Raphael John Higginbotham, M.D.
Nephrology Physician · Opelousas, LA
Raphael John Higginbotham, M.D. is a nephrology physician with a practice address in Opelousas, Louisiana, and NPI 1477507531, issued on May 20, 2006. Check the license (Louisiana 025644, as entered in NPPES) on the Louisiana State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Raphael John Higginbotham
- Credential
- M.D.
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- 025644 LA
Self-reported in NPPES; status is on the state search - Practice location
- 927 E Prudhomme St, Opelousas, LA 70570
- Phone
- (337) 594-8381
- Enumerated
- May 20, 2006
- Record last updated
- Jul 13, 2026
- Medicaid ID
- 04333 LA
- Medicare enrollment
- Enrolled (PECOS I20060815000385); accepts Medicare assignment
- Medical or professional school
- Louisiana State University School Of Medicine In New Orleans, 2001
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest nephrology physician records → All 219 in Louisiana → Look up another NPI →
Also registered at 927 E Prudhomme St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Liu, M.D.Nephrology Physician1497825772
Verify Raphael John Higginbotham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersLouisiana State Board of Medical Examiners
Search for license 025644Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
6.4 times the Medicare Part D claims of the average nephrology physician in 2024
9,397 Medicare Part D claims for 734 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims. 100 claims were for opioids.
Most prescribed
- Calcitriol527 claims
- Torsemide501 claims
- Amlodipine Besylate483 claims
- Carvedilol355 claims
- Farxiga328 claims
- Valsartan279 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 60.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $873.38
46 payments; by number, the most common kind was food and beverage; the largest payer was Ani Pharmaceuticals, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Azar And Lahood Enterprises LLCLafayette, LA
- Kidney Treatment Options Center OF Lafayette, LLCLafayette, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Raphael John Higginbotham among 219 nephrology physician records in Louisiana
Raphael John Higginbotham, M.D. is one of 219 nephrology physician records with a practice address in Louisiana. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 24% of them.
- NPI issued2006 · 24% of these records are older, 47% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated2001 · median 2001 among the 172 with a school on file
- Record last updated2026 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nephrology Physician providers in Louisiana
There are 219 nephrology physician records in Louisiana.
All 219 in Louisiana → Every provider in Opelousas → Nephrology Physician nationwide →
The 8 nephrology physician records with the nearest ZIP codes
- Michael Liu, M.D.Opelousas, LA 705701497825772
- Chad Rossitter, M.D.Opelousas, LA 705701386961308
- Adam Shepard, M.D.Opelousas, LA 705701437511326
- Shivakanth Burugu, M.D.New Iberia, LA 705631023334828
- Rana El Sabbagh, M.D.New Iberia, LA 705601508259540
- Paul Miller, M.D.Ville Platte, LA 705861235107749
- Abdel Abu Shamat, MDLake Charles, LA 706011528053824
- Tony Leung, MDLake Charles, LA 706011881693463
Common questions
What is Raphael John Higginbotham, M.D.'s NPI number?
Raphael John Higginbotham, M.D.'s National Provider Identifier (NPI) is 1477507531, issued on May 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Raphael John Higginbotham, M.D. located?
The NPPES record lists a practice address at 927 E Prudhomme St, Opelousas, LA, 70570. Phone: (337) 594-8381. Providers update this record themselves, so call before visiting.
How can I verify Raphael John Higginbotham, M.D.'s license?
NPPES lists Louisiana license number 025644, as entered by the provider. Search the Louisiana State Board of Medical Examiners at https://www.lsbme.la.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Raphael John Higginbotham, M.D. prescribe under Medicare Part D?
In 2024, Raphael John Higginbotham, M.D. had 9,397 Medicare Part D claims for 734 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.
What is Raphael John Higginbotham, M.D.'s MIPS final score?
The 2023 MIPS final score is 60.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.