Dr. Robert W. Higginbotham, MD

  • San Luis Obispo, CA
  • Ophthalmologist
NPI1609878834PAC ID9335199710
Medicare services, 2024
3,621
Medicare patients, 2024
1,306
Part D claims, 2024
1,485
MIPS score, 2024
95
Industry payments
$5,573
Practice address
3165 Broad St, San Luis Obispo, CA 93401
Practice phone
Call (805) 545-8100
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Pacific Eye Surgeons, a California Professional Medical Corporation

San Luis Obispo, California

See all 3 affiliations

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Dr. Robert W. Higginbotham is an ophthalmologist in San Luis Obispo, California

Dr. Higginbotham practices at Pacific Eye Surgeons, a California Professional Medical Corporation in San Luis Obispo, California.

Dr. Higginbotham's NPI, 1609878834, was assigned on June 1, 2005. Dr. Higginbotham graduated from Vanderbilt University School Of Medicine in 1969. Dr. Higginbotham's California license number on file is G28752.

NPI and contact details
Medicare PAC ID
9335199710
NPI enumeration date
June 1, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(805) 545-8100
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
83
Medical school graduation
1969

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Robert W. Higginbotham practices at Pacific Eye Surgeons, a California Professional Medical Corporation in San Luis Obispo, California

Dr. Higginbotham's primary practice is Pacific Eye Surgeons, a California Professional Medical Corporation, at 3165 Broad St, San Luis Obispo, CA 93401 in San Luis Obispo County. The practice phone is (805) 545-8100.

  • Pacific Eye Surgeons, a California Professional Medical Corporation
    3165 Broad St, San Luis Obispo, CA 93401 · San Luis Obispo CountyPhone(805) 545-8100

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Robert W. Higginbotham is affiliated with 2 sites of care and 1 medical group

Dr. Higginbotham's primary practice is Pacific Eye Surgeons, a California Professional Medical Corporation in San Luis Obispo, California. Dmand AI also links Dr. Higginbotham to 1 group practice or clinic and 1 medical group, each named with a free account.

Pacific Eye Surgeons, a California Professional Medical CorporationSan Luis Obispo, CaliforniaPrimary
1 group practice or clinicName with a free account1 medical groupName with a free account
See all 3 affiliations for Dr. Higginbotham

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Robert W. Higginbotham's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Higginbotham practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Pacific Eye Surgeons, a California Professional Medical CorporationAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Robert W. Higginbotham is one of 2,621 ophthalmologists in California

Ophthalmology is Dr. Higginbotham's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Higginbotham is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Higginbotham's licenses on file in 3 states: California, Utah and Georgia.

Specialties and state licenses

  • Ophthalmology, CaliforniaPrimaryLicense G28752 · 1975 to 2025 · taxonomy 207W00000X
  • Utah license1993 to 2002
  • Georgia license1978 to 1979

Clinical focus

Dmand AI lists age-related macular degeneration, cataract, cataract surgery with lens implant, conjunctivitis, dry eye, eye infection or inflammation, eyelid inflammation and glaucoma among the conditions Dr. Higginbotham treats.

Ophthalmologists near Dr. Higginbotham

Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Robert W. Higginbotham billed Medicare for 3,621 services in 2024

CMS data shows 3,621 Medicare services from Dr. Higginbotham across 22 procedure codes in 2024, for 1,306 Medicare patients. Medicare paid $306,089 for them.

Medicare services, 20243,621
Medicare patients1,306
Paid by Medicare$306,089
Procedure codes22

Dr. Higginbotham's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 2,1472024: 1,92111%
Office and hospital visits
2023: 1,3402024: 1,4095%
Surgery
2023: 2682024: 2919%

Where Dr. Higginbotham's Medicare services took place, 2024

  • In an office3,31191%
  • In a facility3109%

Dr. Higginbotham compared with the California median for ophthalmologists, 2024

  • Dr. Higginbotham
  • California median
Medicare services
3,621vs 1,0793.4 times
Medicare patients
1,306vs 4213.1 times
Part D claims
1,362vs 6182.2 times

Medians across 2,568 ophthalmologists in California with Dmand AI profiles that report each measure.

Dr. Higginbotham's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Higginbotham

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Higginbotham and other ophthalmologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Robert W. Higginbotham treated 1,306 Medicare patients in 2024, average age 77

CMS counts 1,306 Medicare patients who saw Dr. Higginbotham in 2024. The largest group is 75 to 84, with 571 patients. 75% of them have high cholesterol, and 71% have high blood pressure. 10% are also on Medicaid. Their average risk score is 1.01, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Higginbotham's median patient age at 75, with 59% women.

Medicare patients, 20241,306
Average age77
Average risk score1.01
Also on Medicaid10%

Dr. Higginbotham's Medicare patients by age, 2024

Dr. Higginbotham's Medicare patients by sex, 2024

  • Women76959%
  • Men53741%

Chronic conditions among Dr. Higginbotham's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure71%
  3. Arthritis46%
  4. Diabetes22%
  5. Anxiety21%
  6. Ischemic heart disease20%
  7. Mood disorders20%
  8. Chronic kidney disease19%

Share of Medicare patients with each condition. A patient can have several.

Dr. Higginbotham's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women59%
  • Men40%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Robert W. Higginbotham wrote 1,485 Medicare Part D claims in 2024

In 2024, Dr. Higginbotham wrote 1,485 Medicare Part D claims for 438 patients. 59% of them were for generic drugs. CMS names the drug for 1,362 of them, across 20 drugs with 11 or more claims each, at $125,406 in total drug cost. In 2023, CMS named 1,393 claims across 23 drugs.

