Dr. David A Higginbotham , DO
Family Medicine • Bothell, WA
10025 Ne 186th St
Bothell, WA 980113839
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. David Higginbotham is listed in NPPES under Family Medicine.
-
NPI assigned on May 26, 2006; this date does not establish years in practice.
-
Published CMS data list 282 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 87 service units.
- 99215 — Established patient outpatient office visit: 67 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 55 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 4,194 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Lisinopril — 247 prescription fills, including refills.
- Atorvastatin Calcium — 237 prescription fills, including refills.
- Tamsulosin Hcl — 188 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 94 records in the table · Guide: How to read Medicare Part D prescriber data
-
Close to the middle for Medicare Part B services among clinicians listed under Family Medicine in Bothell, WA (2024, 22 clinicians with data). Median for this group: 238. Middle half: 91 to 396.
Close to the middle for Medicare Part B services among clinicians listed under Family Medicine in Washington (2024, 2,274 clinicians with data). Median for this group: 309. Middle half: 112 to 657.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 368 in 2020 to 282 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
10025 Ne 186th St
Bothell, WA 980113839
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Family Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
136 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $34,008 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $21,418 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
8,857 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$240,859 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Higginbotham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Higginbotham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Bothell and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Family Medicine in Bothell, WA (2024, 22 clinicians with data). Median for this group: 238. Middle half: 91 to 396.
Close to the middle for clinicians listed under Family Medicine in Washington (2024, 2,274 clinicians with data). Median for this group: 309. Middle half: 112 to 657.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Family Medicine in Bothell, WA (2024, 22 clinicians with data). Median for this group: $19,591. Middle half: $8,866 to $34,380.
Close to the middle for clinicians listed under Family Medicine in Washington (2024, 2,274 clinicians with data). Median for this group: $26,137. Middle half: $8,754 to $51,955.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Family Medicine in Bothell, WA (2024, 22 clinicians with data). Median for this group: $14,823. Middle half: $5,754 to $25,227.
Close to the middle for clinicians listed under Family Medicine in Washington (2024, 2,274 clinicians with data). Median for this group: $18,899. Middle half: $6,372 to $38,894.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Family Medicine in Bothell, WA (2024, 33 clinicians with data). Median for this group: 902. Middle half: 433 to 1,966.
More Part D prescriptions than 80% of clinicians listed under Family Medicine in Washington (2024, 3,503 clinicians with data). Median for this group: 1,119. Middle half: 252 to 3,223.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Family Medicine in Bothell, WA (2024, 33 clinicians with data). Median for this group: $43,139. Middle half: $8,590 to $141,714.
A higher Part D drug cost than 75% of clinicians listed under Family Medicine in Washington (2024, 3,503 clinicians with data). Median for this group: $62,622. Middle half: $6,545 to $205,333.
50 active clinicians are listed under Family Medicine with a practice address in Bothell, WA (5,534 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bothell
36% of these 50 clinicians have the CMS telehealth indicator.
66% of these 50 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 23% from 368 in 2020 to 282 in 2024.
- 2020: 368
- 2021: 571
- 2022: 591
- 2023: 521
- 2024: 282
-
Medicare-allowed amount
Medicare-allowed amount increased 89% from $17,969 in 2020 to $34,008 in 2024.
- 2020: $17,969
- 2021: $34,237
- 2022: $36,975
- 2023: $36,755
- 2024: $34,008
-
Paid by Medicare
Paid by Medicare increased 52% from $14,075 in 2020 to $21,418 in 2024.
- 2020: $14,075
- 2021: $25,708
- 2022: $27,686
- 2023: $26,009
- 2024: $21,418
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 121% from 1,896 in 2020 to 4,194 in 2024.
- 2020: 1,896
- 2021: 2,372
- 2022: 3,491
- 2023: 4,208
- 2024: 4,194
-
30-day fills
30-day fills increased 150% from 3,547 in 2020 to 8,857 in 2024.
- 2020: 3,547
- 2021: 4,589
- 2022: 7,038
- 2023: 8,670
- 2024: 8,857
-
Part D drug cost
Part D drug cost increased 324% from $56,835 in 2020 to $240,859 in 2024.
- 2020: $56,835
- 2021: $98,505
- 2022: $141,960
- 2023: $176,286
- 2024: $240,859
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
87 | 72 | $276.00 | $135.94 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
67 | 49 | $370.46 | $188.08 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
55 | 43 | $83.00 | $17.21 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
37 | 33 | $190.00 | $98.12 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
36 | 36 | $293.00 | $138.98 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Lisinopril | Lisinopril | 247 | 20,779 | $1,577.41 | 72 |
| Atorvastatin Calcium | Atorvastatin Calcium | 237 | 19,897 | $2,697.85 | 70 |
| Tamsulosin Hcl | Tamsulosin Hcl | 188 | 14,383 | $1,967.94 | 55 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 163 | 3,907 | $3,027.66 | 23 |
| Levothyroxine Sodium | Levothyroxine Sodium | 157 | 12,184 | $1,324.31 | 43 |
| Losartan Potassium | Losartan Potassium | 143 | 11,820 | $1,554.71 | 47 |
| Simvastatin | Simvastatin | 131 | 9,588 | $1,417.15 | 37 |
| Metformin Hcl | Metformin Hcl | 115 | 9,606 | $747.80 | 33 |
| Omeprazole | Omeprazole | 115 | 7,588 | $1,684.55 | 31 |
| Gabapentin | Gabapentin | 107 | 6,758 | $2,124.80 | 26 |
| Metoprolol Succinate | Metoprolol Succinate | 87 | 6,421 | $873.54 | 24 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 86 | 2,103 | $2,603.51 | 15 |
| Metformin Hcl Er | Metformin Hcl | 86 | 6,520 | $775.14 | 26 |
| Amlodipine Besylate | Amlodipine Besylate | 84 | 6,080 | $606.98 | 25 |
| Tramadol Hcl | Tramadol Hcl | 75 | 1,935 | $612.93 | 13 |
| Alprazolam | Alprazolam | 74 | 2,269 | $285.94 | 15 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 70 | 1,841 | $1,292.62 | 29 |
| Hydrochlorothiazide | Hydrochlorothiazide | 65 | 5,350 | $101.58 | 19 |
| Sertraline Hcl | Sertraline Hcl | 64 | 3,518 | $500.15 | 13 |
| Oxycodone Hcl | Oxycodone Hcl | 63 | 1,578 | $1,161.08 | — |
| Ozempic | Semaglutide | 59 | 2,814 | $89,755.56 | 11 |
| Allopurinol | Allopurinol | 57 | 4,080 | $421.38 | 15 |
| Trazodone Hcl | Trazodone Hcl | 53 | 4,060 | $405.76 | 20 |
| Montelukast Sodium | Montelukast Sodium | 52 | 3,665 | $799.52 | 13 |
| Lorazepam | Lorazepam | 50 | 1,319 | $135.22 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207Q00000X
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20050601000711
WA
5597707455
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
MDPS
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
ARNPFNP
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated May 26, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Family Medicine Providers in Bothell
- Dr. Katie Vu, DO
- Dr. Hoda Samia, MD
- Dr. Ann Lu, MD
- Dr. Wendy Coard, MD
- Dr. Victoria Shimotsu, MD
- Dr. Lai Lai Kwok, DO
Mailing Address
Po Box 646
Bothell, WA 980410646
Phone: 4254853955