JEFFREY N HIGGINBOTHAM MD
NPI 1316169170
Anesthesiology - Pain Medicine in Missoula, MT

Q: What is Jeffrey Higginbotham's NPI number?

The NPI number for Jeffrey Higginbotham is 1316169170. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Jeffrey Higginbotham's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment

75.27/100

CMS Quality Rating

2740 SOUTH AVE W STE 201, MISSOULA, MT 59804(406) 541-7246 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Apr 13, 2021, Jan 12, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Jeffrey N Higginbotham Md NPPES

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

JEFFREY N HIGGINBOTHAM MD (NPI 1316169170) is an individual pain medicine provider in Missoula, Montana, licensed in Montana (MED-PHYS-LIC-164508) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316169170

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameJEFFREY N HIGGINBOTHAMCredential: MD

Location Address2740 SOUTH AVE W STE 201Missoula, MT 59804-5137

Mailing Address2740 South Ave W Ste 201Missoula, MT 59804-5137 · (406) 541-7246

Phone(406) 541-7246

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 2, 2007

Last NPPES UpdateMay 26, 20264 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1316169170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Licenses✔ Licensed in MT · MED-PHYS-LIC-164508✔ Licensed in TX · N0831

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License N0831 (TX)

2740 SOUTH AVE W STE 201, Missoula, MT 59804

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Other Identifiers 1

Medicaid286184102TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and more.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

Jeffrey N 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 ID9739251281

PECOS Enrollment IDI20260313003323

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 29

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.

580 services354 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

513 services28 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

422 services250 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

291 services191 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

242 services220 patients

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

132 services96 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

91 services30 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

75 services62 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.

56 services43 patients

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.

55 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

41 services38 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

40 services23 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

40 services37 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

39 services22 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.

38 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

32 services27 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

29 services16 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

This procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.

29 services16 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 64634

This procedure involves the use of imaging technology to accurately target and destroy nerves in the upper or middle spinal facet joints, which may be causing pain. Each additional facet joint treated follows the same process.

29 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services27 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

22 services17 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

22 services20 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

20 services16 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

17 services17 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

17 services17 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

17 services17 patients

Aspiration and/or injection of fluid from large joint 20610

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Missoula, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270023

Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County

Emergency services Birthing friendly

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271340

Location1200 Westwood DrHamilton, MT 59840 · Ravalli County

Emergency services

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.

75.27/100

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

Individually scored

Quality

61.58

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

50%128 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

67%129 patients3/55-star benchmark: 91%

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

Lower rates are better for this measure.

88%77 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,658 patients4/55-star benchmark: 100%

e-Prescribing

99%7,122 patients4/55-star benchmark: 100%

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

26%1,054 patients2/55-star benchmark: 98%

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

77%1,005 patients4/55-star benchmark: 97%

Provide Patients Electronic Access to Their Health Information

76%1,152 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.

Other Providers at the Same Location NPPES 3

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

SAVANNA MCCOY FASSIO PT, DPT, CSCS

Physical Therapist

2740 SOUTH AVE W STE 201
MISSOULA, MT 59804

Missoula County (406) 543-0617

MORGAN ROCHELLE ROBERTS PA-C

Physician Assistant

2740 SOUTH AVE W STE 201
MISSOULA, MT 59804

Missoula County (406) 541-7246

STEVEN ROBERTS DO

Anesthesiology

2740 SOUTH AVE W STE 201
MISSOULA, MT 59804

Missoula County (406) 541-7246

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 Jeffrey Higginbotham's NPI number?

The NPI number for Jeffrey Higginbotham is 1316169170. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Jeffrey Higginbotham located?

Jeffrey Higginbotham practices at 2740 South Ave W Ste 201, Missoula, MT 59804. The listed phone number is (406) 541-7246.

What is Jeffrey Higginbotham's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Jeffrey Higginbotham enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Higginbotham accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and Oscar Insurance Company list Jeffrey 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 Jeffrey Higginbotham affiliated with any hospitals?

According to CMS data, Jeffrey Higginbotham is affiliated with Community Medical Center and Bitterroot Health - Daly Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Higginbotham was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.