The Medicare Diabetes Prevention Program dataset contains information about suppliers from which eligible Medicare beneficiaries may be furnished associated services. The information in this dataset can include organization name, location, contact information, National Provider Identifier (NPI) among other data points. Location data populates the "Map of MDPP Suppliers furnishing MDPP Services" map.

The Medicare Provider and Supplier Taxonomy Crosswalk dataset lists the providers and suppliers eligible to enroll in Medicare programs with the proper healthcare provider taxonomy code. This data includes the Medicare speciality codes, if available, provider/supplier type description, taxonomy code, and the taxonomy description.

ATTENTION USERS

Some Providers' Opt-Out Status may end early due to COVID 19 waivers. Please contact your respective MAC for further information.

 

For more information on the opt-out process, see Manage Your Enrollment or view the FAQ section below.

 

The Opt Out Affidavits dataset provides information on providers who have decided not to participate in Medicare. It contains provider's NPI, specialty, address, and effective dates.

The Pending Initial Logging and Tracking (L & T) Physicians dataset provides a list of pending applications that have not been processed by CMS contractors.

The Pending Initial Logging and Tracking (L & T) Non Physicians dataset provides a list of pending applications that have not been processed by CMS contractors for Non Physicians.

The Hospital All Owners Information dataset provides information on all owners of the hospitals. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.

The CMS Program Statistics - Medicare Total Enrollment tables provide data on characteristics of the Medicare-covered populations. 

For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page.

These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data.

 

Below is the list of tables:

MDCR ENROLL AB 1.  Total Medicare Enrollment:  Total, Original Medicare, and Medicare Advantage and Other Health Plan Enrollment, Yearly Trend
MDCR ENROLL AB 2.  Total Medicare Enrollment:  Total, Original Medicare, Medicare Advantage and Other Health Plan Enrollment, and Resident Population, by Area of Residence
MDCR ENROLL AB 3.  Total Medicare Enrollment:  Part A and/or Part B Total, Aged, and Disabled Enrollees, Yearly Trend
MDCR ENROLL AB 4.  Total Medicare Enrollment: Part A and/or Part B Enrollees, by Age Group, Yearly Trend
MDCR ENROLL AB 5.  Total Medicare Enrollment:  Part A and/or Part B Enrollees, by Demographic Characteristics
MDCR ENROLL AB 6.  Total Medicare Enrollment:  Part A and/or Part B Enrollees, by Type of Entitlement and Demographic Characteristics
MDCR ENROLL AB 7.  Total Medicare Enrollment:  Part A and/or Part B Total, Aged, and Disabled Enrollees, by Area of Residence
MDCR ENROLL AB 8.  Total Medicare Enrollment:  Part A and/or Part B Enrollees, by Type of Entitlement and Area of Residence

The Skilled Nursing Facility (SNF) All Owners dataset provides information on all owners of SNFs currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.

The Revalidation Clinic Group Practice Reassignment dataset provides information between the physician and the group practice they reassign their billing to. It also includes individual employer association counts and the revalidation dates for the individual physician as well as the clinic group practice.

 

Note: This full dataset contains more records than most spreadsheet programs can handle, which will result in an incomplete load of data. Use of a database or statistical software is required.

Please be advised that as of Q4 2023 there is a new Provider of Service file (POS) that contains the provider and certification details for Home Health Agencies (HHAs), Hospices, and Ambulatory Surgical Centers (ASCs). Data contained in this file are extracted from the Internet Quality Improvement and Evaluation System (iQIES) environment and will be updated quarterly along with the other two POS files.

 

The Provider of Services File - Hospital & Non-Hospital Facilities data provide critical resources for other federal regulator requirements as well as supports the ongoing quality & research efforts sponsored by CMS. In this file you will find provider certification, termination, accreditation, ownership, name, location and other characteristics organized by CMS Certification Number.