Data Hygiene & Enrichment | CarePrecise Technology
Healthcare provider data and medical marketing lists

CarePrecise Select™ Data Hygiene & Enrichment

Send us your list of provider NPI numbers, state license numbers or other unique identifiers, and we'll send back the complete data for those providers.

 

For the specific healthcare providers you submit, our Data Hygiene & Enrichment service delivers the most up-to-date contact information, including mailing address/phone/fax and practice address/phone/fax, provider names and AKA names, all reported licenses, credentials, taxonomy codes, specialties, and facility types, plus other rich data in the CarePrecise master provider database, updated constantly.

Other submission criteria can be accommodated if you do not have the unique identifiers. We can match your data to the official records in our master database using names, addresses, and other provider information that you do have.

You can use the data we return to you, which includes the complete set of reported provider identifiers, to improve the speed and accuracy of crosswalks, optimize claims for speedy payment, reduce days in A/R, improve system efficiencies and reduce HR costs, and for business development and research applications.

 

You can get deep information on your providers

Click to view the healthcare provider database data model

We can provide a relational database that contains hundreds of potential data points per provider record. We include a table that links your in-house ID to the provider's NPI number, and to all of our data. Your own data format specifications can be accommodated, providing the specific data fields your project requires, from any or all of the data in the table below, including historical data on providers. We can also add per-practice address geocoding, with longitude and latitude for provider locations.

 

Click for a PDF of the Data Tables and Fields listing...

CarePrecise healthcare provider database fields
Provider data field names
CarePrecise Complete (CPAC) 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.
CPAC 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.)  
CPAC tOtherPracticeLocations

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

Table is not provided in custom data pulls (CarePrecise Select services).

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

 
CPAC 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 currently providing tax numbers.
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.

 
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), indicatying 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 Beginning with the April 20, 2020 release, this field will draw on data representing the new 5-digit format for the MSA, also known as the CBSA. The field name will remain MSA
PMSA Primary Metropolitan Statistical Area of practice location  
Population   Zip Code population
Zip5   First five digits of practice address Zip Code
CPAC 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.
CPAC 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

 
CPAC 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)

 
CPAC 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  
CPAC tOtherOrgNames NPI National Provider Identifier Relational Key (composite)

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

Table is not provided in custom data pulls (CarePrecise Select services).

 OtherOrgName Other Organization Aame 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
CPAC 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

 

  
CPAC 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)

 

CPAC 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

 
CPAC 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.

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

(MDB and CSV formats)Table is not provided in custom data pulls (CarePrecise Select services)

 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.

 
CPAC tDropped
(CPAC records only) Table is not provided in custom data pulls (CarePrecise Select services)		 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

 
CPAC tExcluded

(MDB and CSV formats) Table is not provided in custom data pulls (CarePrecise Select services)

 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 currently providing tax numbers.
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)

 
CPAC tDeact

(MDB and CSV formats; CPAC records only) Table is not provided in custom data pulls (CarePrecise Select services)

 

 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.
CPAC Delta tables in NPPES_Delta.mdb

(MDB format; CPAC records only) Table is not provided in custom data pulls (CarePrecise Select services)

 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.
Additional Data Included with CarePrecise Advanced™and CarePrecise Platinum. Data is sourced from PECOS, Physician Compare, Hospital Compare and other CMS data, and is updated monthly. Providers in the EPGH are a subset of the CPAC records, approximately 900,000 providers plus their practice groups and affiliated hospitals.
EPGH tExtended_Professional

(The EPGH is available optionally as a bundle with CarePrecise Access Complete (CPAC) that provides additional information on healthcare professionals (particularly physicians), practice groups and hospitals, and reveals the affiliation links between all three. MDB and CSV formats.)

Only active providers (defined as having appeared on a Medicare claim in the past twelve months) are included in the EPGH dataset (unlike the CPAC dataset, which includes all US HIPAA-covered providers). EPGH data is available for approximately 615,000 physicians, and 300,000 other professionals, and is growing. The hospital data in EPGH provides an unduplicated listing of hospitals and their highest priority NPI number, and is linked to each hospital's affiliated professionals/physicians and practice groups. EPGH practice group data makes it possible to see the multiple locations at which an individual provider practices.

