This dataset includes over one million physicians and other clinicians currently enrolled in Medicare.
The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.
Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Dataset Information
Subject
Transparency and Disclosure
Jurisdiction
Federal
Data Provider
Centers for Medicare & Medicaid Services (CMS)
Source
data.cms.gov
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare.
The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program.
The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data.
The Doctors and Clinicians data contains the following information:
The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA).
The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Statistics
The most popular specialties include Nurse Practitioner (14.61%),
Physician Assistant (7.28%), Internal Medicine (7.16%), Family Medicine (6.35%), Physical Therapy (6.27%), Clinical Social Worker (4.57%), Certified Registered Nurse Anesthetist (crna) (3.34%), Chiropractic (3.26%), Anesthesiology (3.05%), and Emergency Medicine (3.00%).
The medical schools with the most number of graduates enrolled in Medicare include
Wayne State University School of Medicine (0.62%), Indiana University School of Medicine (0.60%), Palmer College Chiropractic - Davenport (0.54%), Philadelphia College of Osteopathic Medicine (0.52%), University of Minnesota Medical School (0.51%), Ohio State University College of Medicine (0.49%), Temple University School of Medicine (0.47%), University of Michigan Medical School (0.44%), New York Medical College (0.44%), Jefferson Medical College of Thomas Jefferson University (0.43%), University of Alabama School of Medicine (0.41%), and University of Cincinnati College of Medicine (0.40%).
The number of doctors and clinicians in each state is roughly consistent with the state population, with
California (9.16%), New York (7.04%), Texas (6.27%), Florida (6.01%), Pennsylvania (4.58%), Illinois (3.89%), Ohio (3.83%), Michigan (3.52%), North Carolina (3.29%), Massachusetts (3.20%), and New Jersey (2.99%).
The following cities have the most number of doctors and clinicians:
New York (1.32%), Houston (0.90%), Chicago (0.90%), Boston (0.75%), Rochester (0.69%), Philadelphia (0.68%), Atlanta (0.60%), Baltimore (0.59%), Columbus (0.58%), Portland (0.58%), Los Angeles (0.58%), Seattle (0.56%), and Dallas (0.55%).
In the recent years, the number of doctors and clinicians has grown at a steady rate year over year.
In 2019, the number grew by 12%; in 2020, the number grew by 3% due to the pandemic. In 2021, the number recovered by growing 13%.
We expect to see more doctors and clicians being registered in the coming years.