JAMES RAY HIGGINBOTHAM C.N.P
NPI 1780622670
Nurse Practitioner in Dover, OH

Q: What is James Higginbotham's NPI number?

The NPI number for James Higginbotham is 1780622670. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is James Higginbotham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

659 BOULEVARD ST, DOVER, OH 44622(330) 602-0767(330) 365-3831 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Ray Higginbotham C.n.p NPPES

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

JAMES RAY HIGGINBOTHAM C.N.P (NPI 1780622670) is an individual nurse practitioner in Dover, Ohio, licensed in Ohio (RN271748) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1780622670

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAMES RAY HIGGINBOTHAMCredential: C.N.P

Location Address659 BOULEVARD STDover, OH 44622-2026

Mailing Address659 Boulevard StDover, OH 44622-2026 · (330) 602-0767 · Fax (330) 365-3831

Phone(330) 602-0767

Fax(330) 365-3831

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 3, 2006

Last NPPES UpdateApril 21, 2010

✔ NPI 1780622670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · RN271748

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

659 BOULEVARD ST, Dover, OH 44622

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Ray Higginbotham C.n.p 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 ID2163435066

PECOS Enrollment IDI20060719000037

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.

Medicare Billing Reassignments

Medicare enrollment records show James Higginbotham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barrett Pain Associates, Inc

0.2 mi

Pain Medicine

844 BOULEVARD ST
Dover, OH 44622

Reassigned Medicare billing, Ohio enrollment
6 clinicians in this Medicare group

NPI 1710180450 (330) 473-6615

Mid-South Home Care Services, LLC

81 mi

Hospice and Palliative Medicine

1100 BEECHER XING N STE D-1
Columbus, OH 43230

Reassigned Medicare billing, Ohio enrollment
18 clinicians in this Medicare group

NPI 1881391597 (614) 796-4446

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

50 services22 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

24 services12 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

19 services19 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44622 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 20

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

CLEVELAND CLINIC UNION HOSPITAL

Clinic/Center (Emergency Care)