NPI National Provider Identifier of Individual Professional Relational Key (composite and to CPAC)

Link to professional's data in the CPAC databases above. This ID is unique per professional (physician, PA, etc.).

 
PACID Individual's unique PAC ID (Practice Access Code). Unique individual professional ID assigned by Medicare PECOS system

Relational Key (composite)

Link to practice group affiliations through the tExtended_GroupProfessional table, and is a link to upcoming practice group quality data.

 
ProfEnrollID Professional Enrollment ID Relational Key (composite)

Unique ID for the individual professional enrollment that is the source for the data in the record. One professional may have multiple records in this table as a result of multiple PECOS enrollments, each of which may have its own hospital and practice group affiliations.

 
LN Last Name In most cases the name fields here will be duplicative of the fields in tHumanNames, but these are sourced from the PECOS system rather than the NPPES.
FN First Name
MN Middle Name
Suffix Name Suffix (Jr, III, etc.)
Gender M (male) or F (female)  
Cred Credential Medical credential such as MD, DO, DPM, etc.
School Professional's medical school  
GradYear Professional's medical school graduation year  
PriSpec Primary medical specialty reported by the individual professional in this PECOS enrollment record  
AllSecSpec

All four secondary specialties reported by the individual professional in this PECOS enrollment record, separated by commas

  
EPGH tExtended_Group

(Extended Practice Group information; MDB and CSV formats)

GroupPracPACID Unique Group Practice PAC ID (Practice Access Code) assigned by PECOS to the Group Practice Relational Key

Links Group and Individual records within Extended tables. This ID is unique to each practice group.

This key will link to group practice quality data soon to be released.
NPI National Provider Identifier of the Practice Group Relational Key (to CPAC)

Links practice groups in Extended tables to CPAC data above. Algorithmically derived*; not available for all group records.

Use the GroupPracPACID to link individuals with their groups through the tExtended_GroupProfessional table.
OrgLBN Legal name of the Group Practice  
CountGroupPracMem Number of Individual Professionals affiliated with Group Practice This count is limited to individuals within the Extended domain; others may be found within the standard CPAC tables via CoLoCode.
StreetAddr1 Group Practice line 1 address  
StreetAddr2 Group Practice line 2 address  
Line2Suppress Marker that address as reported may be incomplete A peculiarity of the federal source data.
City Group Practice city  
State Group Practice state  
Zip Group Practice zip code (9 digits when available)  
CoLoCode Derived algorithmically* based on location data May be used to identify additional affiliated individuals within the NPPES data above. See description of CoLoCode in the CPAC table tCoLoCode above.

 
EPGH tExtended_
GroupProfessional

(Many-to-Many table linking group practices with individual professionals. One or more individuals per group, and may be one or more groups per individual. Extended information on group practices' individual providers, incl. whether accepts Medicare assignment, participates in various federal medical quality programs. MDB and CSV formats). Many-to-many table.

 NPI National Provider Identifier of the Individual Professional. Relational Key (composite and to CPAC)

Link to individual's data in CPAC tables above and in tExtended_Professional table. This ID is unique to the individual professional.

GroupPracPACID Unique Group Practice PAC ID (Practice Access Code) assigned by PECOS to the Group Practice that the individual professional works with. Relational Key (composite)

Link between practice groups and their members in the tExtended_Professional table. This ID is unique to the practice group.

AcceptsMedicareAsmt Y = Accepts Medicare approved amount as payment in full. M = May accept Medicare Assignment. All providers in this table are enrolled to bill Medicare, and have done so within the past 9 months, but may not still be accepting new Medicare patients, and may not accept Medicare amount as payment in full.
eRx

Participates in the eRx Incentive Program, a pay-for-reporting program to encourage physicians, other providers to use electronic prescribing of medications.

