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CMS National Provider Data Catalog

Search and download from our extensive healthcare provider database featuring over 9 million comprehensive Healthcare Provider Profiles.

The Doctors and Clinicians National Provider Data Catalog, maintained by the Centers for Medicare & Medicaid Services (CMS), is a database of healthcare providers who offer coverage through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace. This database is updated and imported twice each month to ensure it remains current.

Provider Data Collected

The Provider Data Catalog includes information about doctors, clinicians, and groups participating in the Quality Payment Program.

The Centers for Medicare & Medicaid Services (CMS) provides health coverage through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace.

CMS is the federal agency that publishes and maintains the Provider Data Catalog. The information comes primarily from the Provider, Enrollment, Chain, and Ownership System (PECOS) and is checked against Medicare claims data. The Catalog is updated twice a month.

Field NameDescription
Professional Identification
NPIUnique clinician ID assigned by NPPES
PAC IDUnique individual clinician ID assigned by PECOS
Clinician Enrollment IDUnique ID for the clinician enrollment that is the source for the data in the observation
Provider Last NameIndividual clinician’s first name
Provider First NameThe third secondary medical specialty reported by the individual clinician in the selected enrollment
Provider Middle NamePrimary Specialty
SuffixIndividual clinician suffix
GenderIndividual clinician gender
Medical Credentials
CredentialIndividual clinician’s middle name
Medical school nameIndividual clinician’s medical school
Graduation yearIndividual clinician’s medical school graduation year
The first secondary medical specialty reported by the
individual clinician in the selected enrollment
Primary medical specialty reported by the individual
clinician in the selected enrollment
Secondary specialty 1The second secondary medical specialty reported by the individual clinician in the selected enrollment
Secondary specialty 2Individual clinician’s last name
Secondary specialty 3Indicator for whether the group accepts Medicare-approved amounts as payment in full
Y = Group accepts Medicare-approved amount as payment in full
M = Group may accept Medicare Assignment
Secondary specialty 4Fourth secondary medical specialty reported by the individual clinician in the selected enrollment
All secondary specialtiesNumber of groups members
Medical Practice
TelehealthIndicator for whether the Clinician offers telehealth services over video and/or audio
Y = Medicare fee-for-service claims indicate that the Clinician offers telehealth services
Facility NameLegal organization name of the group practice that the individual Clinician works with – will be blank if the address is not linked to a group
Group PAC IDUnique group ID assigned by PECOS to the group that the individual clinician works with – will be blank if the address is not linked to a group
The total number of individual clinicians affiliated with the
group based on Group Practice PAC ID
The marker that the address as reported may be incomplete
Line 1 Street AddressGroup or individual’s line 1 address
Line 2 Street AddressGroup or individual’s line 2 address
Marker of address line 2
suppression
All secondary medical specialties reported by the individual clinician in the chosen enrollment period
City/TownGroup or individual’s city
StateGroup or individual’s state
ZIP CodeGroup or individual’s ZIP code (9 digits when available)
Telephone NumberThe phone number is listed only when a single phone number is available for the address.
Medicare Assignment
Clinician accepts Medicare AssignmentIndicator for whether the group accepts Medicare-approved amounts as payment in full
Y = Group accepts Medicare approved amount as payment in full
M = Group may accept Medicare Assignment
Group accepts Medicare AssignmentIndicator for whether clinician accepts Medicare-approved amount as payment in full
Y = Clinician accepts Medicare-approved amount as payment in full
M = Clinician may accept Medicare Assignment
Reference
Address IDUnique identifier for the practice location; offices within the same building, but varied by suite or floor, will have
the same Address ID aside from the final two characters

Frequently Asked Questions

Who uses our Healthcare Database Download?

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.

What data is included in the Database Download?

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.

How is the Healthcare Database Download delivered?

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.

Do I own the Healthcare Database Download I purchased?

Yes. You own the data and are free to do whatever you like with it, except resell it.

How often is the Healthcare Database updated?

Healthcare provider information is constantly evolving, with new providers joining the NPI registry every day! To ensure accuracy, our database is updated daily to align with updates from each data source. This means you can trust that HealthProviders DB reflects the most current information available—as it becomes available!

Are Healthcare Database updates free?

Yes, you can download the updates for your purchased databases as often as you like for 1 year after purchase.

Can I filter the database by specialty or location?

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

Why choose HealthProviders DB?

✔ 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

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