MICHAEL HIGGINBOTHAM (MD) – Surgery Physician, NPI 1174084990

MICHAEL HIGGINBOTHAM (MD) is a healthcare provider. based in Brandon, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 52558 (AL). The NPI Number for MICHAEL HIGGINBOTHAM (MD) is 1174084990

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL HIGGINBOTHAM (MD)
NPI
1174084990
Phone
(813) 681-5551
Address
119 OAKFIELD DR
Enumeration Date
26 March 2019
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563861125
Graduation Year
2019 (7 years ago)
PAC ID
8729566138
Group Practice PAC ID
9335676402
Professional Enrollment ID
I20260128001084
Address ID
AL356605770SH1120XHWYX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Loading map...

Provider Addresses for MICHAEL HIGGINBOTHAM (MD)

  • Brandon Regional Hospital, 119, Oakfield Drive, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335115779

    Phone: (813) 681-5551

    Type: Location

  • 1120 S JACKSON HWY STE 105

    SHEFFIELD, AL 356605770

    Phone: (256) 386-1125

    Fax: (256) 386-4542

    Type: Location

  • 123, Stonebridge Way, Senoia, Coweta County, Georgia, 30276, United States

    SENOIA, GA 302763365

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Ethicon US, LLC ($47).

Total Amount

$126

General + Research + Ownership

Payments

4

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260128001084IGeneral SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33511)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335676402View full group profile
NameSpecialtyState
Nurse PractitionerAL
N E U R O L O G YPR
Nurse PractitionerAL
O B S T E T R I C S/ G Y N E C O L O G YVA
Nurse PractitionerAL
General SurgeryAL
U R O L O G YAL
U R O L O G YAL
O T O L A R Y N G O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to MICHAEL HIGGINBOTHAM (MD)?
The federal identifier for MICHAEL HIGGINBOTHAM (MD) is NPI 1174084990.
Is MICHAEL HIGGINBOTHAM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MICHAEL HIGGINBOTHAM (MD) treat or focus on?
Patients typically see MICHAEL HIGGINBOTHAM (MD) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL HIGGINBOTHAM (MD)?
The page summarizes Brandon, Florida for MICHAEL HIGGINBOTHAM (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

Medical Oaks Avenue, Brandon, Hillsborough County, Florida, 33551, United States
NPI: 1467457291

DR. SHARAD I PATEL (M.D.)

Surgery Physician
North Dale Mabry Highway, Mullis City, Tampa, Hillsborough County, Florida, 33688, United States
NPI: 1326046962
Medical Oaks Avenue, Brandon, Hillsborough County, Florida, 33551, United States
NPI: 1396743167
302, Bryan Road, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1083607600
302, Bryan Road, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1760476956
608, Medical Care Drive, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1851352314

DR. IN SOON PARK (MD)

Surgery Physician
Medical Oaks Avenue, Brandon, Hillsborough County, Florida, 33551, United States
NPI: 1083646350
266, South Moon Avenue, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1487673687

PERUMALSWAMY RAJARAM (MD)

Surgery Physician
40124 HIGHWAY 27 STE 104
NPI: 1770597569