DEVAN HIGGINBOTHAM MD
NPI 1306409677
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Fresno, CA

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
1630 E HERNDON AVE, FRESNO, CA 93720(916) 734-3526 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Jul 17, 2024, Jul 11, 2024 and 1 more (4 updates tracked since 2019).

About Devan Higginbotham Md NPPES

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

DEVAN HIGGINBOTHAM MD (NPI 1306409677) is an individual orthopaedic surgery of the spine provider in Fresno, California, licensed in California (196222) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306409677
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDEVAN HIGGINBOTHAMCredential: MD
Location Address1630 E HERNDON AVEFresno, CA 93720-3391
Mailing Address1270 E Spruce AveFresno, CA 93720-3312 · (916) 734-3526
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1306409677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in CA · 196222
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1630 E HERNDON AVE, Fresno, CA 93720

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

Devan Higginbotham Md 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 ID4082949540
PECOS Enrollment IDI20240807004511
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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
19 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients

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.

Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Pain Medicine (Pain Medicine)
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Family Medicine
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant (Medical)
1630 E HERNDON AVE
FRESNO, CA 93720

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 Devan Higginbotham's NPI number?

The NPI number for Devan Higginbotham is 1306409677. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Devan Higginbotham located?

Devan Higginbotham practices at 1630 E Herndon Ave, Fresno, CA 93720. The listed phone number is (916) 734-3526.

What is Devan Higginbotham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Devan Higginbotham enrolled in Medicare?

Yes. Devan 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.

When was this NPI record last updated?

The NPPES record for Devan Higginbotham was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.