 

  
PQRS Participates in the Medicare Physician Quality Reporting System (PQRS) Incentive Program - a pay-for-reporting program that gives eligible professionals incentives and payment adjustments if they report quality measures satisfactorily. Quality data on individual professionals is not yet available in this product, but using the relational keys in this table, you will be able to access it when it is released.
EPGH tExtended_Hospital

(Extended information on all U.S. acute care, VA and children's hospitals. Data provides a single unique NPI number per hospital facilitating deduplication of hospital record. MDB and CSV formats)

 CCN Medicare Hospital Provider Number (CMS Certification Number assigned by CMS) Relational Key

Link between hospitals and their affiliated individual physicians, etc. This ID is unique to each hospital recognized in the CMS PECOS system. If a hospital is eligible to bill Medicare (whether or not sanctioned), and is a general hospital (Acute Care, VA, Critical Access or Children's hospital), it is in this table.

This key links to the exhaustive federal hospital quality data, optionally available for download at no cost to EPGH users.
NPI Priority National Provider Identifier. Relational Key (to CPAC)

Link to one of the hospital's records in CPAC tables above. Hospitals may have as many NPI numbers as they believe they need for their particular business circumstances, and tend to have many. We have listed here the Priority NPI, based on the hierarchical Taxonomy coding system, selecting first the NPI of the record containing the top (parent) taxonomy code for the hospital type, and, if not present, the NPI from the first-listed record for the hospital. Algorithmically derived*; not available for all hospital records.

HospitalName Hospital name as reported by the hospital in its NPPES record From the PECOS database
HospitalLBN Hospital legal business name as listed in hospital quality data From the Hospital Compare database
Address1 Hospital line 1 address  
Address2 Hospital line 2 address  
City Hospital City  
State Hospital State  
Zip Code Hospital Zip Code  
County Hospital County  
Phone Phone  
HospitalType Hospital Type, as recorded in hospital quality data  
HospitalOwnership Hospital ownership structure  
EmergencyService Y= Hospital has emergency service  
CoLoCode Derived algorithmically* based on location data May be used to identify additional data within NPPES tables above. See description of CoLoCode in the CPAC table tCoLoCode above.
EPGH tExtended_HospAff

(1-to-Many table linking Hospitals with physicians and other providers; up to five hospitals per individual; MDB and CSV formats.) Many-to-many table.

HospAffCCN Medicare CCN (CMS Certification Number assigned by CMS) of hospital where individual professional provides service Relational Key (composite)

Link to hospital details in tExtended_Hospital via CCN, and to the CarePrecise Authoritative Hospital Database (APD)
NPI Unique professional ID assigned by NPPES to Individual Professional affiliated with hospital Relational Key (composite)

Link to Individual Professionals affiliated with hospital

HospAffLBN

Legal business name of hospital where individual professional provides service

 From the Hospital Compare database
The ProCase™ module contains the Name and Address data in the CPAC dataset in properly-cased form. It is available as an add-on to the CarePrecise Complete (CPAC), CarePrecise Advanced, Gold or Platinum packages. ProCase is also available as a stand-alone product.
ProCase tProCase_Names

(Properly cased names from CPAC tHumanNames and tOrgNames tables.)

 NPI National Provider Identifier Relational Key (to CPAC)

Link to data in the CPAC and EPGH databases above.

CompanyName Name of organization  
PN Provider Name Prefix Text  
FN Provider First Name Text  
MN Provider Middle Name Text  
LN Provider Last Name Text  
SN Provider Suffix Name Text  
Cred Provider Credential Text  
AttnName Provider or Organization contact person's full name; i.e., "Dr. Robert J. Jones, Jr., MD, PhD" Useful for professional communications
Salutation AI-generated salutation (the greeting on a letter; i.e., Dear "Mrs. Smith" or "Ms. Doe" or "Dr. Jones" Useful for professional communications
Title Provider Title Text  
EntityType 1 = individual, 2 = organization  
ProCase tProCase_Addresses_Mail

(Properly cased Mailing Addresses from CPAC tAddresses table.)

