John Patrick Higinbotham, OD
NPI 1952465528ActiveIndividual· Optometrist· Frederick, MD
Optometrist (OD) in Frederick, Maryland, trained at Pennsylvania College of Optometry (class of 1992). In 2024 Medicare paid $24,973 for 554 patients, and Part D covered 135 of their prescriptions, 75% of them generic.
Overview
| NPI | 1952465528 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Dec 20, 2006 |
| Last updated in NPPES | Feb 20, 2026 |
| Certified by provider | Feb 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TA1174 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 554 |
|---|---|
| Services billed | 685 across 6 procedure codes |
| Paid by Medicare | $24,973 |
Part D prescriptions in 2024
| Prescriptions (claims) | 135 · 243 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $13,882 |
| Generic share | 75% of claims |
Education and affiliations
| Medical school | Pennsylvania College of Optometry |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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