19  Provider Enrollment

The Medicare Fee-For-Service Public Provider Enrollment dataset includes information on providers who are actively approved to bill Medicare or have completed the 855O at the time the data was pulled from the Provider Enrollment, Chain, and 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.

Metadata

       [ROWS] 2922752 
      [PAGES] 585 
     [FIELDS] 10 
   [MODIFIED] 2025-04-15 
[PERIODICITY] Quarterly [R/P3M] 
   [TEMPORAL] 2023-01-01 • 2025-03-31 
 [DICTIONARY] https://data.cms.gov/resources/medicare-fee-for-service-public-provider-enrollment-data-dictionary 
       [SITE] https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/medicare-fee-for-service-public-provider-enrollment 
 [REFERENCES] https://data.cms.gov/resources/fee-for-service-public-provider-enrollment-methodology 
  [RESOURCES] https://data.cms.gov/data-api/v1/dataset-resources/2457ea29-fc82-48b0-86ec-3b0755de7515 
   [DOWNLOAD] https://data.cms.gov/sites/default/files/2025-04/5d10bc83-29bd-498e-a1ff-3e6e2065a7e3/PPEF_Enrollment_Extract_2025.04.01.csv 

Resources

[CSV] 294.8M 2025 Medicare FFS Public Provider Enrollment Q1
[CSV] 105.7M 2025 Reassignment Sub-File Q1
[CSV]  40.8M 2025 Address Sub-File Q1
[CSV]  26.8M 2025 Secondary Specialty Sub-File Q1
[PDF] 546.8K 2025 Medicare Fee-For-Service Public Provider Enrollment Data Dictionary
[PDF] 351.8K 2025 Medicare FFS Public Provider Enrollment Methodology
[PDF]  31.9K 2025 Medicare Fee-For-Service Public Provider Enrollment Fact Sheet

Data

# A tibble: 5,000 × 10
   npi    pac   enid  specialty_code specialty_desc state first_name
                                 
 1 16492… 2264… I200… 14-11          PRACTITIONER … FL    PATRICK   
 2 18716… 0345… I200… 14-97          PRACTITIONER … VA    ALAN      
 3 10634… 5799… I200… 14-04          PRACTITIONER … NJ    TODD      
 4 12351… 0244… I200… 14-06          PRACTITIONER … AR    DAVID     
 5 19129… 4789… I200… 14-50          PRACTITIONER … CA    MARTHA    
 6 13260… 4688… I200… 14-C0          PRACTITIONER … NM    SENTHILKU…
 7 10836… 0143… I200… 14-11          PRACTITIONER … IL    ASHISH    
 8 17504… 1951… I200… 14-06          PRACTITIONER … NY    CHARLES   
 9 15180… 7315… I200… 14-13          PRACTITIONER … WI    RAMA      
10 13362… 2860… I200… 14-02          PRACTITIONER … PA    KHALID    
# ℹ 4,990 more rows
# ℹ 3 more variables: middle_name , last_name ,
#   org_name 

obs: 5000 
cols: 10 

----- Categorical -----
              col n_missng p_complt n_unique n_levels
1             npi        0        1     4997       NA
2             pac        0        1     4997       NA
3            enid        0        1     5000       NA
4  specialty_code        0        1       75       NA
5  specialty_desc        0        1       75       NA
6           state        0        1       53       NA
7      first_name        0        1     1656       NA
8     middle_name      968     0.81      381       NA
9       last_name        0        1     3879       NA
10       org_name     5000        0        0       NA
                                 min
1                         1003037508
2                         0042110025
3                    I20040105000226
4                              14-01
5  PRACTITIONER - ADDICTION MEDICINE
6                                 AK
7                       A E HERTZLER
8                                  A
9                              AALTO
10                              
                               max
1                       1992990683
2                       9931013448
3                  I20040127001006
4                            14-C6
5  PRACTITIONER - VASCULAR SURGERY
6                               WY
7                              ZVI
8                             ZOOK
9                        ZYCZYNSKI
10