 NPI National Provider Identifier Relational Key (to CPAC)

Link to data in the CPAC and EPGH databases above.

Addr1 Mailing address line 1  
Addr2 Mailing address line 2  
City Mailing address city  
State Mailing address state  
Zip Mailing address Zip Code  
Country Mailing address country  
ProCase tProCase_Addresses_Prac

(Properly cased Practice Addresses from CPAC tAddresses table.)

 NPI National Provider Identifier Relational Key (to CPAC)

Link to data in the CPAC and EPGH databases above.

Addr1 Practice address line 1  
Addr2 Practice address line 2  
City Practice address city  
State Practice address state  
Zip Practice address Zip Code  
Country Practice address country  
The Authoritative Physician Database™ (APD) contains detailed data on all HIPAA-covered US physicians, including practice group and hospital affiliations, medical procedure volumes, etc. The Authoritative Physician Database is available separately, but can be linked to the CarePrecise Complete (CPAC), CarePrecise Advanced, and Authoritative Hospital Database data keying on the NPI, PACID, and CCN fields. Note that neither CarePrecise Platinum, CarePrecise Gold, CarePrecise Complete, or CarePrecise Advanced include the APD.
APD

APD_Physician

All U.S. HIPAA-covered physicians.		 NPI National Provider Identifier assigned by the federal government to every HIPAA-covered healthcare provider. All physicians are required to have one, and only one, Type 1 NPI number. Relational Key
PhysPACID Unique Physician ID assigned by PECOS Relational Key (to EPGH)
LN Last name  
FN First name  
MN Middle name  
PN Name Prefix (Dr, Ms, etc.)  
SN Name Suffix (Jr, II, etc.)  
Cred Credential(s)  
Prac1stAddr Practice address line 1  
Prac2ndAddr Practice address line 2  
PracCity Practice address city  
PracState Practice address state  
PracZip Practice address Zip Code  
County Practice address county  
CoLoCode Practice co-location code; may be used to link providers practicing at the same location; derived algorithmically based on co-location data  
Rural/Urban/Sub R = Rural, U = Urban, S = Suburban/other  
PhysicianPracPhone Physician's Practice phone number  
PhysicianFax Fax number  
EnumDate Date provider registered with the federal NPI database  
UpdateDate Date provider most recently updated their NPI record  
Gender Provider's gender  
IsSoleProp Y = sole proprietor business type  
IndepProfile Y = physician's profile indicates independent practice or group of 3 or fewer  
InPECOS Y = enrolled to bill Medicare (may order and refer)  
Warning Y = physician is barred from billing Medicare due to an infraction  
ExclType Code of the infraction (see the ExclCode table for definitions)  
PriSpec Primary medical specialty from NPI Type 1 record (NOTE: All specialties are listed in APD_Specialty)  
School Physician's medical school  
GradYear Physician's medical school graduation year  
EstPracYears Estimated number of years in practice; used to estimate physician's age Based on medical school graduation year or date of NPI enumeration.
APD

APD_Physician_Type2

All U.S. HIPAA-covered physicians.		 NPI National Provider Identifier (Type 2) assigned by the federal government to a physician's business entity. Every physician is required to have one and anly one Type 1 (individual) NPI registration, but may have additional Type 2 (organization) NPI registrations. Relational Key
OrgName_LBN Legal Business Name of physician's business entity  
LN Last name of authorized official for physician business entity  
FN First name of authorized official for physician business entity  
MN Middle name of authorized official for physician business entity  
PN Name Prefix (Dr, Ms, etc.) of authorized official for physician business entity  
SN Name Suffix (Jr, II, etc.) of authorized official for physician business entity  
Cred Credential(s) of authorized official for physician business entity  
Title Title of authorized official for physician business entity  
Prac1stAddr Practice address line 1  
Prac2ndAddr Practice address line 2  
PracCity Practice address city  
PracState Practice address state  
PracZip Practice address Zip Code  
County Practice address county  
CoLoCode Business entity's co-location code, derived algorithmically based on co-location data  
Rural/Urban/Sub R = Rural, U = Urban, S = Suburban/other  
PhysicianPracPhone Business entity phone number  
PhysicianFax Business entity fax number  
EnumDate Date provider registered this Type 2 NPI enumeration with the federal NPI database  
UpdateDate Date provider most recently updated this Type 2 NPI record  
IsSoleProp Y = sole proprietor business type  
InPECOS Y = enrolled to bill Medicare (may order and refer)  
Warning Y = physician is barred from billing Medicare due to an infraction  
ExclType Code of the infraction (see the ExclCode table for definitions)  
PriSpec Primary medical specialty from business entity's NPI Type 1 record (NOTE: All specialties are listed in APD_Specialty)  
APD

