NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1154841872 DO
Verify on CMS → Nicholas Higinbotham, DO
Orthopaedic Surgery Physician in Princeton, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,781 in Orthopaedic Surgery 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
207
Medicare Part D claims · 140 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$64.86
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nicholas Higinbotham, DO filed 207 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in Princeton, West Virginia, prescribing 93% generic.
- 207
- Part D claims, 2023
- 93%
- generic prescribing
- $64.86
- industry payments (Sunshine Act)
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.
Nicholas Higinbotham, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
207 49th percentile higher than 49% of 1,370,886 prescribers
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-eligible specialty (heuristic, not verified)
Nicholas Higinbotham, DO practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Nicholas Higinbotham, DO?
Quality data not reportedPrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
207 36% vs specialty avg
Specialty distribution in West Virginia
How Orthopaedic Surgery Physician compares to other specialties among West Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Orthopaedic Surgery Physician. Verify directly:
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).
Nicholas Higinbotham, DO appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding DO credentials at 311 COURTHOUSE RD, Princeton, WV, 24740, with a listed phone of (304) 487-2297. NPI 1154841872 was issued on 06/23/2017.
Medicare Part D records for calendar year 2023 show 207 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $10K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 79.7%.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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
Provider Details
| NPI | 1154841872 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 06/23/2017 |
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 Nicholas Higinbotham, DO. Source: openpaymentsdata.cms.gov.
Total received
$65
Largest payer
SI-BONE, 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.
Brand vs generic prescribing mix · Generic-heavy
Nicholas Higinbotham, DO - brand share 7.0%
Orthopaedic Surgery Physician average
7% brand-name claims vs 93% generic, on 207 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.
207
Total Claims
$10K
Total Drug Cost
140
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 207
- Total Day Supply
- 1,626
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $8K
- Generic Drug Cost
- $2K
- Opioid Claims
- 165 (79.7% rate)
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 72.4 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 13, 65-74: 80, 75-84: 36, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nicholas Higinbotham, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
79 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
65 claims
- Tramadol Hcl 15
Tramadol Hcl
15 claims
- Eliquis 13
Eliquis
13 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 79 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 65 |
| Tramadol Hcl | 15 |
| Eliquis Apixaban | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Nicholas Higinbotham, DO fits within the Orthopaedic Surgery Physician landscape nationally.
25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
Nicholas Higinbotham, DO's 207 claims are below the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Higinbotham.
Dr. Mohammadreza Abbasian
MD
Huntington, WV
Dr. Jeffrey Abbott
DO
Wheeling, WV
Dr. Moses Adebayo
MD
Huntington, WV
Dr. Stephen Alatis
DO
Weirton, WV
Dr. Derek Andreini
MD
Wheeling, WV
Compare Orthopaedic Surgery 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 West Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery 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.
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Frequently Asked Questions
What is Nicholas Higinbotham, DO's specialty? ▼
Nicholas Higinbotham, DO specializes in Orthopaedic Surgery Physician and practices in Princeton, West Virginia. Credentials: DO.
How much does Nicholas Higinbotham, DO prescribe under Medicare Part D? ▼
In 2023, Nicholas Higinbotham, DO wrote 207 Medicare Part D claims totaling $10K in drug costs for 140 beneficiaries.
Where is Nicholas Higinbotham, DO located? ▼
Nicholas Higinbotham, DO is located at 311 COURTHOUSE RD, Princeton, WV, 24740. Phone: (304) 487-2297.
What is Nicholas Higinbotham, DO's NPI number? ▼
Nicholas Higinbotham, DO's National Provider Identifier (NPI) is 1154841872, issued on 06/23/2017.
Does Nicholas Higinbotham, DO prescribe more brand-name or generic drugs? ▼
Nicholas Higinbotham, DO's prescribing is 7% brand-name and 93% generic drugs by claim count, with $8K in brand drug costs.
Does Nicholas Higinbotham, DO prescribe opioids? ▼
Yes, Nicholas Higinbotham, DO had 165 opioid claims in 2023 with an opioid prescribing rate of 79.7%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Nicholas Higinbotham, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Nicholas Higinbotham, DO's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicholas Higinbotham, DO accept Medicare? ▼
Nicholas Higinbotham, DO appears in CMS Medicare data with 207 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicholas Higinbotham, DO's credentials? ▼
Nicholas Higinbotham, DO's NPI is 1154841872 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
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.
- 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.