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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY JOY HIGGINBOTHAM PA
NPI 1528412715
Physician Assistant in Charlottesville, VA

Active since April 14, 2016PECOS Enrolled
88.4/100
CMS Quality Rating
2280 IVY RD, STE 1304, CHARLOTTESVILLE, VA 22903(434) 243-3600(434) 243-4454 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Aug 10, 2023, Mar 28, 2023 and 5 more (8 updates tracked since 2016).

About Kimberly Joy Higginbotham Pa NPPES

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

KIMBERLY JOY HIGGINBOTHAM PA (NPI 1528412715) is an individual physician assistant in Charlottesville, Virginia, licensed in Virginia (0110008926) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1528412715
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY JOY HIGGINBOTHAMCredential: PA
Location Address2280 IVY RD, STE 1304Charlottesville, VA 22903
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Phone(434) 243-3600
Fax(434) 243-4454
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 14, 2016
Last NPPES UpdateSeptember 29, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1528412715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in VA · 0110008926✔ Licensed in NC · 0010-06422
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.
2280 IVY RD, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-0211

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

Kimberly Joy 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 ID2860783974
PECOS Enrollment IDI20221212002424, I20260325001702
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 7

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.

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.
200 services156 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.
144 services127 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
143 services116 patients
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.
55 services53 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
31 services31 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Referred Medical Equipment & Supplies CMS DME claims 3

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
2 suppliers11 claims11 services$53.83 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers17 claims17 services$101.25 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers11 claims11 services$37.39 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 13

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

LOGAN MICHAEL SEITZER
Physician Assistant
2280 IVY RD, STE 1304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-7778
IAN WHITNEY PT
Physical Therapist
2280 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-0311
JESSICA LEIGH BODDEN MPT
Physical Therapist
2280 IVY RD, STE G271
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-0311
MRS. CHELSEA E FRYE NP
Nurse Practitioner
2280 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2283
CHARLES SU
Orthopaedic Surgery
2280 IVY RD, STE 1304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-7778
CAROLINE TIPPETT
Orthopaedic Surgery (Foot and Ankle Surgery)
2280 IVY RD, STE 1304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5432
KACY PEEK M.D.
Orthopaedic Surgery (Hand Surgery)
2280 IVY RD, STE 2304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 982-4263
CAMERON BOLTON PT
Physical Therapist
2280 IVY RD, STE G271
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-0311

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 Kimberly Higginbotham's NPI number?

The NPI number for Kimberly Higginbotham is 1528412715. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Kimberly Higginbotham located?

Kimberly Higginbotham practices at 2280 Ivy Rd Ste 1304, Charlottesville, VA 22903. The listed phone number is (434) 243-3600.

What is Kimberly Higginbotham's specialty?

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

Is Kimberly Higginbotham enrolled in Medicare?

Yes. Kimberly 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.

Is Kimberly Higginbotham affiliated with any hospitals?

According to CMS data, Kimberly Higginbotham is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Higginbotham was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.