DR. KARLA D HIGGINBOTHAM (M.D.) – Family Medicine Physician, NPI 1366884926

DR. KARLA D HIGGINBOTHAM (M.D.) is a healthcare provider. based in Port saint lucie, Florida. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. ME142530 (FL). The NPI Number for DR. KARLA D HIGGINBOTHAM (M.D.) is 1366884926

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KARLA D HIGGINBOTHAM (M.D.)
NPI
1366884926
Phone
(772) 398-7936
Address
1700 SE HILLMOOR DR
Enumeration Date
24 July 2013
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7723359000
Graduation Year
2013 (13 years ago)
PAC ID
1456584804
Group Practice PAC ID
1456430487
Professional Enrollment ID
I20191025001880

Contacts

Secure Messaging
KARLA.HIGGINBOTHAM@hca4.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness95
Years active:12State licenses:4Other names

Provider Addresses for DR. KARLA D HIGGINBOTHAM (M.D.)

  • 1700 SE HILLMOOR DR

    PORT SAINT LUCIE, FL 349527539

    Phone: (772) 398-7936

    Fax: (772) 398-7970

    Type: Mailing

  • 2436 N SHARON AMITY RD STE 102

    CHARLOTTE, NC 282058401

    Phone:

    Type: Mailing

  • 335 N CASWELL RD

    CHARLOTTE, NC 282042403

    Phone: (704) 384-7980

    Fax: (704) 384-7985

    Type: Location

  • PO BOX 60447

    CHARLOTTE, NC 282600447

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($59).

Total Amount

$116

General + Research + Ownership

Payments

6

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

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: 2022-08-16

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
I20220816003905IFamily PracticeNCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2712$0
36415Insertion of needle into vein for collection of blood sample1813$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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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: 1456430487View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
U R O L O G YFL
Orthopedic SurgeryFL
Family PracticeFL
Family PracticeIN
Cardiovascular Disease (Cardiology), Internal MedicineFL
P O D I A T R YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is DR. KARLA D HIGGINBOTHAM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KARLA D HIGGINBOTHAM (M.D.) with NPI 1366884926.
Is DR. KARLA D HIGGINBOTHAM (M.D.) still practicing?
DR. KARLA D HIGGINBOTHAM (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. KARLA D HIGGINBOTHAM (M.D.) hold?
Scheduling teams often label DR. KARLA D HIGGINBOTHAM (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KARLA D HIGGINBOTHAM (M.D.) on a map?
Expect Port Saint Lucie, Florida as a primary anchor for DR. KARLA D HIGGINBOTHAM (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.