NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1316169170 MD
Verify on CMS → Jeffrey Higginbotham, MD
Pain Medicine (Anesthesiology) Physician in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,032 in Pain Medicine (Anesthesiology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 798 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.3/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$3.7K
70 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Jeffrey Higginbotham, MD reported a CMS MIPS final score of 75.3/100 - below the 83.5 national average - and filed 6,680 Medicare Part D claims in 2023.
- 75.3/100
- MIPS score · -8 vs avg
- 7K
- Part D claims, 2023
- 93%
- generic prescribing
- 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.
Federal trust snapshot
What official records show about Jeffrey Higginbotham, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1316169170), first enumerated 05/02/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 6,680 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 75.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$3.7K in reported industry payments (70 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Jeffrey Higginbotham, MD's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1316169170 · Pain Medicine (Anesthesiology) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1316169170
- ENUM-MID 2007
- TAX-NARROW 4,032
- MIPS-BELOW 75.3/100
- RX-MID 6,680
- BOOK-THIN 365 in Texas
- PHOTO-FINISH Edward Frankoski · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Andrew Gross · l…
Andrew Gross
75.2 MIPS pts
- Higginbotham · t…
Higginbotham · this provider
75.3 MIPS pts
- Lorenzo Hughes ·…
Lorenzo Hughes
75.3 MIPS pts
- Edward Frankoski…
Edward Frankoski
75.3 MIPS pts
- Michael Fujinaka…
Michael Fujinaka
75.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Jeffrey Higginbotham, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
75 ≥ 15th percentile 15% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Jeffrey Higginbotham, MD sits
This provider among pain medicine (anesthesiology) physician peers
Across the 928 pain medicine (anesthesiology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jeffrey Higginbotham, MD writes more Part D claims than 93% of them and scores higher on MIPS quality than 32% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pain medicine (anesthesiology) physician peer from a representative sample of 60; the gold marker is Jeffrey Higginbotham, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jeffrey Higginbotham, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Jeffrey Higginbotham, MD?
Below national averagePrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
6,680 303% vs specialty avg
MIPS final score
75.3/100 8.2 pts vs avg
Specialty distribution in Texas
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Jeffrey Higginbotham, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average
- MIPS Final Score
- 75.3/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1316169170 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/02/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.2722
Final Score
Measured-score avg: 83.5
61.5857
Quality
88
Promoting Interoperability
Reporting: Individual
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 Jeffrey Higginbotham, MD. Source: openpaymentsdata.cms.gov.
Total received
$3.7K
Largest payer
Abbott Laboratories
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Jeffrey Higginbotham, MD. To verify Jeffrey Higginbotham, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Jeffrey Higginbotham, MD - brand share 7.0%
Pain Medicine (Anesthesiology) Physician average
7% brand-name claims vs 93% generic, on 6,680 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
6,680
Total Claims
$474K
Total Drug Cost
798
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,835
- Total Day Supply
- 186,409
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $268K
- Generic Drug Cost
- $207K
- Opioid Claims
- 5,424 (81.2% rate)
- Antibiotic Claims
- 119
Patient Demographics
- Average Patient Age
- 67.8 years
- Avg HCC Risk Score
- 1.78
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 248, 65-74: 343, 75-84: 171, 85+: 36
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jeffrey Higginbotham, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
2,688 claims
- Oxycodone Hcl 574
Oxycodone Hcl
574 claims
- Oxycodone-Acetamin… 496
Oxycodone-Acetaminophen
496 claims
- Morphine Sulfate Er 419
Morphine Sulfate Er
419 claims
- Gabapentin 237
Gabapentin
237 claims
- Hydromorphone Hcl 230
Hydromorphone Hcl
230 claims
- Tramadol Hcl 145
Tramadol Hcl
145 claims
- Morphine Sulfate 137
Morphine Sulfate
137 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 2,688 |
| Oxycodone Hcl | 574 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 496 |
| Morphine Sulfate Er Morphine Sulfate | 419 |
| Gabapentin | 237 |
| Hydromorphone Hcl | 230 |
| Tramadol Hcl | 145 |
| Morphine Sulfate | 137 |
| Oxycontin Oxycodone Hcl | 125 |
| Fentanyl | 123 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in TX →
All providers in Texas →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Jeffrey Higginbotham, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,032
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Jeffrey Higginbotham, MD's 6,680 claims are above the specialty average of 1,657.
Nationwide Pain Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Higginbotham, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75.3 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Higginbotham.
One of 365 Pain Medicine (Anesthesiology) Physician providers enrolled in Texas, 5 are shown here.
Dr. Basem Abdelfattah
M.D.
Dallas, TX
Dr. Mena Abdelmalak
MD
College Station, TX
Dr. Salahadin Abdi
MD
Houston, TX
Dr. Amre Aboul-Fettouh
DO
Garland, TX
Dr. Clayton Adams
M.D.
Austin, TX
Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Jeffrey Higginbotham, MD's specialty? ▼
Jeffrey Higginbotham, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in Austin, Texas. Credentials: MD.
How much does Jeffrey Higginbotham, MD prescribe under Medicare Part D? ▼
In 2023, Jeffrey Higginbotham, MD wrote 6,680 Medicare Part D claims totaling $474K in drug costs for 798 beneficiaries.
What is Jeffrey Higginbotham, MD's Medicare quality score? ▼
Jeffrey Higginbotham, MD has a CMS MIPS Final Score of 75.3/100 (Quality: 61.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jeffrey Higginbotham, MD located? ▼
Jeffrey Higginbotham, MD is located at 711 W 38TH ST STE D4, Austin, TX, 78705. Phone: (512) 244-4272.
What is Jeffrey Higginbotham, MD's NPI number? ▼
Jeffrey Higginbotham, MD's National Provider Identifier (NPI) is 1316169170, issued on 05/02/2007.
Does Jeffrey Higginbotham, MD prescribe more brand-name or generic drugs? ▼
Jeffrey Higginbotham, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $268K in brand drug costs.
Does Jeffrey Higginbotham, MD prescribe opioids? ▼
Yes, Jeffrey Higginbotham, MD had 5,424 opioid claims in 2023 with an opioid prescribing rate of 81.2%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,032 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Jeffrey Higginbotham, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jeffrey Higginbotham, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jeffrey Higginbotham, MD accept Medicare? ▼
Jeffrey Higginbotham, MD appears in CMS Medicare data with 6,680 Part D claims and 798 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jeffrey Higginbotham, MD's credentials? ▼
Jeffrey Higginbotham, MD's NPI is 1316169170 with credentials MD. 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
View source datasets and methodology notes
- 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.