Provider data update
May 15, 2013
|
CarePrecise Access™ Complete
Best-in-Class Healthcare Provider Data
SUMMARY: CarePrecise Access Complete (CPAC) offers the complete database of the
3.9 million
U.S. HIPAA-covered healthcare providers, updated monthly by the U.S. Department of Health and Human Services, in Microsoft Access® database and CSV format, usable on ordinary desktop and laptop computers. Complete data from the federal NPPES (NPI registry), plus PECOS (Medicare database) and LEIE (barred providers) databases, with exclusive practice group affiliations and two years of retired/deactivated provider records—all linked by NPI number—up to 334 discrete data points in each provider record.
Now you can work with the complete U.S. healthcare provider database right on your own computer.
CarePrecise Access Complete (CPAC) contains more information about the
3.9 million
+ U.S. healthcare provider records than any other commercially available database.* Used across the industry, by health plans, governments and federal law enforcement, CarePrecise offers more than the NPPES, more than research and marketing databases. It is the complete list of all HIPAA-covered U.S. physicians, hospitals, nurses, dentists, laboratories, pharmacists and every other kind of healthcare provider in the United States, with complete specialty information and contact information updated every month.
And it runs in Microsoft Access® and other popular desktop and laptop software.
In an open form that can be used on ordinary desktop computers and laptops, CarePrecise Access Complete delivers every data field, and every row of data, contained in the National Plan & Provider Enumeration System (NPPES) The Centers for Medicare and Medicaid Services (CMS) maintains this database. All healthcare providers who are HIPAA covered entities must obtain a National Provider Identifier (NPI) by reporting their information via the NPPES, and updating it when it changes. This represents virtually all of U.S. physicians, hospitals, and other providers who accept insurance or are associated with a hospital. —the official federal NPI registry—updated monthly by the Centers for Medicare and Medicaid Services. Using advanced record-linking technology, we include providers' PECOS The federal database containing information on healthcare providers who are eligible to bill Medicare (Provider Enrollment, Chain and Ownership System). enrollment status, indicating providers who are eligible to bill Medicare, and warnings on providers posted in the federal List of Excluded Individuals/Entities (LEIE) List of Excluded Individuals/Entities (LEIE): The federal database maintained by the HHS Office of Inspector General containing information on providers who have been barred from billing Medicare due to fraud or controlled substance conviction, patient neglect or abuse, and other reasons. CarePrecise uses a proprietary record-linking system to attach active NPI numbers.—providers barred from billing Medicare—otherwise unavailable with an NPI number.
CPAC includes practice group data, and exclusive co-located provider data, making it easy to see which providers are located at the same practices. Plus, we give you a separate database with the complete data on providers deactivated since January, 2010—the only complete listing of deceased, retired and barred providers available anywhere. All in one product, for just $349.
The data – which includes complete contact information, names, addresses, phones, faxes, state license numbers and specialties – is comprehensive and authoritative, reported and updated by providers themselves in their federal National Provider Identifier (NPI) record as required by HHS, and is the single best source of detailed information on the nation's
3.9 million
doctors, dentists, nurses, clinics, hospitals, laboratories, pharmacies and all other provider types.
Whether you need a medical provider database in order to pre-populate a healthcare IT product or billing system, or to use as a medical mailing list or medical marketing list, the CarePrecise Access Complete healthcare provider database offers the best value and most up-to-date healthcare provider data available anywhere.
Healthcare Provider Statistics |
Release: 5/15/2013 |
| Total NPI Records: |
3,943,703 |
| Provider Records Added Since Last Month: |
30,673 |
| Records Retired Since Last Month: |
999 |
| Excluded Providers (barred from Medicare): |
2,049 |
| Providers in PECOS (enrolled to bill Medicare): |
1,011,776 |
| Single/Multi-specialty Practice Groups: |
465,436 |
| Providers Who Changed Records Last 60 Days: |
117,768 |
The Full National Healthcare Provider Database
CarePrecise Access Complete gives you the full U.S. medical provider database,* in normalized form, including all federally released NPPES data, plus specialty and subspecialty Specialties are reported by providers using their Provider Taxonomy Codes. CarePrecise datasets include both the taxonomy code and the specialty in plain English. Click the link to see current specialties. (provider taxonomy) descriptions, PECOS status, warnings on providers who have been flagged for fraud and other infractions, and new and dropped providers, in both Microsoft Access® and CSV formats, and delivers it all to you via download. Constant updates, generally available within 72 hours of the monthly federal data release, assure the best provider information available. The current release is dated
May 15, 2013
.
