DR. JACK W. HIGGINBOTHAM MD NPI 1700859253

NPI Information

  • NPI: 1700859253
  • Provider Name: DR. JACK W. HIGGINBOTHAM, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 MARTHA JEFFERSON DR
    CHARLOTTESVILLE RADIOLOGY
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Phone: (434) 244-4580

Map and Directions

Get Directions

NPI Details

DR. Jack W. Higginbotham, MD is a diagnostic radiology radiology in Charlottesville, VA with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jack W. Higginbotham, MD NPI is 1700859253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA
ZIP 22911-668
Phone: (434) 244-4580
Fax: (434) 244-4579

The NPI 1700859253 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Nuclear medicine study of lung ventilation and circulation (HCPCS:78582)

The enumeration date for this NPI number is 2/7/2006 and was last updated on 4/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology0101232780VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010140242MEDICAIDVIRGINIA
2P00224457OTHERVIRGINIARRMED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.