915 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

15 suppliers24 claims24 services$35.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARCY L EPSTEIN PHARMD

Pharmacist

22250 PROVIDENCE DR
SOUTHFIELD, MI 48075

Oakland County (248) 849-3945

BRASWELL DRUE DEEN MD

Family Medicine

22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075

Oakland County (248) 849-3441

DR. ALASDAIR I.L. MCKENDRICK M.D.

Colon & Rectal Surgery

22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075

Oakland County (248) 557-8780

DR. FREDDY R SOSA M.D.

Internal Medicine (Gastroenterology)

22250 PROVIDENCE DR, SUITE 703
SOUTHFIELD, MI 48075

Oakland County (248) 569-1770

JEFFEREY E MICHAELSON MD

Orthopaedic Surgery

22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 48075

Oakland County (866) 974-2673

LAMAURICE H GARDNER PSYD

Psychologist (Clinical)

22250 PROVIDENCE DR, SUITE 207
SOUTHFIELD, MI 48075

Oakland County (313) 576-1000

KATHERINE CYBINSKI D.O.

Family Medicine

22250 PROVIDENCE DR, SUITE 500
SOUTHFIELD, MI 48075

Oakland County (248) 849-3441

RALPH DONALD PEARLMAN MD

Colon & Rectal Surgery

22250 PROVIDENCE DR, STE #702
SOUTHFIELD, MI 48075

Oakland County (248) 557-9650

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 William Higginbotham's NPI number?

The NPI number for William Higginbotham is 1285605139. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is William Higginbotham located?

William Higginbotham practices at 22250 Providence Dr Suite 401, Southfield, MI 48075. The listed phone number is (866) 974-2673.

What is William Higginbotham's specialty?

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

Is William Higginbotham enrolled in Medicare?

Yes. William Higginbotham is registered in the Medicare PECOS enrollment system.

What insurance does William Higginbotham accept?

Health plans from Priority Health list William 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 William Higginbotham was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.