APPLICATIONS
CarePrecise Access Complete is a normalized relational database. The format is specifically designed to be used on standard office-class desktop and laptop computers, overcoming the filesize and maximum row and column issues posed by oversized databases, using a process that removes blank cells from flat files and organizes the data into separate tables for name information, address information, etc., plus data from other federal sources. This allows queries to act on the full (nearly 5 gigabyte) dataset within a normal PC environment, either using the Microsoft Access mdb files, or by importing into other database applications such as FileMaker, MySQL, MS-SQL, Postgre, Oracle, FoxPro, Caché, etc. using the provided CSV files. In addition to the complete NPPES data, specialty and subspecialty descriptions have been added to the taxonomy data, enabling searches for "dentist," "otolaryngology," etc., in addition to the provider taxonomy codes Specialties are reported by providers using their Provider Taxonomy Codes. CarePrecise datasets include both the taxonomy code and the specialty in plain English. Click the link to see current specialties.. The LEIE database of providers excluded from billing Medicare is included and linked to NPI records using advanced record-linkage, providing an NPI number for LEIE (barred provider) records on matching providers. An "InPECOS" field indicates all providers who have completed the enrollment process for billing Medicare and are currently in the federal PECOS system. The CarePrecise Access dataset can be used to:
- Correct and enrich your provider data
- Create tightly targeted lists of providers by specialty, location, type, gender and more
- Create contact or mailing lists, or update existing lists with accurate addresses, phones, etc.
- Match and validate provider data based on
- NPI number The US Department of Health and Human Services (HHS) requires every healthcare provider "covered entity" -- both individuals and organizations -- to obtain a National Provider Identifier (NPI) number by enumerating with the National Plan & Provider Enumeration System (NPPES). The Centers for Medicare and Medicaid Services developed and maintains this database. "Covered entity" is defined under under HIPAA as any provider who may be listed on any electronic healthcare claim -- essentially every U.S. physician, dentist, optician, etc., and every hospital, clinic, pharmacy, lab, and many other kinds of healthcare provider.
- UPIN
- State License Number
- Provider names and 'AKA' data (i.e., other name, legal business name)
- Authorizing Official names and contact information In addition to the provider's name, the Authorizing Official name often provides access to a high-level administrative contact within a hospital, or an office manager or managing partner within a physician office.
- Credentials
- Practice and mailing addresses
- Phone and fax numbers
- Crosswalking IDs (Medicaid number, Medicare PIN, UPIN, NSC, OSCAR and others)
- All reported taxonomy (specialty) codes
- Check PECOS status for providers (Medicare billing eligibility)
- Identify new providers and those who have updated their information
- Identify providers who have had Medicare billing privileges revoked
- Identify all providers working at the same practice location
- Identify group practices
- Obtain complete data on deactivated providers, even though their data has been removed from the active database
- Be alerted when a provider is dropped from the federal healthcare provider database
- Search any NPPES field, plus our added specialty/subspecialty field (appended English translation of providers' taxonomy codes)
- Segment providers by specialty and subspecialty
- Import provider data into your own applications
- Develop clinical trial participant pools
- Develop research data and market analysis
Group Practice Data
 Two separate but complementary data sources now make it possible to identify group practices. The first, group data provided by CMS, identifies the practice record. We provide both a "Group" flag in the provider's data, and new relational table with the reported codes (tTaxoGroup).
The second tool we provide to identify groups is the co-location code table (tCoLoCode). The CoLoCode is an algorithmic derivation from provider practice data, which facilitates querying providers by practice location. Our SQUIRRelate™ record linking system standardizes and conforms location data beyond postal specifications to link providers practicing together.
These data can be used together to successfully identify physician groups and all of their specialties, and the CoLoCode data can be used to identify any provider type in a co-located group practice, including dentists, optometrists, radiologists, etc.
Example Group Practice Application: The co-location codes, exclusive to CarePrecise datasets, let you find large (or small) clinics, based on the Count field, which shows the number of providers in the database with the same practice location. For instance, while the code UICFLG70MMPNPNHRR seems meaningless, it happens to be a CoLoCode for the Cleveland Clinic, and it can instantly filter the database to show you all of the 2700+ providers practicing at the Cleveland Clinic's 9500 Euclid Avenue site.
