JOHN M. HIGGINBOTHAM DO
NPI 1790930899
Family Medicine in Fort Worth, TX
About John M. Higginbotham Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN M. HIGGINBOTHAM DO (NPI 1790930899) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (N4470) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Chi Health Missouri Valley, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
Accepted 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
John M. Higginbotham Do 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.
Medicare Billing Reassignments
12Medicare enrollment records show John Higginbotham reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Sound Inpatient Physicians Of Texas I, Inc
- 478 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 1,639 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Dallas, TX 75230
- Reassigned Medicare billing, Texas enrollment
- 486 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska and Iowa enrollments
- Also billed through NPI 1518227859 (Iowa)
- 1,045 clinicians in this Medicare group
Chattanooga, TN 37411
- Reassigned Medicare billing, Georgia and Tennessee enrollments
- 242 clinicians in this Medicare group
Oakes, ND 58474
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1598848517 (North Dakota)
- 40 clinicians in this Medicare group
Lisbon, ND 58054
- Reassigned Medicare billing, North Dakota enrollment
- 39 clinicians in this Medicare group
Valley City, ND 58072
- Reassigned Medicare billing, North Dakota enrollment
- 64 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Missouri Valley
Critical Access Hospitals · Missouri Valley, IALisbon Area Health Services
Critical Access Hospitals · Lisbon, NDChi Oakes Hospital
Critical Access Hospitals · Oakes, NDChi Mercy Health
Critical Access Hospitals · Valley City, NDJps Health Network
Acute Care Hospitals · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 John Higginbotham's NPI number?
The NPI number for John Higginbotham is 1790930899. It was assigned to this individual provider in the NPPES registry on November 18, 2008.
Where is John Higginbotham located?
John Higginbotham practices at 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.
What is John Higginbotham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Higginbotham enrolled in Medicare?
Yes. John 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.
Which organizations bill Medicare for John Higginbotham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Higginbotham reassigns Medicare benefits to 12 organizations: Sound Inpatient Physicians Of Texas 1, Inc (Fort Worth, TX), Texas Health Physicians Group (Fort Worth, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Questcare Hospitalists PLLC (Dallas, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Higginbotham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Higginbotham accept?
Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company and 2 other insurers list John 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 John Higginbotham affiliated with any hospitals?
According to CMS data, John Higginbotham is affiliated with Chi Health Missouri Valley, Lisbon Area Health Services, Chi Oakes Hospital, Chi Mercy Health and Jps Health Network.
When was this NPI record last updated?
The NPPES record for John Higginbotham was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# John M. Higginbotham, DO · NPI 1790930899
Family Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since November 18, 2008.
## Identity
- **NPI:** 1790930899 (Entity type: Individual)
- **Enumerated:** November 18, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** N4470 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 W TERRELL AVE STE K230, Fort Worth, TX 76104-3104
- **Phone:** (817) 250-4906
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Sound Inpatient Physicians Of Texas 1, Inc (NPI 1689096570, Fort Worth, TX); Texas Health Physicians Group (NPI 1174573596, Fort Worth, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); Questcare Hospitalists PLLC (NPI 1265441620, Dallas, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2008
## Record status
- **NPPES last updated:** December 9, 2025
- **Other identifiers:** Medicaid 282187801 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1790930899) · Data from the CMS NPPES public registry.