2026 NPPES data Psychiatry Physician NPI 1538215603 M.D.
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JON HIGHUM, M.D.

Psychiatry Physician in LA MESA, California. 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
15K
Medicare Part D claims · 452 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$268.73
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JON HIGHUM, M.D. reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 15,493 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
15K
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.

JON HIGHUM, M.D.'s MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

Board certification likely (heuristic — not verified)

JON HIGHUM, M.D. 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 JON HIGHUM, M.D.?

Below national average

NPI registry status

Active

Issued 01/25/2007

NPI 1538215603

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

15,493 1393% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Psychiatry Physician compares to other specialties among California providers

California providers

Psychiatry Physician share within California

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within California

Medicare quality performance — MIPS

JON HIGHUM, M.D.'s 2023 MIPS final score plotted against the Psychiatry Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Psychiatry Physician) — 0/100 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).

JON HIGHUM, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 7777 ALVARADO RD # 255, LA MESA, CA, 91941, with a listed phone of (619) 461-9353. NPI 1538215603 was issued on 01/25/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIGHUM 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 15,493 prescription claims written by this provider, covering 452 Medicare beneficiaries and totaling roughly $5.0 million in drug spend. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

7777 ALVARADO RD # 255
LA MESA, CA 91941

Provider Details

NPI 1538215603
Specialty Psychiatry Physician
Credentials M.D.
Gender Male
NPI Issued 01/25/2007

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

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 JON HIGHUM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$269

Largest payer

Teva Pharmaceuticals USA, Inc.

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JON HIGHUM, M.D.. To verify JON HIGHUM, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

15,493
Total Claims
$5.0M
Total Drug Cost
452
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,803
Total Day Supply
457,895
Generic Drug Cost
$748K

Patient Demographics

Average Patient Age
61.1 years
Avg HCC Risk Score
1.46
Gender Split
53% female / 47% male
Age Distribution
<65: 230, 65-74: 162, 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 JON HIGHUM, M.D. 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
Risperidone
1,116
Quetiapine Fumarate
874
Fluoxetine Hcl
833
Trazodone Hcl
808
Olanzapine
786
Clonazepam
770
Clozapine
716
Benztropine Mesylate
702
Invega Sustenna
Paliperidone Palmitate
613
Divalproex Sodium
522

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

Psychiatry Physician Overview

How JON HIGHUM, M.D. fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

JON HIGHUM, M.D.'s 15,493 claims are above the specialty average of 1,038.

Nearby Psychiatry Physician Providers in California

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

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

Frequently Asked Questions

What is JON HIGHUM, M.D.'s specialty?
JON HIGHUM, M.D. specializes in Psychiatry Physician and practices in LA MESA, California. Credentials: M.D..
How much does JON HIGHUM, M.D. prescribe under Medicare Part D?
In 2023, JON HIGHUM, M.D. wrote 15,493 Medicare Part D claims totaling $5.0M in drug costs for 452 beneficiaries.
What is JON HIGHUM, M.D.'s Medicare quality score?
JON HIGHUM, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JON HIGHUM, M.D. located?
JON HIGHUM, M.D. is located at 7777 ALVARADO RD # 255, LA MESA, CA, 91941. Phone: (619) 461-9353.
What is JON HIGHUM, M.D.'s NPI number?
JON HIGHUM, M.D.'s National Provider Identifier (NPI) is 1538215603, issued on 01/25/2007.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does JON HIGHUM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JON HIGHUM, M.D.'s most frequently prescribed drugs include Risperidone, Quetiapine Fumarate, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JON HIGHUM, M.D. accept Medicare?
JON HIGHUM, M.D. appears in CMS Medicare data with 15,493 Part D claims and 452 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JON HIGHUM, M.D.'s credentials?
JON HIGHUM, M.D.'s NPI is 1538215603 with credentials M.D.. 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