FILE FORMATS
The product is delivered in two formats as downloadable files, in two file formats, each containing identical data:
- Microsoft Access 2000/2003/2007/2010 (.mdb); normalized relational tables, plus a control database with query examples
- Comma Separated Values (.csv); normalized relational tables
DELIVERY
Customers receive a link via email to download the files. Optional shipping on a DVD disk is also available.
SUPPORT
The Single Purchase option includes 30 days of free Technical Support, and the subscription options come with 90 days of free Technical Support. See here for details.
SYSTEM REQUIREMENTS
For operation as a Microsoft Access database, Access 2003 or later is required. CSV files can be imported into any ordinary database system such as FileMaker, MS-SQL, MySQL or SQL Server. You should have 2 gigabytes of RAM (4GB recommended). Approximately 1GB of disk space is required for storage of the MDB files (less for the CSV files), plus additional disk space when manipulating the data. The CSV files may be imported into any application that supports comma separated value files and supports large file sizes.
DATA STRUCTURE
CarePrecise Access is distributed as eleven normalized relational database tables (MDB files), each keyed by the National Provider Identifier (NPI) number, plus a core Microsoft Access database that links the ten files together and includes query examples, two tables that identify added and dropped provider records, and CSV versions of the files. Through data normalization, CarePrecise reduces the highly redundant 329-field NPPES flat file structure to 65 unique fields, removing large volumes of unused space while preserving every character of the data and all of the original granularity. The data is in no other way "compressed," but is ready to access at a fraction of the original file size, and in a form that can readily be searched, manipulated and imported into applications.
Download a sample data pack here; the sample is identical in structure to the full set, but a reduced number of records, and does not contain deactivated provider data.
 Click for a printer-friendly version of the fields list.
| CarePrecise Data Tables & Fields |
Use scrollbar at right of box to view all tables and fields ¬ |
|
| TABLE |
CarePrecise fieldname |
Description of field, and/or source fieldname |
Additional information |
|
| tAddresses |
NPI |
National Provider Identifier (unique National Provider Identifier assigned to healthcare providers by the US Department of Health and Human Services) |
Relational Key
The NPI is a unique 10-digit numerical code assigned to every HIPAA-covered healthcare provider, including individuals and organizations, by the U.S. Department of Human Services, Centers for Medicare and Medicaid Services (CMS).
|
| (Provider addresses; MDB and CSV formats) |
Mail1stAddr |
Provider First Line Business Mailing Address |
|
| Mail2ndAddr |
Provider Second Line Business Mailing Address |
|
| MailCity |
Provider Business Mailing Address City Name
|
|
| MailState |
Provider Business Mailing Address State Name |
The federal data contains variations on state codes, abbreviations and full state names; we conform this field to standard 2-character state codes where possible.
|
| MailZip |
Provider Business Mailing Address Postal Code (most are 9-digit Zip Codes) |
|
| MailCountry |
Provider Business Mailing Address Country Code (If outside U.S.) |
|
| Prac1stAddr |
Provider First Line Business Practice Location Address |
|
| Prac2ndAddr |
Provider Second Line Business Practice Location Address |
|
| PracCity |
Provider Business Practice Location Address City Name |
|
| PracState |
Provider Business Practice Location Address State Name |
The federal data contains variations on state codes, abbreviations and full state names; we conform this field to standard 2-character state codes where possible.
|
| PracZip |
Provider Business Practice Location Address Postal Code (most are 9-digit Zip Codes) |
|
| PracCountry |
Provider Business Practice Location Address Country Code (If outside U.S.)
|
|
| tEntity |
NPI |
National Provider Identifier |
Relational Key |
| (Provider entity and record information; MDB and CSV formats) |
EntityType |
Entity Type Code |
Type 1 indicates an individual provider (i.e., physician, psychologist, etc.); Type 2 indicates an organizational provider (i.e., hospital, lab, pharmacy, etc.)
