Doctors and Clinicians • provider

library(provider)

The Doctors and Clinicians national downloadable file is organized such that each line is unique at the clinician/enrollment record/group/address level. Clinicians with multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations are listed on multiple lines.

Examples

doctors_and_clinicians(npi = 1407263999)
#> # A tibble: 2 × 24
#>   npi        pac_id     enroll_id first_name middle_name last_name suffix gender
#>   <chr>      <chr>      <chr>     <chr>      <chr>       <chr>     <chr>  <chr> 
#> 1 1407263999 8729208152 I2014100… ROBIN      A           AVERY     NA     F     
#> 2 1407263999 8729208152 I2014100… ROBIN      A           AVERY     NA     F     
#> # ℹ 16 more variables: credential <chr>, school <chr>, grad_year <int>,
#> #   specialty <chr>, specialty_sec <chr>, telehealth <lgl>, org_name <chr>,
#> #   org_pac_id <chr>, org_members <int>, address <chr>, city <chr>,
#> #   state <chr>, zipcode <chr>, phone <chr>, ind_assn <chr>, group_assn <chr>

doctors_and_clinicians(school = "NEW YORK UNIVERSITY SCHOOL OF MEDICINE", 
                       grad_year = 2000, 
                       state = "FL")
#> # A tibble: 88 × 24
#>    npi        pac_id    enroll_id first_name middle_name last_name suffix gender
#>    <chr>      <chr>     <chr>     <chr>      <chr>       <chr>     <chr>  <chr> 
#>  1 1043312556 83250900… I2010011… NICOLE     NA          IOVINE    NA     F     
#>  2 1043312556 83250900… I2010011… NICOLE     NA          IOVINE    NA     F     
#>  3 1043312556 83250900… I2010011… NICOLE     NA          IOVINE    NA     F     
#>  4 1043312556 83250900… I2010011… NICOLE     NA          IOVINE    NA     F     
#>  5 1043312556 83250900… I2010011… NICOLE     NA          IOVINE    NA     F     
#>  6 1043312556 83250900… I2010011… NICOLE     NA          IOVINE    NA     F     
#>  7 1043312556 83250900… I2010011… NICOLE     NA          IOVINE    NA     F     
#>  8 1073549895 24664809… I2007112… ALAN       B           BENNIE    NA     M     
#>  9 1073549895 24664809… I2007112… ALAN       B           BENNIE    NA     M     
#> 10 1073575403 86280744… I2006101… DANIEL     J           GASSERT   NA     M     
#> # ℹ 78 more rows
#> # ℹ 16 more variables: credential <chr>, school <chr>, grad_year <int>,
#> #   specialty <chr>, specialty_sec <chr>, telehealth <lgl>, org_name <chr>,
#> #   org_pac_id <chr>, org_members <int>, address <chr>, city <chr>,
#> #   state <chr>, zipcode <chr>, phone <chr>, ind_assn <chr>, group_assn <chr>

Data Dictionary

Variable	Description
`npi`	National Provider Identifier Unique clinician ID assigned by NPPES.
`pac_id`	PAC ID Unique individual clinician ID assigned by PECOS.
`enroll_id`	Clinician Enrollment ID Unique ID for the clinician enrollment that is the source for the data in the observation.
`first_name`	First Name Individual clinician first name.
`middle_name`	Middle Name Individual clinician middle name.
`last_name`	Last Name Individual clinician last name.
`suffix`	Suffix Individual clinician suffix.
`gender`	Gender Individual clinician gender.
`credential`	Credential Medical credential such as MD, DO, DPM, etc.
`school`	Medical school name Individual clinician’s medical school.
`grad_year`	Graduation year Individual clinician’s medical school graduation year.
`specialty`	Primary specialty Primary medical specialty reported by the individual clinician in the selected enrollment.
`specialty_sec`	Secondary specialties All secondary medical specialty reported by the individual clinician in the selected enrollment.
`telehealth`	Telehealth Indicator for whether clinician offers telehealth services over video and/or audio. `Y` = Medicare fee-for-service claims indicate that clinician offers telehealth services.
`org_name`	Organization legal name Legal name of the group that the individual clinician works with – will be blank if the address is not linked to a group.
`org_pac_id`	Group PAC ID Unique group ID assigned by PECOS to the group that the individual clinician works with – will be blank if the address is not linked to a group.
`org_members`	Number of group members Total number of individual clinicians affiliated with the group based on Group Practice PAC ID.
`address`	Address Group or individual's address.
`city`	City Group or individual's city.
`state`	State Group or individual's state.
`zipcode`	Zip Code Group or individual's zip code (9 digits when available).
`phone`	Phone Number Group or individual's phone number. Phone number is listed only when there is a single phone number available for the address.
`ind_assn`	Clinician accepts Medicare Assignment Indicator for whether clinician accepts Medicare approved amount as payment in full. `Y` = Clinician accepts Medicare approved amount as payment in full. `M` = Clinician may accept Medicare Assignment.
`group_assn`	Group accepts Medicare Assignment Indicator for whether group accepts Medicare approved amount as payment in full. `Y` = Group accepts Medicare approved amount as payment in full. `M` = Group may accept Medicare Assignment.