Healthcare provider data and medical marketing lists

CarePrecise Access Complete
Healthcare Provider Database

Now you can work with all of the U.S. healthcare providers right on your own computer.
Affordably.

 

CarePrecise Access Complete (CPAC) makes the complete U.S. healthcare provider database accessible on your desktop. CPAC contains more information on the more than 6.3 million provider records than any other commercially available database, except for our own more extensive CPAC/EPGH bundle.

 

CarePrecise Access Complete - the full national healthcare provider database

Starting at $399.
No kidding.

Complete NPI database and more...

Want to pull smaller lists to use in Excel? Consider CarePrecise Gold...

Download all 6.3 million U.S. healthcare providers —
physicians, dentists, hospitals, practice groups, pharmacies —
and access them in ordinary office software.

Used across the industry by health plans, governments, research programs, and federal law enforcement, CarePrecise Access Complete (CPAC) 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 specialty and contact information – including practice and mailing addresses, phone and fax numbers – updated every month. (Email addresses may be purchased separately.)

In an open format that can be used on ordinary desktop computers and laptops, CPAC delivers the comprehensive provider data collected in the federal NPI registry (NPPES) The Centers for Medicare and Medicaid Services (CMS) maintains this National Plan & Provider Enumeration System (NPPES) database. All healthcare providers who are HIPAA covered entities must obtain a National Provider Identifier (NPI) by reporting their information via the NPPES, and are required to update it when it changes. This represents virtually all of U.S. physicians, hospitals, and other providers who bill insurance, write prescriptions, or are affiliated with a hospital. —the official federal NPI registry—updated monthly by the Centers for Medicare and Medicaid Services. Using QoRelate™, our advanced record-linking technology, we include providers' PECOS (Medicare) 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 with sanctions due to fraud, controlled substance conviction, neglect or abuse, and other infractions.

 

Up-to-date information

CPAC is comprehensive and authoritative, sourced from the information reported and updated as required by law by the providers themselves in their federal National Provider Identifier (NPI) record, and is the most accurate source of detailed information on the nation's 6.3 million doctors, dentists, nurses, clinics, hospitals, laboratories, pharmacies and all other provider types.

 

Historical data back 10+ years

Our separate database of rich data on deactivated providers since 2005 includes the date of deactivation, name, address, specialties - all of the same fields as the standard data on current providers. Updated and included with each month's release.

 

Multiple practice locations and alternative names

CPAC now includes two new tables:

  • Other Practice Locations - multiple practice locations per provider
  • Other Organization Names - alternative organization names per organization provider

 

Applications

CarePrecise Access Complete (CPAC) is designed to be used on standard desktop and laptop computers, overcoming the file size and maximum row and column issues posed by oversized data files, using a process that 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 dataset (over 5 gigabytes) on a normal PC, either using the Microsoft Access database, or by importing into other database applications such as FileMaker, SalesForce, MySQL, MS-SQL, Postgre, Oracle, FoxPro, Caché, etc. using the provided CSV files. (Special licensing may be required for certain applications.)

CPAC can be used to:

  • Correct and enrich your provider data
  • Create tightly targeted lists of providers by specialty, location, type, gender and more
  • Check PECOS provider enrollment for physicians and other providers (Medicare billing eligibility)
  • Identify new providers and those who have updated their information
  • Identify providers who have had Medicare billing privileges revoked
  • Find historical data on deactivated providers
  • Segment providers by specialty and subspecialty
  • Develop research data and market analyses

 

Find practitioners who work together, and the organization they work for

With CarePrecise Access Complete you can identify all providers working at the same practice site using the CarePrecise exclusive CoLoCode™ location matching field.

 

 

FILE FORMATS

The product is delivered in two formats as downloadable files, each containing identical data:

  • Microsoft Access (.mdb); normalized relational tables, plus a control database with query examples
  • Comma Separated Values (.csv); normalized relational tables for import into other database software

 

DELIVERY

Delivered via download link sent by email. Data DVD and flash drive options.

 

SUPPORT

The Single Purchase option includes 30 days of free technical support, and subscription options come with 90 days of free technical support. See support details.

 

SYSTEM REQUIREMENTS

For the CSV files: Any operating system and software that supports relatively large comma separated values files. For the MDB files: Microsoft Windows 7 or later, 4GB RAM, Microsoft Office Pro/365 or Microsoft Access 2007 or later.

 

DATA STRUCTURE

Click to view the healthcare provider database data model

CarePrecise Access Complete is a normalized relational database ready to use on ordinary office computers in Microsoft Office Pro or Office 365 with Access, each record keyed by the National Provider Identifier (NPI) number. Download a sample here.

Printer-friendly version of the medical provider database fieldsClick for a printer-friendly version of the fields list.

CarePrecise healthcare provider data fields
Provider data field names
CPAC (CarePrecise Access Complete) data is sourced and merged from the NPPES, PECOS and LEIE databases, keyed on the NPI. Every record has a unique NPI, and the NPI is used to link the relational tables together. The CPAC dataset is updated monthly.
tAddresses

(Provider addresses;
MDB and CSV formats)

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).

