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KAYLA MARIE HIGGINBOTHAM PA
NPI 1295108215
Physician Assistant in Buckhannon, WV

Active since November 13, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10 AMALIA DRIVE, BUCKHANNON, WV 26201(304) 473-2303 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Jul 19, 2019, Aug 14, 2018 and 1 more (4 updates tracked since 2015).

About Kayla Marie Higginbotham Pa NPPES

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

KAYLA MARIE HIGGINBOTHAM PA (NPI 1295108215) is an individual physician assistant in Buckhannon, West Virginia, licensed in West Virginia (2171) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Of Buckhannon, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295108215
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLA MARIE HIGGINBOTHAMCredential: PA
Location Address10 AMALIA DRIVEBuckhannon, WV 26201-2271
Mailing Address10 Amalia DriveBuckhannon, WV 26201-2271 · (304) 473-2303
Phone(304) 473-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 13, 2015
Last NPPES UpdateOctober 22, 20194 updates tracked since enumeration
✔ NPI 1295108215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 2171
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10 AMALIA DRIVE, Buckhannon, WV 26201
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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

Kayla Marie Higginbotham Pa 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 ID9234480328
PECOS Enrollment IDI20180928002783
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.

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26201 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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

JERRY N BLACK SURGICAL SUITE
Ophthalmology
10 AMALIA DRIVE
BUCKHANNON, WV 26201
Upshur County (304) 472-2100

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 Kayla Higginbotham's NPI number?

The NPI number for Kayla Higginbotham is 1295108215. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Where is Kayla Higginbotham located?

Kayla Higginbotham practices at 10 Amalia Drive, Buckhannon, WV 26201. The listed phone number is (304) 473-2303.

What is Kayla Higginbotham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kayla Higginbotham enrolled in Medicare?

Yes. Kayla 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 Kayla Higginbotham accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kayla 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.

Is Kayla Higginbotham affiliated with any hospitals?

According to CMS data, Kayla Higginbotham is affiliated with St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Kayla Higginbotham was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.