|
| ReplacementNPI |
Replacement NPI |
|
| EIN |
Employer Identification Number (EIN) |
CMS is not yet providing tax numbers of this type |
| EnumDate |
Provider Enumeration Date |
|
| UpdateDate |
Last Update Date |
Date this provider NPI record was last updated |
| DeactReason |
NPI Deactivation Reason Code |
Not currently populated |
| DeactDate |
NPI Deactivation Date |
Not populated because records in the current dataset are not deactivated. This field IS populated in the separate delta table tEntity_DEACT, described below. |
| ReactDate |
NPI Reactivation Date |
Not currently popluated |
| Gender |
Provider Gender Code |
M or F for Type 1 providers |
| IsSoleProp |
Is Sole Proprietor |
Y indicates provider operates as a sole proprietor business form. |
| IsOrgSubpart |
Is Organization Subpart |
For Type 2 providers, may be one of several organizational units, each with its own NPI number
|
| ParentOrgTIN |
Parent Organization TIN |
CMS is not yet providing tax numbers of this type
|
| InPECOS |
From monthly CMS PECOS distributions of PECOS-enrolled providers. Source: PECOS file distribution, linkage derived algorithmically* beginning with December 2011 release. |
Y= provider is enrolled in PECOS (eligible to bill Medicare); N = not enrolled. Uppercase Y indicates exact NPI match in PECOS history; lowercase y indicates algorithmic match without historical verification.
|
| Warning |
From the Office of Inspector General's excluded providers database (LEIE). A warning in this field should not be taken as definitive; the user should check the tExcluded table and consider other sources of provider fraud and exclusion information.
(Algorithmically derived*).
|
Y= elements in the providers record indicated a match with a listing in the federal excluded providers database (see the table tExcluded below)
|
| ExclType |
The exclusion type from the LEIE database, explaining the reason that a provider was barred from billing Medicare. Fields with a Y in the Warning field will display this code.
|
The code's definition can be found at this link. A CSV file listing these exclusion descriptions is included in the CarePrecise Access Complete CSV download file.
|
| UPIN |
Obsolete physician identifier, still used in some legacy systems. Sources: NPPES and LEIE.
|
Where available
|
| Group |
From NPPES group taxonomy data. |
Y= this provider reported that it operates as either a multi-specialty group or single-specialty group.
|
| tHumanNames |
NPI |
National Provider Identifier |
Relational Key |
| (Provider human names, esp. Type 1 individual providers; MDB and CSV formats) |
LN |
Provider Last Name (Legal Name) |
The enumerated provider's name |
| FN |
Provider First Name |
| MN |
Provider Middle Name |
| PN |
Provider Name Prefix Text |
| SN |
Provider Name Suffix Text |
| Cred |
Provider Credential Text |
| OthLN |
Provider Other Last Name |
"AKA" name: Nee name, nickname, etc. |
| OthFN |
Provider Other First Name |
| OthMN |
Provider Other Middle Name |
| OthPN |
Provider Other Name Prefix Text |
| OthSN |
Provider Other Name Suffix Text |
| OthCred |
Provider Other Credential Text |
| OthLNType |
Provider Other Last Name Type Code |
| AuthLN |
Authorized Official Last Name |
Name of the provider's authorizing official, if other than the listed individual provider. For organizations, this is the contact name.
|
| AuthFN |
Authorized Official First Name |
| AuthMN |
Authorized Official Middle Name |
| AuthTitle |
Authorized Official Title or Position |
| AuthPN |
Authorized Official Name Prefix Text |
| AuthSN |
Authorized Official Name Suffix Text |
| AuthCred |
Authorized Official Credential Text
|
| tOID |
NPI |
National Provider Identifier |
Relational Key |
| (Other identifiers, such as UPIN, OSCAR, PIN, Medicaid, etc., excluding NPI and taxonomy codes; MDB and CSV formats) |
OtherID |
Other Provider Identifier_[1 through 50] |
|
| OtherIDType |
Other Provider Identifier Type Code_ [1 through 50] |
| Description |
OtherIDType |
| Other |
1 |
| Medicare UPIN |
2 |
| Medicare ID-Type Unspecified |
4 |
| Medicaid |
5 |
| Medicare OSCAR/CERTIFICATION |
6 |
| Medicare NSC |
7 |
| Medicare PIN |
8 |
|
| OtherIDState |
Other Provider Identifier State_ [1 through 50] |
In the case of a state license code, this is the licensing state |
| OtherIDIssuer |
Other Provider Identifier Issuer_ [1 through 50] |
|
| OIDnum |
Source: Added by CarePrecise to indicate the original NPPES flat file Other Identifiers field number. |
The number of the NPPES Other Identifier field (1 through 50)
|
| tOrgNames |
NPI |
National Provider Identifier |
Relational Key |
(Provider organization names, esp. Type 2 providers; MDB and CSV formats)
|
OrgName_LBN |
Provider Organization Name (Legal Business Name) |
LBN |
| OthOrgName |