APD_Specialty

All physicians' specialties. May be up to 15 per physician.		 NPI National Provider Identifier Relational Key
ReportedOrder Number of taxonomy field in which reported (1 - 15), same as Tnum field in CPAC.tTaxo  
Taxonomy Taxonomy code  
License License number  
LicenseState Licensing state  
IsPrimary Y = primary taxonomy code (primary specialty)  
Specialty Taxonomy description, i.e., specialty  
APD

APD_Group

Physicians' affiliated practice groups. May be up to five per physician. Ongoing extraction from Medicare claims data.

NOTE: Medical procedure performed per group can be viewed as a summary of procedures performed by each group's affiliated physicians. See example query in AuthoritativeHospDB.mdb.

 PACID Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with Relational Key (composite)
NPI Group National Provider Identifier; derived algorithmically from NPI registry data; groups may have additional NPI numbers Relational Key
OrgLBN Legal name of the Group Practice  
CountGroupPracMem Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID  
StreetAddr1 Group Practice line 1 address  
StreetAddr2 Group Practice line 2 address  
City Group Practice city  
State Group Practice state  
Zip Group Practice zip code (9 digits when available)  
County Group Practice County  
Rural/Urban/Sub R = Rural, U = Urban, S = Suburban/other  
CoLoCode Group co-location code; may be used to link providers practicing at the same location; derived algorithmically based on co-location data  
GroupPhone Phone Number  
GroupFax Fax Number  
AuthPN Contact name prefix  
AuthFN Contact first name  
AuthMN Contact middle name  
AuthLN Contact last name  
AuthSN Contact name suffix  
AuthCred Contact credential  
AuthTitle Contact title  
APD

APD_GroupAff

Linking table connects physicians with practice group affiliations. Collected from Medicare claims data during a moving window of twelve months prior to release date.		 NPI Unique physician ID assigned by NPPES Relational Key (composite)
PACID Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with Relational Key (composite)
AcceptsMedicareAsmt Y = Professional accepts Medicare approved amount as payment in full at this group location. M = Professional may accept Medicare Assignment.  
APD

APD_Hospital

Physician's affiliated hospitals. May be up to five per physician. Ongoing extraction from Medicare claims data.		 CCN CMS Certification Number Relational Key
NPI Priority National Provider Identifier of hospital; derived as best NPI based on taxonomy hierarchy; hospitals may have additional NPI numbers Relational Key (to CPAC)
HospitalName Hospital name as reported by the hospital in its NPPES record  
HospitalLBN Hospital legal business name as listed in the hospital quality data  
Address1 Hospital line 1 address  
Address2 Hospital line 2 address  
City Hospital City  
State Hospital State  
ZIP Code Hospital Zip Code  
County Hospital County  
Rural/Urban/Sub R = Rural, U = Urban, S = Suburban/other  
HospitalPhone Hospital Phone  
HospitalFax Hospital Fax Number  
HospitalType Hospital Type, as recorded in hospital quality data  
HospitalOwnership Hospital ownership structure  
EmergencyService Y= Hospital has emergency service  
CoLoCode Hospital co-location code; may be used to link providers practicing at the same location; derived algorithmically based on co-location data  
AuthPN Contact name prefix  
AuthFN Contact first name  
AuthMN Contact middle name  
AuthLN Contact last name  
AuthSN Contact name suffix  
AuthCred Contact credential  
AuthTitle Contact Official title  
APD

