Dr. Raphael John Higginbotham, MD

  • Opelousas, LA
  • Nephrologist
NPI1477507531PAC ID1355344276
Medicare services, 2024
2,269
Medicare patients, 2024
595
Part D claims, 2024
9,397
MIPS score, 2024
96
Hospital affiliations
5
Practice address
927 East Prudhomme, Opelousas, LA 70570
Practice phone
Call (337) 594-8535
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

DCI - Opelousas

Dialysis Center - Independent · Opelousas, Louisiana

See all 14 affiliations

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Dr. Raphael John Higginbotham is a nephrologist in Opelousas, Louisiana

Dr. Higginbotham practices at DCI - Opelousas in Opelousas, Louisiana.

Dr. Higginbotham's NPI, 1477507531, was assigned on May 20, 2006. Dr. Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine in 2001. Dr. Higginbotham holds Louisiana license 025644.

NPI and contact details
Medicare PAC ID
1355344276
NPI enumeration date
May 20, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(337) 594-8535
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
51
Medical school graduation
2001

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

Dr. Raphael John Higginbotham practices at DCI - Opelousas in Opelousas, Louisiana

Dr. Higginbotham's primary practice is DCI - Opelousas, at 927 East Prudhomme, Opelousas, LA 70570 in Saint Landry Parish. The practice phone is (337) 594-8535.

  • DCI - Opelousas
    927 East Prudhomme, Opelousas, LA 70570 · Saint Landry ParishPhone(337) 594-8535

Source: Dmand AI Affiliation Data

Dr. Raphael John Higginbotham is affiliated with 11 sites of care and 3 medical groups

Dr. Higginbotham's primary practice is DCI - Opelousas in Opelousas, Louisiana. Dr. Higginbotham is also affiliated with Opelousas General Health System. The medical group on file is Kidney Treatment Options Center of Opelousas. Dmand AI also links Dr. Higginbotham to 4 more hospitals, 4 dialysis centers, 2 medical groups and 1 group practice or clinic, each named with a free account.

See all 14 affiliations for Dr. Higginbotham

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Raphael John Higginbotham's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Higginbotham practices, 11 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
DCI - OpelousasAvailable with a free account
+10 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Raphael John Higginbotham is one of 196 nephrologists in Louisiana

Nephrology is Dr. Higginbotham's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Higginbotham is board certified in internal medicine by the American Board of Internal Medicine. Dr. Higginbotham is licensed in Louisiana.

Specialties and state licenses

  • Nephrology, LouisianaPrimaryLicense 025644 · 2002 to 2026 · taxonomy 207RN0300X

Clinical focus

Dmand AI lists acute kidney failure, chronic kidney disease and fluid and electrolyte imbalances among the conditions Dr. Higginbotham treats.

Nephrologists near Dr. Higginbotham

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

196nephrologists in Louisiana
3nephrologists in Opelousas

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

Dr. Raphael John Higginbotham billed Medicare for 2,269 services in 2024

CMS data shows 2,269 Medicare services from Dr. Higginbotham across 9 procedure codes in 2024, for 595 Medicare patients. Medicare paid $196,821 for them.

Medicare services, 20242,269
Medicare patients595
Paid by Medicare$196,821
Procedure codes9

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

  • 2023
  • 2024
Office and hospital visits
2023: 1,4102024: 1,3177%
Tests and treatments
2023: 5922024: 50016%
Other services
2023: 02024: 452

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

  • In an office1,63572%
  • In a facility63428%

Dr. Higginbotham compared with the Louisiana median for nephrologists, 2024

  • Dr. Higginbotham
  • Louisiana median
Medicare services
2,269vs 6163.7 times
Medicare patients
595vs 2122.8 times
Part D claims
8,939vs 76911.6 times

Medians across 192 nephrologists in Louisiana 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 nephrologists in Louisiana.

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

Dr. Raphael John Higginbotham treated 595 Medicare patients in 2024, average age 75

CMS counts 595 Medicare patients who saw Dr. Higginbotham in 2024. The largest group is 65 to 74, with 227 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 17% are also on Medicaid. Their average risk score is 3.06, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Higginbotham's median patient age at 56, with 54% women.

Medicare patients, 2024595
Average age75
Average risk score3.06
Also on Medicaid17%

Dr. Higginbotham's Medicare patients by age, 2024

Dr. Higginbotham's Medicare patients by sex, 2024

  • Women25944%
  • Men33656%

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

  1. Chronic kidney disease75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Diabetes60%
  5. Ischemic heart disease59%
  6. Heart failure54%
  7. Arthritis50%
  8. Atrial fibrillation34%

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 56

Patient panel by sex, all payers

  • Women54%
  • Men45%

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

Dr. Raphael John Higginbotham wrote 9,397 Medicare Part D claims in 2024

In 2024, Dr. Higginbotham wrote 9,397 Medicare Part D claims for 734 patients. 83% of them were for generic drugs. CMS names the drug for 8,939 of them, across 109 drugs with 11 or more claims each, at $1,748,751 in total drug cost. In 2023, CMS named 8,308 claims across 112 drugs.

