JOHN M. HIGGINBOTHAM DO
NPI 1790930899
Family Medicine in Fort Worth, TX

Active since November 18, 2008PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104(817) 250-4906 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2025, Mar 5, 2025, Feb 22, 2023 (3 updates tracked since 2023).

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 is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2008).

NPPES Registry Identity

NPI1790930899
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN M. HIGGINBOTHAMCredential: DO
Location Address1300 W TERRELL AVE STE K230Fort Worth, TX 76104-3104
Mailing Address12221 Merit Drive, Suite 1500Dallas, TX 75251 · (214) 217-1900 · Fax (940) 627-7597
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2008
Enumeration DateNovember 18, 2008
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1790930899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N4470
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.
Also ListedHospitalistTaxonomy 208M00000X · License COPS245 (NE), DO-06874 (IA), 6389 (TN), 21973 (ND)
1300 W TERRELL AVE STE K230, Fort Worth, TX 76104

Other Identifiers 1

Medicaid282187801TX

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

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.

PECOS PAC ID446429013
PECOS Enrollment IDI20110816000765, I20250317001200, I20250318000150, I20250408000976
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
146 services134 patients

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, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161309
Location631 N 8th StMissouri Valley, IA 51555 · Harrison County
Emergency services

Lisbon Area Health Services

Critical Access Hospitals · Lisbon, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351311
Location905 Main StLisbon, ND 58054 · Ransom County
Emergency services

Chi Oakes Hospital

Critical Access Hospitals · Oakes, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351315
Location1200 N 7th StOakes, ND 58474 · Dickey County
Emergency services

Chi Mercy Health

Critical Access Hospitals · Valley City, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351324
Location570 Chautauqua BlvdValley City, ND 58072 · Barnes County
Emergency services

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician 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.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
90%96 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims860 services$0.37 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims265 services$29.77 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims466 services$20.19 avg. paid by Medicare
Hydrocolloid dressing, wound filler, paste, sterile, per ounce A6240
DME-Medical/Surgical Supplies · category DA023N
1 supplier17 claims102 services$11.79 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$16.99 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 20

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

Nurse Practitioner (Family)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine (Hospice and Palliative Medicine)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
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.

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, Medica and Molina Healthcare 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 8 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.