2026 NPPES data Hospitalist Physician NPI 1790930899 DO
Verify on CMS →

John Higginbotham, DO

Hospitalist Physician in Fort Worth, 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 16,825 in Hospitalist 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
368
Medicare Part D claims · 68 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.3/100
▼ 8 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Higginbotham, DO reported a CMS MIPS final score of 75.3/100 - below the 83.1 national average - and filed 368 Medicare Part D claims in 2023.

75.3/100
MIPS score · -8 vs avg
368
Part D claims, 2023
87%
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.

John Higginbotham, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where John Higginbotham, DO sits

This provider among hospitalist physician peers

Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Higginbotham, DO writes more Part D claims than 67% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 95John Higginbotham, DO-Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 13
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is John Higginbotham, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

John Higginbotham, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 John Higginbotham, DO?

Below national average

NPI registry status

Active

Issued 11/18/2008

NPI 1790930899

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

368 59% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

75.3/100 7.8 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Hospitalist Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Hospitalist Physician - 0.3%Hospitalist Physician0.3%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

John Higginbotham, DO's 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
75.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) - 75.3/100 vs national avg 83.1

0%100%National avg83%75.3%
MIPS final score (Hospitalist Physician) - 75.3/100 vs national avg 83.1

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).

John Higginbotham, DO appears in the CMS NPPES registry as a Hospitalist Physician provider holding DO credentials at 1300 W TERRELL AVE STE K230, Fort Worth, TX, 76104, with a listed phone of (817) 250-4906. NPI 1790930899 was issued on 11/18/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Higginbotham 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 368 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $39K in drug spend, split 13% brand-name and 87% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.3/100 for the 2023 performance year (Quality 68.1, Cost 49.5), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

1300 W TERRELL AVE STE K230
Fort Worth, TX 76104

Provider Details

NPI 1790930899
Specialty Hospitalist Physician
Credentials DO
Gender Male
NPI Issued 11/18/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75.2752
Final Score
Avg: 83.1
68.0792
Quality
49.5048
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where John Higginbotham, DO 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.

According to CMS billing records, John Higginbotham, DO is affiliated with 4 Medicare-billing facilities across 3 states.

Alegent Creighton Clinic
Omaha, NE
Hospitalist Medicine Physicians OF Texas PLLC
Fort Worth, TX
Mercy Hospital OF Valley City
Valley City, ND
Oakes Community Hospital
Oakes, ND

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

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 John Higginbotham, DO. To verify John Higginbotham, DO'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 · Typical

John Higginbotham, DO - brand share 13.0%
Hospitalist Physician average

13% brand-name claims vs 87% generic, on 368 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.

368
Total Claims
$39K
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
565
Total Day Supply
16,468
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$31K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
4.69
Gender Split
63% female / 37% male
Age Distribution
<65: 12, 65-74: 23, 75-84: 13, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What John Higginbotham, DO 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
Amlodipine Besylate
27
Furosemide
25
Levothyroxine Sodium
24
Atorvastatin Calcium
17
Carvedilol
16
Hydralazine Hcl
16
Pantoprazole Sodium
16
Potassium Chloride
15
Tamsulosin Hcl
15
Baclofen
13

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

Hospitalist Physician Overview

How John Higginbotham, DO fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

John Higginbotham, DO's 368 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Texas

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is John Higginbotham, DO's specialty?
John Higginbotham, DO specializes in Hospitalist Physician and practices in Fort Worth, Texas. Credentials: DO.
How much does John Higginbotham, DO prescribe under Medicare Part D?
In 2023, John Higginbotham, DO wrote 368 Medicare Part D claims totaling $39K in drug costs for 68 beneficiaries.
What is John Higginbotham, DO's Medicare quality score?
John Higginbotham, DO has a CMS MIPS Final Score of 75.3/100 (Quality: 68.1, Cost: 49.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Higginbotham, DO located?
John Higginbotham, DO is located at 1300 W TERRELL AVE STE K230, Fort Worth, TX, 76104. Phone: (817) 250-4906.
What is John Higginbotham, DO's NPI number?
John Higginbotham, DO's National Provider Identifier (NPI) is 1790930899, issued on 11/18/2008.
Does John Higginbotham, DO prescribe more brand-name or generic drugs?
John Higginbotham, DO's prescribing is 13% brand-name and 87% generic drugs by claim count, with $31K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does John Higginbotham, DO prescribe most often?
Based on 2023 Medicare Part D data, John Higginbotham, DO's most frequently prescribed drugs include Amlodipine Besylate, Furosemide, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Higginbotham, DO accept Medicare?
John Higginbotham, DO appears in CMS Medicare data with 368 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Higginbotham, DO's credentials?
John Higginbotham, DO's NPI is 1790930899 with credentials DO. 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.
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

Compiled from official public sources by the PlainDoctor editorial team.