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 Code  
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 Code  
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.)  
tOtherPracticeLocations

Additional (secondary) practice locations for Type 2 providers;
MDB and CSV formats One-to-many table.

NPI National Provider Identifier Relational Key (composite)
SecondaryPracAddr1 First line of street address Relational Key (composite)
SecondaryPracAddr2 Second line of street address  
SecondaryPracCity City Name
 
SecondaryPracState State Code  
SecondaryPracZip Postal Code (most are 9-digit Zip Codes)  
SecondaryPracCountry Country Code (If outside U.S.)  
SecondaryPracPhone Location Phone Number  
SecondaryPracPhoneExt Location Phone Extension  
SecondaryPracFax Location Fax Number  
SecondaryLocationDate Location Date

 

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.). Type1 entities (individuals) may have only one NPI number and so only one record, but Type 2 entities (organizations) may have multiple NPI numbers and thus multiple records. Click here to download the Exclusion Type Code description document...

 

ReplacementNPI Replacement NPI Not currently populated
EIN Employer Identification Number (EIN) Not currently populated. CMS is not yet providing tax numbers of this type.
EnumDate Provider Enumeration Date Date the record was first added to the NPI registry
UpdateDate Last Update Date Date this provider NPI record was last updated
DeactReason NPI Deactivation Reason Code Not populated because records in the current dataset are not deactivated. Not currently disclosed by CMS.
DeactDate NPI Deactivation Date Not populated because records in this table are not deactivated. This field IS populated in the separate delta table tEntity_DEACT, described below.
ReactDate NPI Reactivation Date Date record was reactivated following a deactivation.
Gender Provider Gender Code M or F for Type 1 providers
IsSoleProp Is Sole Proprietor Y = provider operates as a sole proprietor. No = not a sole proprietorship. X = question not answered by provider.
IsOrgSubpart Is Organization Subpart For Type 2 providers, may be one of several organizational units, each with its own NPI number. Y = provider is a subpart. No = not a subpart. X = question not answered.

 

ParentOrgTIN Parent Organization TIN Not currently populated. CMS is not currently providing tax numbers at this time.

 

InPECOS From monthly CMS PECOS distributions of PECOS-enrolled providers. Source: PECOS Ordering and Referring Report file distribution. Y = Physicians and non-physician practitioners who are of a type/specialty that is legally eligible to order and refer in the Medicare program and who have current enrollment records in Medicare (i.e., they have enrollment records in PECOS)

 

Warning

From the Office of Inspector General's excluded providers database (LEIE), indicating a sanction prevents the provider from billing Medicare. 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. Up until the May 2017 release, this field was algorithmically derived for some records.*

 

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.

 

ExclDate

The date of the exclusion from the LEIE database, where reported.

 

 

UPIN UPIN is a deprecated identifier, no longer used. CMS has stopped disseminating this data. The field remains here for purposes of backward-compatibility.

 

 

Group From NPPES group taxonomy data Y= this provider reported that it operates as either a multi-specialty group or single-specialty group.

 

County   Name of county primarily associated with the practice Zip Code
CountyFIPS   Practice county FIPS code
StateFIPS   Practice state FIPS code
TimeZone   Practice time zone
DLSTime   Daylight saving time; Y= Yes
MSA Metropolitan Statistical Area of practice location New 5-digit format for the MSA, also known as the CBSA. The field name will remains MSA for backward compatibility
PMSA Primary Metropolitan Statistical Area of practice location  
Population   Zip Code population
Zip5   First five digits of practice address Zip Code
tEntity-B NPI National Provider Identifier Relational Key
(Provider entity and record information; MDB and CSV formats) CertDate Date of certification of provider's NPI number New field added with December 9, 2019 data release, refers to the date the NPI record was officially certified.
EstPracYears Estimated years provider has been in practice

Algorithmically derived* from EPGH tExtendedPhysician.GradYear and/or CPAC tEntity.EnumDate 2009 forward.

tHumanNames NPI National Provider Identifier Relational Key
(Provider person names or contact person names; MDB and CSV formats) LN Provider Last Name (Legal Name) The enumerated individual provider's name (for Entity Type 1 records)
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 Other name Type Codes:
Code Description EntityType
1 Former Name 1
2 Professional Name 1
5 Other 1, 2
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 (Contact person for a Type 2 organization record) Name of the provider's authorizing official, if other than the listed individual provider. For organizations (Entity Type 2 records), 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) One-to-many table. OtherID Other Provider Identifier Identifier relevant to external data
OtherIDType Other Provider Identifier Type Code
Description OtherIDType
Other 01
Medicaid 05
OtherIDState Other Provider Identifier State In the case of a state license code, this is the licensing state
OtherIDIssuer Other Provider Identifier Issuer  
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 for Type 2 providers; MDB and CSV formats)

 

OrgName_LBN Provider Organization Name (Legal Business Name) LBN (for Entity Type 2 records)
OthOrgName Provider Other Organization Name Other
OthOrgNameType Provider Other Organization Name Type Code
Code Description EntityType
3 DBA 2
4 Former LBN 2
5 Other 1, 2
ParentOrgLBN Parent Organization LBN  
tOtherOrgNames NPI National Provider Identifier Relational Key (composite)

Alternative org names beyond those listed in tOrgNames; MDB and CSV formats. One-to-many table.