APD_HospitalAff

Linking table connects physicians with their hospital affiliations. Collected from Medicare claims data during a moving window of twelve months prior to data release date.		 CCN CCN of hospital where individual professional provides service Relational Key (composite)
NPI Unique physician ID assigned by NPPES Relational Key (composite)
APD

APD_PhysicianProcedure

Physician procedure volumes, listing top five procedures performed by physician, and counts of services and patients served, from CMS-collected HCPCS reporting.		 NPI National Provider Identifier of clinician Relational Key (composite)
HCPCS_Code Healthcare Common Procedure Coding System (HCPCS) procedural code billed by the clinician; "NR" indicares that no procedure data has been reported for this physician. Top five HCPCS procedures performed by physician are listed. Relational Key (composite) to Physician Procedure table
ServiceCount Frequency of individual clinician's performance of the associated HCPCS code within the calendar year  
BeneficiaryCount The number of patients that received the procedure identified by the HCPCS code  
MeasureYear The most recent year of procedure data reported by CMS  
APD

APD_ProcedureDescriptions

Physician procedure volumes. Ongoing extraction from CMS-collected HCPCS reporting. Abbreviated descriptions.		 HCPCS_Code Healthcare Common Procedure Coding System (HCPCS) procedural code billed by the clinician Relational Key to Physician Procedure table
ProcedureDescription Lay-friendly description of procedure associated with HCPS code (abbreviated)  
APD

Lookup_ExclusionDescriptions

Describes the exclusion code for sanctions indicated in the APD_Physician table. Exclusion from billing Medicare or other federal programs due to a sanction of other infraction. Sourced from Centers for Medicare and Medicaid Services Office of Inspector General.		 ExclType Exclusion type code Relational Key to ExclType in Physician table
ExclDescr Description of exclusions imposed by the OIG expanded from Medicare and State health care programs to all Federal health care programs, federal code 1128B(f)(1).  
APD

tAPD_PhysicianDMEPOS

DME and POS (durable medical equipment, prosthetics; and orthotics and supplies) orders submitted by physician

 NPI National Provider Identifier of clinician Relational Key (composite)
HCPCS_Code Healthcare Common Procedure Coding System (HCPCS) DEMPOS order code billed by the clinician Relational Key (composite)
Rental Indicates if the DMEPOS item is a rental. Orders may be for purchase, for rental, or both (which will be shown as two separate records) Relational Key (composite)
Suppliers Number of suppliers who provided the item  
Beneficiaries Number of patients who received the item identified by the HCPCS code  
Claims Number of claims submitted for the item  
Services Total number of orders  
AvgSubmittedCharge Average of charges submitted for this item  
AvgMedicareAllowAmount Average of Medicare allowed amounts for orders of this item  
AvgMedicarePaymentAmount Average of Medicare's payments for this item  
AvgMedicareStandardAmount Average of Medicare's "standard" payment amount  
MeasureYear Year for which data is reported  
APD

tAPD_PhysicianDMEPOS

Physician DMEPOS order volumes. Ongoing extraction from CMS-collected HCPCS reporting. Abbreviated descriptions.

 HCPCS_Code Healthcare Common Procedure Coding System (HCPCS) DEMPOS order code billed by the clinician Relational Key to Physician DMEPOS table
DMEPOS_Description Lay-friendly description of DMEPOS order associated with HCPS code (abbreviated)  
The Authoritative Hospital Database™ (AHD) contains detailed data on US hospitals, including bed counts, procedure volumes, medicare billings, patient satisfaction rankings, etc. The Authoritative Hospital Database is available separately, but can be linked to CarePrecise Complete (CPAC), CarePrecise Advanced, and Authoritative Physician Database data keying on the NPI, PACID and CCN fields. Note that neither CarePrecise Platinum, CarePrecise Gold, CarePrecise Complete or the CarePrecise Advanced include the AHD.
AHD tAnalysis_Hospital

Data related to a particular hospital.

