2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1013371301
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BRIAN HIGDON

Physical Medicine & Rehabilitation Physician in JACKSONVILLE, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
701
Medicare Part D claims · 105 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Industry payments
$668.3
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BRIAN HIGDON filed 701 Medicare Part D claims in 2023 as a Physical Medicine & Rehabilitation Physician in JACKSONVILLE, Florida.

701
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

BRIAN HIGDON's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

701 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

BRIAN HIGDON practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about BRIAN HIGDON?

Quality data not reported

NPI registry status

Active

Issued 04/12/2016

NPI 1013371301

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

701 10% vs specialty avg

2023 prescription claims

Specialty avg: 781

Specialty distribution in Florida

How Physical Medicine & Rehabilitation Physician compares to other specialties among Florida providers

Florida providers

Physical Medicine & Rehabilitation Physician share within Florida

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Physical Medicine & Rehabilitation Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physical Medicine & Rehabilitation Physician ABMS/AOA estimate

Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BRIAN HIGDON appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider at 3901 UNIVERSITY BLVD S STE 103, JACKSONVILLE, FL, 32216, with a listed phone of (904) 345-7373. NPI 1013371301 was issued on 04/12/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIGDON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 701 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $40K in drug spend, with an opioid prescribing rate of 2.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3901 UNIVERSITY BLVD S STE 103
JACKSONVILLE, FL 32216

Provider Details

NPI 1013371301
Specialty Physical Medicine & Rehabilitation Physician
Gender Male
NPI Issued 04/12/2016

Hospital and facility affiliations

Facilities where BRIAN HIGDON bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HALIFAX HEALTHCARE SYSTEMS INC
DAYTONA BCH, FL
PHYSICAL MEDICINE SPECIALISTS, INC
JACKSONVILLE, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BRIAN HIGDON. Source: openpaymentsdata.cms.gov.

Total received

$668

Largest payer

Merz Pharmaceuticals, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to BRIAN HIGDON. To verify BRIAN HIGDON's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

701
Total Claims
$40K
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
983
Total Day Supply
28,519
Generic Drug Cost
$21K
Opioid Claims
16 (2.3% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
64.8 years
Avg HCC Risk Score
2.57
Gender Split
38% female / 62% male
Age Distribution
<65: 37, 65-74: 35, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What BRIAN HIGDON prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Baclofen
125
Gabapentin
75
Tizanidine Hcl
44
Oxybutynin Chloride Er
Oxybutynin Chloride
26
Duloxetine Hcl
25
Diazepam
24
Pregabalin
23
Nortriptyline Hcl
20
Tamsulosin Hcl
19
Methenamine Hippurate
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physical Medicine & Rehabilitation Physician Overview

How BRIAN HIGDON fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

BRIAN HIGDON's 701 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as HIGDON.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN HIGDON's specialty?
BRIAN HIGDON specializes in Physical Medicine & Rehabilitation Physician and practices in JACKSONVILLE, Florida.
How much does BRIAN HIGDON prescribe under Medicare Part D?
In 2023, BRIAN HIGDON wrote 701 Medicare Part D claims totaling $40K in drug costs for 105 beneficiaries.
Where is BRIAN HIGDON located?
BRIAN HIGDON is located at 3901 UNIVERSITY BLVD S STE 103, JACKSONVILLE, FL, 32216. Phone: (904) 345-7373.
What is BRIAN HIGDON's NPI number?
BRIAN HIGDON's National Provider Identifier (NPI) is 1013371301, issued on 04/12/2016.
Does BRIAN HIGDON prescribe opioids?
Yes, BRIAN HIGDON had 16 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does BRIAN HIGDON prescribe most often?
Based on 2023 Medicare Part D data, BRIAN HIGDON's most frequently prescribed drugs include Baclofen, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN HIGDON accept Medicare?
BRIAN HIGDON appears in CMS Medicare data with 701 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN HIGDON's credentials?
BRIAN HIGDON's NPI is 1013371301. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology