Search and instantly download nationwide and state-specific Health Maintenance Organizations for sales, marketing, and research—Free Monthly Updates!
Managed Care Organizations Healthcare Taxonomy Code 302R00000X
Including practice locations, phone numbers, email addresses, NPI numbers, license status, OIG exclusions, and much more across all 50 states.
You can also download databases by healthcare:
- Specialty (e.g., Cardiovascular Disease),
- Specialty Classification (e.g., Internal Medicine), and
- Specialty Group (e.g., Allopathic & Osteopathic Physicians).
This allows you to target specific specialties, geographic areas, or provider types for highly focused outreach.
As of today, these are the total numbers of Health Maintenance Organizations nationwide and excluded from federally funded healthcare programs, such as Medicaid, TRICARE, and the Children’s Health Insurance Program (CHIP).
What do Health Maintenance Organizations do?
A form of health insurance in which its members prepay a premium for the HMO’s health services, which generally include inpatient and ambulatory care.
For the patient, an HMO means reduced out-of-pocket costs (i.e., no deductible), no paperwork (i.e., insurance forms), and only a small copayment per office visit to cover the costs of the paperwork handled by the HMO.
An organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period.
These health services include a wide variety of medical treatments and consultations, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services.
The HMO may be organized as a group model, an individual practice association (IPA), a network model, or a staff model.
Exclusive Provider Organizations
Healthcare Taxonomy Code 302F00000X
An EPO is a form of PPO in which patients must visit a caregiver specified on its panel of providers (a participating provider).
Point of Services
Healthcare Taxonomy Code 305S00000X
This product may also be referred to as an open-ended HMO and offers a transition product that incorporates features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but can go out-of-network for an additional cost.
Preferred Provider Organizations
Healthcare Taxonomy Code 305R00000X
A group of physicians and/or hospitals that contract with an employer to provide services to their employees.
Frequently Asked Questions
Our healthcare provider data helps organizations connect quickly with the right medical professionals.
Perfect for:
✔ Healthcare technology companies
✔ Pharmaceutical companies
✔ Medical device manufacturers
✔ Healthcare recruiters
✔ Insurance companies
✔ Medical marketing agencies
✔ Healthcare staffing firms
✔ Consulting companies
With accurate provider data, you can identify decision-makers, expand sales territories, and reach targeted medical specialties.
The database download contains comprehensive information about the healthcare providers designed for sales, marketing, and research.
The data fields in the database download include:
✓ Full name, First, Middle, and Last Names or Organization Name
✓ Gender and Date of Birth
✓ Credentials, Specialties, Expertise, Interests, Titles, and Degrees
✓ Affiliations, Medical School, Residency, Fellowships, Appointments, and Awards
✓ Primary and Secondary Practice Addresses
✓ Primary Address Geo coordinates
✓ Phone Numbers
✓ Email Addresses
✓ NPI Number and NPI Deactivation Status
✓ State License Numbers, Active Status & Expiration Date
✓ Medicare PECOS system PAC ID
✓ Medicare Enrollment IDs
✓ Railroad Medicare IDs
✓ State Medicaid IDs
✓ Medicare Opt-out Affidavit Status and Dates
✓ Medicare MIPS Scores
✓ OIG Exclusions
✓ SAM Debarments
✓ CMS Revoked Medicare Providers
✓ State Medicaid Provider Terminations
✓ Provider Disciplinary Actions
✓ Total Clinical Trial Investigations
✓ Total PubMed Publications
✓ Total Open Payments Received
✓ A link to the HealthProviders DB Provider Profile.
All files are delivered in Excel or CSV format for easy import into CRM systems and marketing platforms.
Download a sample of Internal Medicine Physicians.
Your purchase is delivered instantly as a CSV or Excel file, compatible with CRM systems and marketing tools, so you can import the downloaded dataset into Salesforce, HubSpot, or Google Sheets with no problem.
Yes. You own the data and are free to do whatever you like with it, except resell it.
Healthcare provider information is constantly evolving, with new providers joining the NPI registry every day! To ensure accuracy, our database is updated daily to reflect changes from each data source. This means you can trust that HealthProviders DB reflects the most current information available—as it becomes available!
Yes, you can download the updates for your purchased databases as often as you like for 1 year after purchase.
Yes, you can query the database by any criteria you like and export the results.
You can filter the database by:
✓ Specialties
✓ Expertise
✓ Credentials
✓ Degrees
✓ Titles
✓ State, City, and Near Me
Medicare filters
✓ Has—OIG Exclusion, SAM Debarment, or State Medicaid Termination
✓ Has—Opted out of Medicare
✓ Accepts—Medicare Assignments
Open Payments filters
✓ Drug name
✓ Company name
✓ Study name
PubMed & Clinical Trials filters
✓ Interventions
✓ Keywords
✓ Chemicals
✔ Verified Healthcare Data.
✔ Compiled from official licensing and public provider data sources.
✔ Clean & Structured Data.
✔ Every record is standardized, deduplicated, and formatted for immediate use.
✔ Instant Download.
✔ Free Updates for 1 Year.
Ideal for:
B2B healthcare sales
Lead generation
Market research
Territory planning
Healthcare recruiting