2026 NPPES data Neurology Physician NPI 1508125741 M.D.
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LENORA HIGGINBOTHAM, M.D.

Neurology Physician in ATLANTA, Georgia. 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
1K
Medicare Part D claims · 171 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$25.73
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LENORA HIGGINBOTHAM, M.D. reported a CMS MIPS final score of 92.2614/100 — above the 83.1 national average — and filed 1,415 Medicare Part D claims in 2023.

92.2614/100
MIPS score · +9 vs avg
1K
Part D claims, 2023
94%
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.

LENORA HIGGINBOTHAM, 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

92 Top 32% higher than 68% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

LENORA HIGGINBOTHAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 LENORA HIGGINBOTHAM, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/09/2012

NPI 1508125741

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

1,415 8% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Neurology Physician compares to other specialties among Georgia providers

Georgia providers

Neurology Physician share within Georgia

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

Medicare quality performance — MIPS

LENORA HIGGINBOTHAM, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Neurology Physician) — 92.2614/100 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).

LENORA HIGGINBOTHAM, M.D. is a Neurology Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1508125741. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LENORA HIGGINBOTHAM, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 12 EXECUTIVE PARK DR NE, ATLANTA, GA, 30329, with a listed phone of (404) 778-3444. NPI 1508125741 was issued on 05/09/2012. 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 1,415 prescription claims written by this provider, covering 171 Medicare beneficiaries and totaling roughly $422K in drug spend, split 6% brand-name and 94% 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329

Provider Details

NPI 1508125741
Specialty Neurology Physician
Credentials M.D.
Gender Female
NPI Issued 05/09/2012

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LENORA HIGGINBOTHAM, M.D. 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.

THE EMORY CLINIC INC
ATLANTA, GA

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 LENORA HIGGINBOTHAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$26

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.

Brand vs generic prescribing mix · Generic-heavy

LENORA HIGGINBOTHAM, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,415 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.

1,415
Total Claims
$422K
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,094
Total Day Supply
91,567
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$339K
Generic Drug Cost
$83K

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.52
Gender Split
55% female / 45% male
Age Distribution
<65: 18, 65-74: 71, 75-84: 71, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Carbidopa-Levodopa
Carbidopa/Levodopa
342
Carbidopa-Levodopa Er
Carbidopa/Levodopa
122
Clonazepam
97
Gabapentin
79
Primidone
55
Amantadine
Amantadine Hcl
52
Quetiapine Fumarate
46
Donepezil Hcl
42
Propranolol Hcl Er
Propranolol Hcl
38
Mirtazapine
32

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

Neurology Physician Overview

How LENORA HIGGINBOTHAM, M.D. fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

LENORA HIGGINBOTHAM, M.D.'s 1,415 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is LENORA HIGGINBOTHAM, M.D.'s specialty?
LENORA HIGGINBOTHAM, M.D. specializes in Neurology Physician and practices in ATLANTA, Georgia. Credentials: M.D..
How much does LENORA HIGGINBOTHAM, M.D. prescribe under Medicare Part D?
In 2023, LENORA HIGGINBOTHAM, M.D. wrote 1,415 Medicare Part D claims totaling $422K in drug costs for 171 beneficiaries.
What is LENORA HIGGINBOTHAM, M.D.'s Medicare quality score?
LENORA HIGGINBOTHAM, M.D. has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LENORA HIGGINBOTHAM, M.D. located?
LENORA HIGGINBOTHAM, M.D. is located at 12 EXECUTIVE PARK DR NE, ATLANTA, GA, 30329. Phone: (404) 778-3444.
What is LENORA HIGGINBOTHAM, M.D.'s NPI number?
LENORA HIGGINBOTHAM, M.D.'s National Provider Identifier (NPI) is 1508125741, issued on 05/09/2012.
Does LENORA HIGGINBOTHAM, M.D. prescribe more brand-name or generic drugs?
LENORA HIGGINBOTHAM, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $339K in brand drug costs.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does LENORA HIGGINBOTHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LENORA HIGGINBOTHAM, M.D.'s most frequently prescribed drugs include Carbidopa-Levodopa, Carbidopa-Levodopa Er, Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LENORA HIGGINBOTHAM, M.D. accept Medicare?
LENORA HIGGINBOTHAM, M.D. appears in CMS Medicare data with 1,415 Part D claims and 171 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LENORA HIGGINBOTHAM, M.D.'s credentials?
LENORA HIGGINBOTHAM, M.D.'s NPI is 1508125741 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