DEVAN HIGGINBOTHAM (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1306409677

DEVAN HIGGINBOTHAM (MD) is a healthcare provider. based in Detroit, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 196222 (CA). The NPI Number for DEVAN HIGGINBOTHAM (MD) is 1306409677

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DEVAN HIGGINBOTHAM (MD)
NPI
1306409677
Phone
(313) 745-1060
Address
4201 SAINT ANTOINE ST # 9-B
Enumeration Date
22 April 2019
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
4082949540
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20240807004511
Address ID
CA958172307SA4860XSTXX300
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

1,082 ORTHOPEDIC SURGERY in MI

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Provider Addresses for DEVAN HIGGINBOTHAM (MD)

  • 9, Saint Antoine Street, Renaissance Center, Detroit, Wayne County, Michigan, 48226, United States

    DETROIT, MI 482012153

    Phone: (313) 745-1060

    Fax: (313) 745-1520

    Type: Mailing

  • 1630 E HERNDON AVE

    FRESNO, CA 937203391

    Phone: (916) 734-3526

    Type: Location

  • 1270 E SPRUCE AVE

    FRESNO, CA 937203312

    Phone: (916) 734-3526

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $56,950.

Total Amount is formed as General ($56,950) + Research ($0) + Ownership ($0) = $56,950.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($50,000).

Total Amount

$56,950

General + Research + Ownership

Payments

49

Total payment records

General Amount

$56,950

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2024-08-07

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
I20240807004511IOrthopedic SurgeryCATBD

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 48201)

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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: 3375456619View full group profile
NameSpecialtyState
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Cardiovascular Disease (Cardiology)CA
-CA
-CA
A N E S T H E S I O L O G YWA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for DEVAN HIGGINBOTHAM (MD) in the U.S.?
In the U.S., DEVAN HIGGINBOTHAM (MD) is identified by NPI 1306409677.
Is DEVAN HIGGINBOTHAM (MD) currently accepting referrals based on NPI status?
Registry metadata lists DEVAN HIGGINBOTHAM (MD) as active.
What does the directory say DEVAN HIGGINBOTHAM (MD) does?
Insurance directories may phrase it differently, but here DEVAN HIGGINBOTHAM (MD) maps to Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Is DEVAN HIGGINBOTHAM (MD) tied to Detroit, Michigan?
If you are local to Detroit, Michigan, DEVAN HIGGINBOTHAM (MD) may be relevant to your search.
Why is information missing for DEVAN HIGGINBOTHAM (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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