Active NPI
Devan Higginbotham, MD
- Orthopaedic Surgery of the Spine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 196222
- Practice address
- 1630 E Herndon Ave
Fresno, CA 93720-3391 - Phone
- (916) 734-3526
- NPI assigned
- Apr 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 196222 | CA | Primary |
Addresses
Primary practice location
1630 E Herndon Ave
Fresno, CA 93720-3391
Mailing address
1270 E Spruce Ave
Fresno, CA 93720-3312
Phone (916) 734-3526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 E Herndon Ave
Fresno, CA 93720-3391
Phone (559) 290-7051
Hospital & facility affiliations
- Saint Agnes Medical Center
- Clovis Community Medical Center
- Fresno Surgical Hospital
- Kaweah Health Medical Center
- Mercy Medical Center
- San Joaquin Valley Rehabilitation Hosp
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Spinal fusion | 172 |
| Laminectomy or laminotomy (partial removal of spine bones) | 75 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196222 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Fresno Surgery Center LP | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
1270 E Spruce Ave
Fresno, CA 93720
Phone (559) 256-5200
10850 White Rock Rd
Rancho Cordova, CA 95670
4860 Y St
Ste 3800
Sacramento, CA 95817
Phone (916) 734-2807
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700
225 E Caldwell Ave
Visalia, CA 93277
Interoperability endpoints
- dhigginbotham4466215@direct.trinity-health.org
- devan.higginbotham.p1@direct.spocortho.nextgenshare.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Specialist
- Fresno, CA
- NPI 1285669655
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1275526295
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205834694
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Fresno, CA
- NPI 1831144716
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205834694
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1306409677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 E SPRUCE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203312",
"telephone_number": "916-734-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203391",
"telephone_number": "916-734-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINBOTHAM",
"first_name": "DEVAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "196222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.