Provider Other Organization Name |
Other |
| OthOrgNameType |
Provider Other Organization Name Type Code |
|
| ParentOrgLBN |
Parent Organization LBN
|
|
| tPhoneFax |
NPI |
National Provider Identifier |
Relational Key |
(Provider phone and fax numbers; MDB and CSV formats)
|
MailPhone |
Provider Business Mailing Address Telephone Number |
|
| MailFax |
Provider Business Mailing Address Fax Number |
|
| PracPhone |
Provider Business Practice Location Address Telephone Number |
|
| PracFax |
Provider Business Practice Location Address Fax Number |
|
| AuthPhone |
Authorized Official Telephone Number
|
|
| tTaxo |
NPI |
National Provider Identifier |
Relational Key |
(Provider Taxonomy codes indicating specialties and subspecialties for Type 1/individual providers, and facility types for Type 2/organization providers; MDB and CSV formats)
|
Taxo |
Healthcare Provider Taxonomy Code_[1 through 15] |
|
| Lic |
Provider License Number_[1 through 15] |
|
| LicState |
Provider License Number State Code_[1 through 15] |
|
| TaxoSwitch |
Healthcare Provider Primary Taxonomy Switch_[1 through 15] |
|
| Tnum |
|
The number of the NPPES taxonomy field (1 through 15)
|
| TaxoDescr |
|
Taxonomy code description (the specialty/subspecialty in English)
|
| tTaxoGroups |
NPI |
National Provider Identifier |
Relational Key |
| (Provider Taxonomy codes indicating group practices; MDB and CSV formats) |
Gnum |
The source data (NPPES) permits group codes to be reported in up to 15 fields in this section. CarePrecise creates a 1-to-many table, listing each of a provider's reported txonomy group codes in a separate record. The Gnum is the NPPES Group Taxonomy field number in which the code was reported, allowing the code be matched with the specific group specialty in the tTaxo table. For instance, a code in tTaxoGroup field Gnum 3 indicates a group practice of the specialty reported in Tnum 3 in the tTaxo table.
|
This is the newest of the data released by CMS in the NPPES file. This is where the group taxonomy codes are reported. CMS does not report the codes in the taxonomy section (which appear in our tTaxo table) because they represent an additional layer of information on any one or more of the tTaxo codes.
|
| |
TaxoGroup |
Healthcare Provider Taxonomy Group_[1 through 15] |
193200000X for a multi-specialty practice
193400000X for a single-specialty practice
|
| tCoLoCode |
NPI |
National Provider Identifier |
Relational Key |
| (MDB and CSV formats) |
CoLoCode |
Provider co-location code (algorithmically derived*). The NPI and CoLoCode comprise the dual relational key for this table. The NPI identifies the provider record, and the CoLoCode identifies the co-located group. The CoLoCode is an up to 40-character string that stands in for detailed location data, and is not intended to be sensical to the human viewer. The CoLoCode /Group Practice system is in beta and subject to change, although code assignment per location is designed to remain static month-to-month (i.e., a given practice group's code would remain the same from month-to-month, while members' codes would change as they move to different practice groups) unless the group's location changes, as the code is predicated on practice location.
|
This code is an algorithmically derived conformation of the provider's practice location, permitting identification of providers who practice at the same location, for instance, physician groups, dental groups, radiology groups, etc. By using this table in conjunction with the tTaxoGroups table, it is possible to visualize the group entity (generally an organization) and its provider members.
Although each provider should have only one primary practice location in our database, technically, the tCoLoCode table is 1-to-many, because our system may not be able to resolve a single practice location per provider. There may be up to two distinct CoLoCodes for some providers.
|
| Count |
Count of providers matching this co-location (algorithmically derived conformation of the provider's practice location; see tCoLoCodes above). Indicates the number of providers practicing at this co-location.
|
|
| tAdded |
NPI |
National Provider Identifier |
Relational Key |
(MDB and CSV formats)
|
DateDiscovered |
|
The CarePrecise processing date on which the added provider record was discovered. Corresponds to the most recent previous CMS update date on which the added provider data was included in the NPPES database.
|
| tDropped |
NPI |
National Provider Identifier |
Relational Key |
(MDB and CSV formats)
|
DateDiscovered |
|
The CarePrecise processing date on which it was discovered that the provider record was dropped from the NPPES database. Corresponds to the most recent previous CMS update date on which the provider data was dropped from the NPPES database.