Part D claims, 20241,485
Drugs named by CMS20
Total drug cost$125,406
Part D patients438

Dr. Higginbotham's Part D claims by kind of drug, 2024

  • Generic881 claims59%
  • Brand-name604 claims41%

Dr. Higginbotham's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,3932024: 1,3622%

Drugs named by CMS: 20 in 2024, 23 in 2023.

See all prescribing by Dr. Higginbotham

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Robert W. Higginbotham scored 95 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Dr. Higginbotham for performance year 2024, reported as part of a group. Dr. Higginbotham accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 190 procedures of cataract surgery by Dr. Higginbotham, more than 83% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Higginbotham's MIPS scores, performance year 2024

  • 95of 100Final score
  • 99.6of 100Quality
  • 40of 100Improvement Activities
  • 82of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Higginbotham ranks in Medicare procedure volume

Cataract surgery
83rd percentile190 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Robert W. Higginbotham received $5,573 in industry payments from 2016 to 2025

CMS Open Payments shows 112 general payments to Dr. Higginbotham from 24 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 82% of the total. Alcon Laboratories Inc paid the most, $1,863.

General payments to Dr. Higginbotham by program year, 2016 to 2025

General payments to Dr. Higginbotham by kind, 2016 to 2025

$5.6Kin total
  • Food and beverage$4,58282%
  • Travel and lodging$75013%
  • Education$2424%

Companies that paid Dr. Higginbotham the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Higginbotham

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Robert W. Higginbotham has 1 award and honors on record

Dmand AI lists 1 award for Dr. Higginbotham.

Awards and honors for Dr. Higginbotham

  1. Undated
    • AAO Fellow

Source: Dmand AI Professional Profile Data

Dr. Robert W. Higginbotham graduated from Vanderbilt University School Of Medicine

Dr. Higginbotham graduated from Vanderbilt University School Of Medicine in 1969. Dr. Higginbotham is a member of AAO.

  1. Medical schoolVanderbilt University School Of Medicine
  2. Board certified in ophthalmologyAmerican Board of Ophthalmology

Source: Dmand AI Professional Profile Data

Dr. Robert W. Higginbotham accepts plans from 14 insurance carriers

Dr. Higginbotham is in network with 14 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • Elevance
  • HCSC
  • Humana
  • Regence Health Plans
  • +6 more carriersWith a free account

Plan types Dr. Higginbotham accepts, by number of carriers

  1. PPO10
  2. HMO8
  3. Medicare8
  4. EPO4
  5. POS3

Source: Dmand AI Insurance Network Data

Sources for Dr. Robert W. Higginbotham's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Robert W. Higginbotham

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Robert W. Higginbotham's NPI number?

Dr. Robert W. Higginbotham's NPI number is 1609878834. It was assigned on June 1, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Robert W. Higginbotham?

Dr. Robert W. Higginbotham is an ophthalmologist in San Luis Obispo, California. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).

Where does Dr. Robert W. Higginbotham practice?

Dr. Higginbotham practices at 3165 Broad St, San Luis Obispo, CA 93401. Dr. Higginbotham's primary practice is Pacific Eye Surgeons, a California Professional Medical Corporation in San Luis Obispo, California. Dmand AI also links Dr. Higginbotham to 1 group practice or clinic and 1 medical group.

What is Dr. Robert W. Higginbotham's office phone number?

The practice phone on file for Dr. Higginbotham is (805) 545-8100.

What is Dr. Robert W. Higginbotham's medical license number?

Dr. Higginbotham's California license number on file is G28752, one of the licenses on file in 3 states.

Which states has Dr. Robert W. Higginbotham been licensed in?

Dmand AI has state licenses on file for Dr. Higginbotham in California (1975 to 2025), Utah (1993 to 2002) and Georgia (1978 to 1979).

Does Dr. Robert W. Higginbotham accept Medicare?

Yes. CMS data shows Dr. Higginbotham billed Medicare for 3,621 services in 2024, and Dr. Higginbotham accepts Medicare assignment.

What is Dr. Robert W. Higginbotham's MIPS score?

Dr. Higginbotham's MIPS final score for performance year 2024 is 95 out of 100, reported as part of a group.

How many Medicare patients does Dr. Robert W. Higginbotham see?

CMS counts 1,306 Medicare patients who saw Dr. Higginbotham in 2024, with an average age of 77.

Is Dr. Robert W. Higginbotham board certified?

Yes. Dr. Higginbotham is board certified in ophthalmology by the American Board of Ophthalmology.

Show 6 more questionsShow fewer questions

What services does Dr. Robert W. Higginbotham bill to Medicare?

In 2024, Dr. Higginbotham's most billed Medicare services were eye exam or test (92014), office visit, established patient (99213) and office visit, established patient (99214).

Where did Dr. Robert W. Higginbotham go to medical school?

Dr. Higginbotham graduated from Vanderbilt University School Of Medicine in 1969.

What drugs does Dr. Robert W. Higginbotham prescribe most?

In 2024 Medicare Part D data, Dr. Higginbotham's most prescribed drugs by claims were Latanoprost, Tobramycin-Dexamethasone and Dorzolamide-Timolol.

Has Dr. Robert W. Higginbotham received payments from drug or device companies?

CMS Open Payments shows $5,573 in general payments to Dr. Higginbotham from 24 companies from 2016 to 2025. The largest total came from Alcon Laboratories Inc.

How long has Dr. Robert W. Higginbotham been practicing?

Dr. Higginbotham graduated from medical school in 1969, 57 years ago.

What insurance does Dr. Robert W. Higginbotham accept?

Dr. Higginbotham is in network with 14 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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