 CCN Unique federal hospital identifier Relational Key (to EPGH)

Link to data in the EPGH databases above.

NPI National Provider Identifier Relational Key (to CPAC)

Link to data in the CPAC and EPGH databases above. Algorithmically derived*; not available for all AHD records. The contact name fields in the AHD are then populated from the matched NPI record.
HospitalName Hospital’s name  
Address1 Hospital’s address, line 1  
Address2 Hospital’s address, line 2  
City Hospital’s city  
State Hospital’s state  
ZipCode Hospital’s Zip Code  
County Hospital’s county  
Phone Hospital’s phone  
Fax Hospital’s fax  
Beds Number of beds  
BedDaysAvail Number of bed days available  
InternsAndResidents Number of interns and residents  
PayrollEmployees Number of employees on payroll  
NonPaidWorkers Number of non-paid workers  
TotalDischarges Number of discharges/year  
MedicareDischarges Number of Medicare discharges/year  
MedicaidDischarges Number of Medicaid discharges/year  
Vol_Gastrointestinal Procedure volume: Gastrointestinal  
Vol_Eye Procedure volume: Eye  
Vol_Nervous_system Procedure volume: Nervous system  
Vol_Musculoskeletal Procedure volume: Musculoskeletal  
Vol_Skin Procedure volume: Skin  
Vol_Genitourinary Procedure volume: Genitourinary  
Vol_Cardiovascular Procedure volume: Cardiovascular  
PN Contact name prefix  
FN Contact first name  
MN Contact middle name  
LN Contact last name  
SN Contact name suffix  
Title Contact title  
Cred Contact credentials  
HospitalType Type of hospital (general acute, children's, etc.)  
HospitalOwnership Type of hospital ownership  
ParentOrgLBN Name of parent system  
EmergencyService Does have emergency service?  
CoLoCode Algorithmically derived* from location data. Used to match records.  
Bathroom cleanliness Patient satisfaction 1-5 stars  
Communication from Nurses Patient satisfaction 1-5 stars  
Communication from Doctors Patient satisfaction 1-5 stars  
Patient received help quickly on request Patient satisfaction 1-5 stars  
Quality of pain control Patient satisfaction 1-5 stars  
Medications were explained before giving Patient satisfaction 1-5 stars  
Patient received instruction on at-home recovery Patient satisfaction 1-5 stars  
Patient understood care when leaving hospital Patient satisfaction 1-5 stars  
Patient’s overall hospital rating Patient satisfaction 1-5 stars  
Area around room was quiet at night Patient satisfaction 1-5 stars  
Patient would recommend hospital Patient satisfaction 1-5 stars  
Hospital summary star rating Patient satisfaction 1-5 stars  
HlthSysID Unique ID representing the parent system  
HlthSysName Name of the health system parent to which the hospital belongs  
MSA/CBSA MSA/CBSA of hospital location  
Population Population of hospital's location zip code  
Rural/Urban Hospital is located in a Zip Code considered rural (R) or urban (U)  
AHD tAnalysis_System HlthSysID Unique ID representing the parent system Relational Key to hospital record in tAnalysis_Hospital
HlthSysName Name of the health system parent to which the hospital belongs  
HlthSysCity City of parent system  
HlthSysState State of parent system  
HlthSysPhys Total number of health system primary care physicians  
HlthSysPCPhys Number of health system primary care physicians  
HlthSysResidents Number of Residents across health system  
HlthSysGroups Number of practice groups in the health system  
HlthSysHospitals Number of hospitals in the health system  
HlthSysAcuteCare Number of acute care hospitals in the health system  
HlthSysBeds Number of beds across health system  
HlthSysStates Number of states in which health system operates  
HlthSysDischarges Number of discharges across health system  
HlthSysHighUCCB True = Health System has a high uncompensated care burden  
HlthSysInvestorOwned True = Health System is predominantly investor-owned  
AHD tHospServiceArea CCN Unique federal hospital identifier Relational Key to hospital record in tAnalysis_Hospital
Zip_Hospital Hospital zip code  
Zip_Patient Patient residence zip code  
DaysOfCare Days of care provided to patients residing in Zip_Patient  
TotalCharges Total charges for patients residing in Zip_Patient in Dollars  
TotalCases Total cases for patients residing in Zip_Patient  
MSA MSA of hospital location  
Rural/Urban_Patient Patient is located in a Zip Code considered rural (R) or urban (U)  
Additional data included in the CP ListMaker software component of CarePrecise Gold, and CarePrecise Platinum, sourced from USPS and U.S. Department of Commerce, and independent CarePrecise research. Data is periodically updated. These data are available only as part of the CP ListMaker and CarePrecise Gold/Platinum products, and are not sold separately. Note that only the tZips data, and not the CP ListMaker application itself, is included in special licensing for Derivative Products or Redistribution; however, the CP ListMaker application is open source and may be used as a model for redistributed products.
CPLM tZips

