Individual provider Active NPI

Nicholas David Higinbotham, DO

  • Orthopaedic Surgery Physician
  • Princeton, WV
National Provider Identifier
1154841872
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3843 Issued in WV
Practice address
311 Courthouse Rd
Princeton, WV 24740-2421
Phone
(304) 487-2297
Fax
(304) 487-4802
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101023487 MI
Orthopaedic Surgery Physician 207X00000X 3843 WV Primary

Addresses

Primary practice location

311 Courthouse Rd
Princeton, WV 24740-2421

Mailing address

311 Courthouse Rd
Princeton, WV 24740-2421
Phone (304) 487-2297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901001028 WV Practitioner - Orthopedic Surgery 9335410380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 TH St
Princeton, WV 24740
Phone (304) 431-4700

Hospital & facility affiliations

  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement44
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101023487MIMDOrthopaedic Surgery Physician
3843WVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nick Higinbotham DO PC Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
Bluefield Orthopedics, P.C. Orthopaedic Surgery PastSince Jul 1, 2022 Accepting new patients

Locations

311 Courthouse Rd
Princeton, WV 24740
Phone (304) 487-2297

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1154841872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-487-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-487-2297",
            "fax_number": "304-487-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGINBOTHAM",
        "first_name": "NICHOLAS",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101023487",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "3843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.