Part D claims, 20249,397
Drugs named by CMS109
Total drug cost$1.7M
Part D patients734

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

  • Generic7,827 claims83%
  • Brand-name1,540 claims16%
  • Other30 claims0%

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.

Drug classes CMS tracks in Dr. Higginbotham's Part D claims, 2024

  • Opioids1%100 of 9,397 claims
  • Antibiotics1%115 of 9,397 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 8,3082024: 8,9398%

Drugs named by CMS: 109 in 2024, 112 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. Raphael John Higginbotham scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Higginbotham for performance year 2024, reported individually. Dr. Higginbotham accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Higginbotham as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Higginbotham's MIPS scores, performance year 2024

  • 96of 100Final score
  • 95.6of 100Quality
  • 40of 100Improvement Activities
  • 73of 100Cost

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

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

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)

For MedTech and pharma teams

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Dr. Raphael John Higginbotham received $8,162 in industry payments from 2016 to 2025

CMS Open Payments shows 369 general payments to Dr. Higginbotham from 30 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 95% of the total. Otsuka America Pharmaceutical, Inc. paid the most, $1,045.

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

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

$8.2Kin total
  • Food and beverage$7,73895%
  • Education$4245%

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. Raphael John Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine

Dr. Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine in 2001.

  1. Medical schoolLSU Health Sciences Center New Orleans - School of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine
  3. Board certified in nephrologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Raphael John Higginbotham accepts plans from 17 insurance carriers

Dr. Higginbotham is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Elevance
  • United Healthcare
  • HCSC
  • Alliant Health Plans
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • +9 more carriersWith a free account

Plan types Dr. Higginbotham accepts, by number of carriers

  1. PPO12
  2. HMO7
  3. Medicare7
  4. POS6
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Raphael John 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 phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy 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)
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. Raphael John 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. Raphael John Higginbotham's NPI number?

Dr. Raphael John Higginbotham's NPI number is 1477507531. It was assigned on May 20, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Raphael John Higginbotham?

Dr. Raphael John Higginbotham is a nephrologist in Opelousas, Louisiana. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).

Where does Dr. Raphael John Higginbotham practice?

Dr. Higginbotham practices at 927 East Prudhomme, Opelousas, LA 70570. Dr. Higginbotham's primary practice is DCI - Opelousas in Opelousas, Louisiana. Dmand AI also links Dr. Higginbotham to 4 hospitals, 4 dialysis centers, 2 medical groups and 1 group practice or clinic.

What is Dr. Raphael John Higginbotham's office phone number?

The practice phone on file for Dr. Higginbotham is (337) 594-8535.

What is Dr. Raphael John Higginbotham's medical license number?

Dr. Higginbotham holds Louisiana license 025644.

Which hospitals is Dr. Raphael John Higginbotham affiliated with?

Dr. Higginbotham is affiliated with Opelousas General Health System. Dmand AI links Dr. Higginbotham to 4 more hospitals.

What medical group is Dr. Raphael John Higginbotham part of?

Dr. Higginbotham is linked to Kidney Treatment Options Center of Opelousas. Dmand AI links Dr. Higginbotham to 2 more medical groups.

Does Dr. Raphael John Higginbotham accept Medicare?

Yes. CMS data shows Dr. Higginbotham billed Medicare for 2,269 services in 2024, and Dr. Higginbotham accepts Medicare assignment.

Does Dr. Raphael John Higginbotham offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Higginbotham as offering telehealth services.

What is Dr. Raphael John Higginbotham's MIPS score?

Dr. Higginbotham's MIPS final score for performance year 2024 is 96 out of 100, reported individually.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Raphael John Higginbotham see?

CMS counts 595 Medicare patients who saw Dr. Higginbotham in 2024, with an average age of 75.

Is Dr. Raphael John Higginbotham board certified?

Yes. Dr. Higginbotham is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Raphael John Higginbotham bill to Medicare?

In 2024, Dr. Higginbotham's most billed Medicare services were office visit, established patient (99214), hospital inpatient care (99232) and medicare service (G2211).

Where did Dr. Raphael John Higginbotham go to medical school?

Dr. Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine in 2001.

What drugs does Dr. Raphael John Higginbotham prescribe most?

In 2024 Medicare Part D data, Dr. Higginbotham's most prescribed drugs by claims were Calcitriol, Torsemide and Amlodipine Besylate.

Has Dr. Raphael John Higginbotham received payments from drug or device companies?

CMS Open Payments shows $8,162 in general payments to Dr. Higginbotham from 30 companies from 2016 to 2025. The largest total came from Otsuka America Pharmaceutical, Inc.

How long has Dr. Raphael John Higginbotham been practicing?

Dr. Higginbotham graduated from medical school in 2001, 25 years ago.

What insurance does Dr. Raphael John Higginbotham accept?

Dr. Higginbotham is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

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