Economic and social segmentation data for providers' service areas

 ZipCode 5-digit Zip Code Relational Key (to CPAC.tEntity.Zip5)
Wealth Numerical indicator of the relative wealth/poverty of the provider's immediate service area (5-digit 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  
Latitude Geographic latitude to 5-digit zip accuracy (center of Zip)  
Longitude

Geographic longitude to 5-digit zip accuracy (center of Zip)

  
CPLM Additional Gold data tables:

- Names
- Names_Company
- Names_Cred
- Names_Genderize
- Names_Prefices
- Names_Suffices
- StateNameVariants

 

 

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.

* 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.

 

 

We can provide an Excel file, too

Our standard Excel file contains the following columns, in addition to your in-house record ID. Note that Excel can only view 1,048,576 rows, so CSV files with more rows will have to be viewed in a different program. Of course, we can provide an Excel or CSV file with any data fields you require.

Swipe left to view all...

NPI EntityType Salutation AttnName Title CompanyName Addr1 Addr2 City State Zip County Gender PracPhone PracFax MailPhone MailFax EnumDate UpdateDate IsOrgSubpart IsSoleProp InPECOS Warning Group NamePrefix NameLast NameFirst NameMiddle NameSuffix Credential Taxo TaxoDescr Zip5 RuralUrban Wealth Latitude Longitude
National Provider Identifier number 1=Indiv, 2=Org Salutation Full Name Title CompanyName Practice Address Line 1 Practice Address Line 2 City State Zip+4 County M, F or unknown Practice Address Phone Practice Address Fax Mailing Address Phone Mailing Address Fax Date NPI was received Date record was last updated Is part of another org? Sole Proprietor? Enrolled to bill Medicare? May have infraction Is this a practice group record? Mr., Ms., etc. Last Name First Name Middle Name Jr., III, etc. Credential Taxonomy Code Taxonomy Description (Specialty) 5-digit zip code Rural, urban or other area Wealth level of service area Practice Zip Latitude Practice Zip Longitude

 

PRICING: Pricing is based on the number of records submitted for hygiene and enrichment, and on the presence in the submitted data of unique identifiers (NPI, etc.) or lack thereof, as well as the depth of the data you want appended.

Note: Advanced record linkage based on matching with names and addresses is priced differently than direct match by NPI number.

In addition to standard CarePrecise Select services, CarePrecise offers additional record linkage services that can deduplicate records, match and merge records from different databases, append current provider data to your CRM and house lists and much more -- even without a unique identifier such as an NPI number. Our advanced record linking technology can work with basic name and address data to build a highly effective match code. Pricing differs depending on the condition of your data and other factors. Contact us to discuss your need.

 

DELIVERY: Data is in the form of relational database tables, delivered in both MDB (Microsoft Access) and CSV format. Most orders can be filled within two or three business days, depending on the complexity of the project and processing availability. Depending on the size of the enriched file and customer preference, delivery will be via download link sent by email, or for an additional charge, on shipped physical media. See the tables above for the specific files and fields that can be delivered. Data returned is subject to availability of provider-reported identifiers in the current federal provider data.

 

INQUIRE: Call (877) 782-2294 or email sales@careprecise.com