DAVID A HIGGINBOTHAM D.O.
NPI 1295781508
Family Medicine in Bothell, WA

Q: What is David Higginbotham's NPI number?

The NPI number for David Higginbotham is 1295781508. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is David Higginbotham's specialty?

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

Active since May 26, 2006PECOS Enrolled

74.46/100

CMS Quality Rating

10025 NE 186TH ST, BOTHELL, WA 98011(425) 486-9131 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About David A Higginbotham D.o. NPPES

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

DAVID A HIGGINBOTHAM D.O. (NPI 1295781508) is an individual family medicine provider in Bothell, Washington, licensed in Washington (OP00001239) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295781508

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID A HIGGINBOTHAMCredential: D.O.

Location Address10025 NE 186TH STBothell, WA 98011-3839

Mailing AddressPo Box 646Bothell, WA 98041-0646 · (425) 485-3955

Phone(425) 486-9131

Sole ProprietorNo

Enumeration DateMay 26, 2006

Last NPPES UpdateApril 3, 2009

✔ NPI 1295781508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP00001239

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.

10025 NE 186TH ST, Bothell, WA 98011

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Other Identifiers 1

Medicare UPING12752

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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)

David A Higginbotham D.o. 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 4

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.

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.

87 services72 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

67 services49 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.

37 services33 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98011 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

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.

74.46/100

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

Individually scored

Quality

81.3

Promoting Interoperability

100

Improvement Activities

Cost

33.57

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%60 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

90%20 patients4/55-star benchmark: 100%

Breast Cancer Screening

62%167 patients3/55-star benchmark: 93%

Cervical Cancer Screening

23%172 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

1%199 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

67%834 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

74%496 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

6%132 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

14%132 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,977 patients4/55-star benchmark: 100%

e-Prescribing

100%198 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

25%436 patients2/55-star benchmark: 100%

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

31%1,226 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

60%997 patients3/55-star benchmark: 97%

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

17%1,053 patients2/55-star benchmark: 61%

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

Patients combinedPopulations: 93% · 922 patients

Patients screened: 99% · 922 patients

23%64 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%406 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72%374 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 10% · 473 patients

Patients totalRate: 16% · 473 patients

15%473 patients3/55-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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers16 claims35 services$4.16 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 16

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

KELLY P GRENNER ARNP-FNP

Nurse Practitioner (Family)