DR. MICHAEL S HIGGINBOTHAM MD
NPI 1619992377
Family Medicine in Rockport, AR

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
1580 TANNER ST, ROCKPORT, AR 72104(501) 332-7981(501) 337-9964 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2021, May 17, 2021, May 6, 2021 (3 updates tracked since 2021).

About Dr. Michael S Higginbotham Md NPPES

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

DR. MICHAEL S HIGGINBOTHAM MD (NPI 1619992377) is an individual family medicine provider in Rockport, Arkansas, licensed in Arkansas (E0968) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1995).

NPPES Registry Identity

NPI1619992377
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL S HIGGINBOTHAMCredential: MD
Location Address1580 TANNER STRockport, AR 72104-2023
Mailing Address1580 Tanner StRockport, AR 72104-2023 · (501) 332-7981 · Fax (501) 337-9964
Fax(501) 337-9964
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1995
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 21, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
NPI 1619992377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E0968
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.
1580 TANNER ST, Rockport, AR 72104

Other Identifiers 1

Medicaid129994001AR

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

Dr. Michael S 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 ID5991778482
PECOS Enrollment IDI20040813000378
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 53

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.
2,321 services665 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,376 services650 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.
983 services171 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.
876 services419 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
670 services245 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
581 services581 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72104 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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
5 suppliers30 claims96 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims31 services$1.14 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers11 claims2,790 services$1.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims70 services$24.28 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$73.13 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$20.91 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 5

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

Family Medicine
1580 TANNER ST
ROCKPORT, AR 72104
Nurse Practitioner (Family)
1580 TANNER ST
ROCKPORT, AR 72104
Clinic/Center (Urgent Care)
1580 TANNER ST
ROCKPORT, AR 72104
Nurse Practitioner (Family)
1580 TANNER ST
ROCKPORT, AR 72104
Nurse Practitioner (Family)
1580 TANNER ST
ROCKPORT, AR 72104

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 Michael Higginbotham's NPI number?

The NPI number for Michael Higginbotham is 1619992377. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Michael Higginbotham located?

Michael Higginbotham practices at 1580 Tanner St, Rockport, AR 72104. The listed phone number is (501) 332-7981.

What is Michael Higginbotham's specialty?

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

Is Michael Higginbotham enrolled in Medicare?

Yes. Michael 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 Michael Higginbotham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Higginbotham was last updated on September 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.