OtherOrgName Other Organization Name Relational Key (composite)
OtherOrgNameType Other Organization Name Type Relational Key (composite)
Code Description EntityType
3 DBA 2
4 Former LBN 2
5 Other 1, 2
tPhoneFax NPI National Provider Identifier Relational Key

(Provider phone and fax numbers; fax numbers for approx. 65% of records; 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). One-to-many table.

 

Taxo Healthcare Provider Taxonomy Code (Specialties and Facilty Types) Providers may have multiple taxonomies reported here, and thus multiple records in this one-to-many table. The Taxonomy Code indicates the provider's specialty; i.e., Pediatrician, Optometrist, etc.; or facility type; i.e., Hospital, Clinic, Nursing Facility, etc.
Lic Provider License Number For Type 2 (organization) providers, License is no longer collected as of 9/10/2018.
LicState Provider License Number State Code For Type 2 (organization) providers, License is no longer collected as of 9/10/2018.
TaxoSwitch Healthcare Provider Primary Taxonomy Switch (Primary specialty indicator) "Y" means this is the provider's primary specialty or facility code.
Tnum Source: Added by CarePrecise to indicate the original NPPES flat file Taxonomy Code (specialty) field number. The number of the NPPES taxonomy field (1 through 15). If a primary taxonomy is not indicated, it may be useful to assume that the first-listed code (1) is primary.

 

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). One-to-many table. Gnum

The source data (NPPES) permits group codes to be reported in up to 15 fields in this section. CarePrecise creates a one-to-many table, listing each of a provider's reported taxonomy 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.

 

CMS does not report the group 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 (composite)
(MDB and CSV formats) CoLoCode™

Provider CoLoCode™ (co-location code, a CarePrecise algorithmically derived* exclusive). The NPI and CoLoCode comprise the dual relational key for this table. The NPI identifies the provider record, and the CoLoCode identifies the physical location. 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.

 

Relational Key (composite)

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. CoLoCodes are created for Practice addresses in the United States (US) and US Minor Islands (UM).

 

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 location.

 
tAdded
(CPAC records only)
NPI National Provider Identifier Relational Key (composite)

(MDB and CSV formats)

DateDiscovered  

Relational Key (composite)

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. Unduplicative index key is dual; NPI and DateDiscovered.

 

tDropped NPI National Provider Identifier Relational Key (composite)

(MDB and CSV formats)

DateDiscovered  

Relational Key (composite)

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. Unduplicative index key is dual; NPI and DateDiscovered.

 

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

(MDB and CSV formats)

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.

 

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. Not currently populated. CMS is not providing tax numbers at this time.
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

(MDB and CSV formats; CPAC records only)

NPI National Provider Identifier

Relational Key (composite)

This data is provided by CMS, listing all NPI records that have been deactivated and the deactivation date. Unduplicative index key is dual; NPI and DeactDate. Please note that a record may be added to the Deactivated tables, but then later be reactivated. Also note that Type 2 records (organizations) may have multiple records; some may be deactivated while others are active. When a record is reactivated it will appear in the tAdded table.

 

DeactDate Date CMS deactivated the provider's NPI record Relational Key (composite)
DeactFound Date deactivation was processed by CarePrecise  
DeactReason Reason for deactivation. Not currently populated. Not disclosed by CMS.
Delta tables in NPPES_Delta.mdb

(MDB format; CPAC records 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 near-complete data on those 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. Please note that a record may be added to the Deactivated tables, but then later be reactivated. Also note that Type 2 records (organizations) may have multiple records; some may be deactivated while others are active. When a record is reactivated it will appear in the tAdded table.

* Marked above by an asterisk (*), algorithmically derived data in the datasets 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, some of the older 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. See the disclaimer appearing at the bottom of the documentation page.

Not all fields in all records are populated with data. Healthcare providers may update data in their record using the federal NPI registry website, and are required to do so within 30 days of a change in their information.

CarePrecise LLC reserves the right to make changes in the data and data structure as it deems necessary to preserve the quality of the product. Please read the Notice at the bottom of the page https://www.careprecise.com/help/ for additional information about the data.

 

 

LICENSING

CarePrecise data is licensed for use by the purchaser on a single computer and may not be redistributed. Review the End User License Agreement. Site licensing and redistribution licensing is also available. Unless a redistribution or site license is obtained separately, the standard End User License Agreement permits the licensee 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). Alternative licensing options are available.

 

MORE INFORMATION

Contact CarePrecise Sales at (877) 782-2294, sales@careprecise.com

 

Pricing and Ordering

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