Others titles
- Providers Actively Enrolled in Medicare
- Medicare Enrollment System
- Medicare Providers and Suppliers 2019
Keywords
- PECOS
- Physician Enrollment
- Provider Enrollment Data
- Medicare Enrollment
- Enrollment Application
- Medicare Enrollment Application
- Public Provider Enrollment Data
- Provider Information
Base Provider Enrollment File
This dataset shows a point in time snapshot of enrollment level data for providers actively enrolled in Medicare for the year 2019.
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Description
The Provider Enrollment, Chain, and Ownership System (PECOS) is an online Medicare enrollment system where providers and suppliers can:
– Submit Medicare enrollment applications
– View and print enrollment information
– Update enrollment information
– Complete the enrollment revalidation process
– Withdraw from the Medicare Program voluntarily
– Track the status of a submitted Medicare enrollment application
The Public Provider Enrollment data for Medicare fee-for-service includes providers who are actively approved to bill Medicare or have completed the 855O at the time the data was pulled from the Provider Enrollment and Chain Ownership System (PECOS). The release of this provider enrollment data is not related to other provider information releases such as Physician Compare or Data Transparency.
These files are populated from PECOS and contain basic enrollment and provider information, reassignment of benefits information and practice location city, state and zip. These files are not intended to be used as real-time reporting as the data changes from day to day and the files are updated only on a quarterly basis. If any information on these files needs to be updated, the provider needs to contact their respective Medicare Administrative Contractor (MAC) to have that information updated.
About this Dataset
Data Info
Date Created | 2016-01-27 |
---|---|
Last Modified | 2020-10-08 |
Version | 2020-10-08 |
Update Frequency |
Irregular |
Temporal Coverage |
2019 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | PECOS, Physician Enrollment, Provider Enrollment Data, Medicare Enrollment, Enrollment Application, Medicare Enrollment Application, Public Provider Enrollment Data, Provider Information |
Other Titles | Providers Actively Enrolled in Medicare, Medicare Enrollment System, Medicare Providers and Suppliers 2019 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
NPI | Unique professional ID assigned by National Plan and Provider Enumeration System (NPPES) | string | - |
PECOS_Control_ID | Unique individual professional ID assigned by PECOS | string | - |
Enrollment_ID | Unique ID for the individual professional enrollment that is the source for the data in the observation | string | - |
Provider_Type_Code | Provider Type Code Assigned to Provider with respect to specialty | string | - |
Provider_Type | Provider Type Code Assigned to Provider with respect to specialty | string | - |
Provider_Type_Description | Description of the Specialty of the Provider | string | - |
State_Abbreviation | State abbreviation of the provider | string | - |
First_Name | Provider professional first name | string | - |
Middle_Name | Provider professional middle name | string | - |
Last_Name | Provider professional last name | string | - |
Organization_Name | Name of the Provider's organization | string | - |
Gender | Provider professional gender M/F | string | - |
Data Preview
NPI | PECOS Control ID | Enrollment ID | Provider Type Code | Provider Type | Provider Type Description | State Abbreviation | First Name | Middle Name | Last Name | Organization Name | Gender |
1003879883 | 8022920719 | I20031103000001 | 14-16 | PRACTITIONER - OBSTETRICS/GYNECOLOGY | PR | ANTONIO | ALVAREZ RODRIGUEZ | M | |||
1003976986 | 7113839812 | I20031103000005 | 14-68 | PRACTITIONER - PSYCHOLOGIST, CLINICAL | PA | CHRISTOPHER | J | ZIEGLER | M | ||
1407802119 | 8022920727 | I20031103000007 | 14-93 | PRACTITIONER - EMERGENCY MEDICINE | PA | KADISHA | B | RAPP | F | ||
1831165075 | 5193637890 | I20031103000013 | 14-16 | PRACTITIONER - OBSTETRICS/GYNECOLOGY | PR | JORGE | A | OSTOLAZA BEY | M | ||
1851357214 | 2466364161 | I20031103000014 | 14-30 | PRACTITIONER - DIAGNOSTIC RADIOLOGY | KY | RHONDA | G | GRISSOM | F | ||
1083766935 | 5092627794 | I20031103000015 | 14-35 | PRACTITIONER - CHIROPRACTIC | NJ | TIMOTHY | J | DIECKMAN | M | ||
1083835177 | 5991617698 | I20031103000020 | 14-41 | PRACTITIONER - OPTOMETRY | NJ | ANNA | MOY | F | |||
1720297963 | 7618889312 | I20031103000028 | 14-26 | PRACTITIONER - PSYCHIATRY | NJ | DAMON | D | DELSTON | M | ||
1497881189 | 1254243959 | I20031103000030 | 14-Jan | PRACTITIONER - GENERAL PRACTICE | PR | ELVIA | AYALA | F | |||
1437155520 | 9234041930 | I20031103000032 | 14-68 | PRACTITIONER - PSYCHOLOGIST, CLINICAL | MI | ARNOLD | WEINGARDEN | M |