|
| EntityType |
Entity Type Code |
Type 1 is individual providers (i.e., physicians, psychologists, etc.); Type 2 is organizational providers (i.e., hospitals, labs, etc.)
|
| ProvName |
|
This is a generated field based on EntityType.
|
| Prac1stAddr |
Provider First Line Business Practice Location Address |
|
| Prac2ndAddr |
Provider Second Line Business Practice Location Address |
|
| PracCity |
Provider Business Practice Location Address City Name |
|
| PracState |
Provider Business Practice Location Address State Name |
The federal data contains variations on state codes, abbreviations and full state names; we conform this field to standard 2-character state codes. A small number of non-US postal addresses remain nonconforming.
|
| PracZip |
Provider Business Practice Location Address Postal Code |
|
| PracCountry |
Provider Business Practice Location Address Country Code (If outside U.S.) |
|
| PracPhone |
Provider Business Practice Location Address Telephone Number |
|
| EnumDate |
Provider Enumeration Date |
|
| UpdateDate |
Last Update Date |
Date this provider NPI record was last updated
|
tExcluded
|
LN |
Last name (Type 1 providers) |
This table, sourced from the LEIE, lists all provider records in the federal excluded providers database. A provider may be excluded (barred from billing Medicare) for reasons of a criminal nature, among other reasons. This table contains no relational key; however, it is used to produce the Warning field in the tEntity table, which does include the provider's NPI. This table should be referenced for backup information.
|
| (MDB and CSV formats) |
FN |
First name (Type 1 providers) |
| MN |
Middle Name (Type 1 providers) |
| OrgName |
Organization name (Type 2 providers) |
| Addr |
Street address |
| City |
City |
| State |
State |
| Zip |
Zip Code |
| DOB |
Date of Birth (currently unpopulated) |
| General |
Provider category |
| Specialty |
Provider specialty |
| UPIN |
Federal physician identifier code (legacy) |
| ExclType |
Exclusion type (why provider was excluded) |
| ExclDesc |
Exclusion Description |
| ExclDate |
Date provider was excluded (YYYYMMDD)
|
| tDeact |
NPI |
National Provider Identifier |
This table is provided by CMS, listing all NPI records that have been deactivated and the deactivation date.
|
| (MDB and CSV formats; CarePrecise Access Complete and CarePrecise Gold only) |
DeactDate |
Date CMS deactivated the provider's NPI record |
| DeactFound |
Date deactivation was processed by CarePrecise |
Delta tables in NPPES_Delta.mdb
(MDB format; CarePrecise Access Complete and CarePrecise Gold only) |
tAddresses_DEACT
tEntity_DEACT
tHumanNames_DEACT
tOID_DEACT
tOrgNames_DEACT
tPhoneFax_DEACT
tTaxo_DEACT
tTaxoGroups_DEACT
tCoLoCode_DEACT
|
The Delta tables are contained in a separate database included in the CarePrecise Access Complete dataset, named NPPES_Delta. They contain the complete data on providers whose records have been deactivated by CMS for various reasons, including retirement, death, or for any of several infractions. These tables contain the same fields as the standard provider data tables as defined above for their namesakes, and are populated with the data from previous data releases, with the deactivation date populated in the tEntity_DEACT table's DeactDate field. |
| Additional data included only in CarePrecise Gold (from USPS, U.S. Department of Commerce, and independent CarePrecise research): |
tZips
Economic and social segmentation data for providers' service areas
(This table is included only in CarePrecise Gold; MDB format) |
ZipCode |
5-digit Zip Code |
|
| Wealth |
Numerical indicator of the relative wealth/poverty of the provider's immediate service area (zip). Wealth/poverty level is show as a percentage of the Federal Poverty Level (FPL) for the particular geographic area. Currently up to 12 levels are present in the data; additional levels will be included when data for those more extreme wealth levels are present. |
| Description |
Wealth Level |
| =<50% FPL |
1 |
| 50% to 100% FPL |
2 |
| 100% to 150% FPL |
3 |
| 150% to 200% FPL |
4 |
| 200% to 300% FPL |
5 |
| 300% to 500% FPL |
6 |
| 500% to 700% FPL |
7 |
| 700% to 1000% FPL |
8 |
| 1000% to 1500% FPL |
9 |
| 1500% to 2000% FPL |
10 |
| 2000% to 3000% FPL |
11 |
| Greater than 3000% FPL |
12 |
|
| RuralUrban |
Indicates Rural (R), Urban (U) or Other (O) status for the provider's immediate service area (zip). Other indicates suburban or small city status. |
|
| City |
City associated with Zip Code |
|
| County |
County primarily associated with Zip Code |
|
| State |
State associated with Zip Code
|
|
Additional data tables:
- Names
- Names_Company
- Names_Cred
- Names_Genderize
- Names_Prefices
- Names_Suffices
- StateNameVariants
(These tables are included only in CarePrecise Gold; MDB format) |
Additional data tables included in CarePrecise Gold are used by the included SharpMail™ tool to produce correctly cased names and addresses and correctly genderized and prefixed salutations. |
