JAMES C HIGGINBOTHAM P. A. - C
NPI 1609865658
Physician Assistant in Fort Wayne, IN

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11108 PARKVIEW CIRCLE DR STE 5100, FORT WAYNE, IN 46845(260) 266-2800(260) 266-2805 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Apr 14, 2021, Sep 18, 2018 and 1 more (4 updates tracked since 2017).

About James C Higginbotham P. A. - C NPPES

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

JAMES C HIGGINBOTHAM P. A. - C (NPI 1609865658) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10001186A) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609865658
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES C HIGGINBOTHAMCredential: P. A. - C
Location Address11108 PARKVIEW CIRCLE DR STE 5100Fort Wayne, IN 46845
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 266-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 20, 2005
Last NPPES UpdateOctober 20, 20224 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1609865658 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 IN · 10001186A
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.
11108 PARKVIEW CIRCLE DR STE 5100, Fort Wayne, IN 46845

Secondary Practice Locations 2

Location 15050 N Clinton StFort Wayne, IN 46825 · Phone (260) 484-8551 · Fax (260) 482-5060
Location 21500 Provident Dr Ste BWarsaw, IN 46580-3297 · Phone (574) 269-8301 · Fax (574) 269-8302

Accepted 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

James C Higginbotham P. A. - C 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 ID2466416722
PECOS Enrollment IDI20130128000043
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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
14 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 6

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
11108 PARKVIEW CIRCLE DR STE 5100
FORT WAYNE, IN 46845
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11108 PARKVIEW CIRCLE DR STE 5100
FORT WAYNE, IN 46845
Nurse Practitioner
11108 PARKVIEW CIRCLE DR STE 5100
FORT WAYNE, IN 46845
Physician Assistant
11108 PARKVIEW CIRCLE DR STE 5100
FORT WAYNE, IN 46845
Surgery (Vascular Surgery)
11108 PARKVIEW CIRCLE DR STE 5100
FORT WAYNE, IN 46845
Physician Assistant
11108 PARKVIEW CIRCLE DR STE 5100
FORT WAYNE, IN 46845

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 James Higginbotham's NPI number?

The NPI number for James Higginbotham is 1609865658. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is James Higginbotham located?

James Higginbotham practices at 11108 Parkview Circle Dr Ste 5100, Fort Wayne, IN 46845. The listed phone number is (260) 266-2800.

What is James Higginbotham's specialty?

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

Is James Higginbotham enrolled in Medicare?

Yes. James 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 James Higginbotham accept?

Health plans from CareSource list James 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 James Higginbotham affiliated with any hospitals?

According to CMS data, James Higginbotham is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Higginbotham was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.