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DR. WILLIAM ANDREW HIGHBERGER M.D.
NPI 1629022207
Preventive Medicine - Addiction Medicine in Newark, OH

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
200 MESSIMER DRIVE, NEWARK, OH 43055(220) 564-4870(220) 564-4871 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2021, Apr 3, 2019, Sep 13, 2016 (3 updates tracked since 2016).

About Dr. William Andrew Highberger M.d. NPPES

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

DR. WILLIAM ANDREW HIGHBERGER M.D. (NPI 1629022207) is an individual addiction medicine provider in Newark, Ohio, licensed in Ohio (35.056976) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1987).

NPPES Registry Identity

NPI1629022207
Entity TypeIndividualMale
Primary Taxonomy2083A0300X
Provider Legal NameDR. WILLIAM ANDREW HIGHBERGERCredential: M.D.
Location Address200 MESSIMER DRIVENewark, OH 43055
Mailing Address200 Messimer DriveNewark, OH 43055 · (220) 564-4870 · Fax (220) 564-4871
Phone(220) 564-4870
Fax(220) 564-4871
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1987
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 18, 20213 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1629022207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in OH · 35.056976
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 35-056976 (OH)
200 MESSIMER DRIVE, Newark, OH 43055
Open in Google Maps ↗

Other Identifiers 1

Medicaid0923611OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.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. William Andrew Highberger M.d. 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 ID4082645551
PECOS Enrollment IDI20050824000572
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.

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Other Providers at the Same Location NPPES 4

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

JAMES MICHAEL OAKS DO
Psychiatry & Neurology (Psychiatry)
200 MESSIMER DRIVE
NEWARK, OH 43055
Licking County (740) 348-4870
STEPHEN M PICKSTONE MD
Psychiatry & Neurology (Psychiatry)
200 MESSIMER DRIVE
NEWARK, OH 43055
Licking County (220) 564-4873
DARREN BURGIN CNP
Nurse Practitioner (Psychiatric/Mental Health)
200 MESSIMER DRIVE
NEWARK, OH 43055
Licking County (220) 564-4870
MRS. RACHEL KATHLEEN VELISHEK MA, LPCC
Counselor (Professional)
200 MESSIMER DRIVE
NEWARK, OH 43055
Licking County (220) 564-4873

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 William Highberger's NPI number?

The NPI number for William Highberger is 1629022207. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is William Highberger located?

William Highberger practices at 200 Messimer Drive, Newark, OH 43055. The listed phone number is (220) 564-4870.

What is William Highberger's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is William Highberger enrolled in Medicare?

Yes. William Highberger 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 William Highberger accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list William Highberger 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 William Highberger affiliated with any hospitals?

According to CMS data, William Highberger is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for William Highberger was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.