|
* Algorithmically derived data in the CPAC dataset includes data that is extracted/mined from the source databases, but which has a margin of error and should not be relied upon as conclusive. Record linking algorithms are used to enrich our data when direct correlation (via a unique identifier field) is not available, using available information in name, address, phone, taxonomy, and other fields. In particular, the data on providers excluded from billing Medicare (from the HHS Office of Inspector General's excluded providers database) can only be linked to NPI records by this means. Please note that when matches are found, there may be instances where an individual or firm has the same or similar name and location information as an excluded provider but is actually a different party. Therefore, it is important that you verify a potential match with the debarring agency identified in the record information. In like manner, the available federal data does not provide information on an individual provider's practice group(s); using record-linkage technology, we extract the group information by matching providers sharing the same practice location, and these group data can be corroborated or enriched with the group practice codes provided by CMS.
|
|
LICENSING
CarePrecise data is licensed for use by the purchaser and may not be redistributed. Review the End User License Agreement. Redistribution licensing is also available. Unless a redistribution or multi-user license is obtained separately, the standard End User License Agreement
permits the licesee to use the data in any way desired as long as it is within and for the buyer's own organization and is used by only one user at a time (may not be installed on multiple computers for use by multiple simultaneous users). Alternativel licensing options are available for uses that involve distribution of the data or use of the data by more than one user and/or for public viewing, and are purchased separately.
MORE INFORMATION
Contact CarePrecise Sales at (877) 782-2294, sales@careprecise.com
Click to order:
Single Purchase $349 | Subscriptions: 4 Per Year $698 | 12 Per Year $1,396
**
* The only more complete database is our own CarePrecise Gold, which adds economic data for provider service areas. All HIPAA-covered entities are included.
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Subscription plans include the listed release schedule for the listed time period, with releases approximately monthly or approximately quarterly as appropriate. Each release is based on the most recent dissemination from the data sources currently available at the time of the release.
The data contained in CarePrecise products is compiled and processed on an ongoing basis, with monthly update releases, from free and fee-based sources, including the National Plan & Provider Enumeration System (NPPES), Medicare Provider Enrollment, Chain, and Ownership System (PECOS), List of Excluded Individuals/Entities (LEIE) and other US federal sources obtainable under the Freedom of Information Act (FOIA) and provided monthly by the Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General, divisions of the US Department of Health and Human Services (HHS), and from the US Census Bureau, a division of the US Department of Commerce, agencies of the US federal government, and the United States Postal Service (USPS). Neither CarePrecise nor its investors, partners and affiliates are responsible for data maintained by these or other source providers. All HIPAA covered entity healthcare providers in the U.S. are required under the NPI Final Rule to provide their information to a federal database of healthcare providers and to update when their information changes. No warranty is expressed or implied as to the accuracy, completeness or timeliness of the information presented here, nor that the data structure will not be changed in the future as necessitated by source data, beyond the diligent effort to include all released data. To determine a provider's eligibility to practice and/or to bill Medicare, users should not rely solely on data included in the CarePrecise dataset, particularly regarding alleged criminal and/or fraudulent activity given as reason for listing in data on excluded providers. Data which has been in-matched using algorithmic rather than direct means may include a percentage of error; affected data is labled as such in the documentation. Subscriptions are fullfilled with quartery or monthly issues containing the most recently released data from all pertinent sources. CarePrecise, CarePrecise Access, CarePrecise Select, CarePrecise Gold, CP ListMaker and SharpMail are trademarks of CarePrecise Technology. Other trademarks are the property of their respective owners.
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Product Comparison Chart
