OHD Learn · Provider Type Guide

Doctors and Clinicians

Individual-level data on every Medicare-enrolled clinician — specialty and credentials, practice locations, procedure volumes, and how quality scores translate into payment adjustments.

Data on the people delivering care, not just the places.

Most healthcare datasets start with a facility — a hospital, a nursing home, a dialysis center. The CMS Doctors and Clinicians dataset starts with an individual. Every clinician with an active Medicare enrollment is included, each carrying a stable unique identifier — the National Provider Identifier (NPI) — that follows them regardless of where or with whom they practice. This is the most granular level at which CMS publicly reports clinical performance.

A "clinician" in this dataset is not limited to physicians. The file spans hundreds of specialty and credential types — anyone billing Medicare for clinical services. That includes medical doctors and osteopathic physicians, but also nurse practitioners, physician assistants, certified registered nurse anesthetists, physical and occupational therapists, clinical social workers, podiatrists, and many others.

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Physicians (MD & DO)
Medical doctors and osteopathic physicians across all specialties and sub-specialties reported through Medicare enrollment.
🧑‍⚕️
Advanced Practice Providers
Nurse practitioners, physician assistants, certified nurse midwives, clinical nurse specialists, and CRNAs enrolled as Medicare providers.
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Therapists & Specialists
Physical, occupational, and speech therapists; audiologists; podiatrists; optometrists; chiropractors; and other allied health clinicians.
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Behavioral Health
Psychiatrists, clinical psychologists, licensed clinical social workers, and other mental health practitioners with Medicare enrollment.

The identifiers that follow a clinician across every setting.

Every clinician in the dataset is identified by a consistent set of IDs that appear across all Doctors and Clinicians files. Each one is scoped differently — to the individual, the enrollment record, or the group — which is what makes it possible to link a clinician's demographics, affiliations, procedure volumes, and quality scores into a single picture.

Key Clinician Identifiers
These four identifiers are consistent across all Doctors and Clinicians files and can be used to connect records across the demographic, affiliation, utilization, and performance datasets.
National Provider Identifier
A stable unique ID that follows the clinician regardless of employer, state, or specialty. The most reliable link between files and the primary identifier on clinician profile pages.
Individual PAC ID
Identifies the clinician as a person, independent of which group or organization they are affiliated with. Distinct from the Group PAC ID.
Enrollment ID
Tied to a specific Medicare enrollment record. When a clinician holds more than one enrollment — for example, through two different organizations — each enrollment has its own ID.
Group PAC ID
Identifies the group practice the clinician is affiliated with. A clinician practicing across more than one organization will carry more than one Group PAC ID.

Four distinct files, one complete picture of a clinician.

The Doctors and Clinicians dataset covers four distinct dimensions: who the clinician is, where they work, what procedures they perform, and how they perform against Medicare quality standards. Each dimension is reported separately, but all four link together through a common identifier — the NPI.

Because the demographic file is organized at the clinician / enrollment / group / address level, a single clinician working across multiple locations or organizations will appear on multiple rows. The identifier fields — particularly the NPI — are what tie those rows back to one person.

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Who They Are
Identity, Credentials and Practice
The foundation of the dataset. Covers professional identity, credentials, specialties, group affiliation, and practice address. Telehealth status, Medicare assignment acceptance, and group size are also reported here.
  • NPI, individual PAC ID, and enrollment ID
  • Name, gender, credential (MD, DO, NP, PA, etc.)
  • Medical school and graduation year
  • Primary specialty + up to four secondary specialties
  • Group name, Group PAC ID, and number of group members
  • Practice address (line 1, line 2, city, state, ZIP, phone)
  • Telehealth indicator; Medicare assignment acceptance
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Where They Work
Facility Affiliations
Links individual clinicians to the Medicare-certified facilities where they provide services. A clinician affiliated with a hospital and a dialysis center will have one record per facility. Affiliations are identified by the facility's Medicare Certification Number (CCN), enabling direct cross-referencing with quality data from hospitals, nursing homes, dialysis centers, hospices, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.
  • Facility type (hospital, long-term care hospital, nursing home, IRF, home health agency, hospice, dialysis)
  • Facility Affiliations Certification Number — the CCN of the unit or facility
  • Facility Type Certification Number — the primary hospital CCN, when applicable
  • NPI and individual PAC ID linking back to the clinician's demographic record
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What They Do
Procedure Volume
Tracks how many times a clinician performed procedures in each of 12 defined categories, using a one-year rolling observation window with a three-month lag for claims processing.1 Counts are suppressed to "1–10" when the actual count falls below 11, consistent with CMS small cell size policy. A percentile rank places each clinician's volume within the national distribution for that procedure category. Both Medicare fee-for-service claims and Medicare Advantage encounters are included.
  • Procedure category name and count
  • Percentile rank within the national distribution
  • Profile display indicator (Y/N)
  • Counts below 11 reported as "1–10"
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How They Perform
MIPS Performance
Reports the final MIPS score and each performance category score for individual clinicians who participated in the Merit-Based Incentive Payment System. Scores can differ depending on whether they were earned individually, through a group, or through a virtual group. Includes scores with and without the Complex Patient Bonus — a modifier that accounts for medical complexity and social risk in a clinician's patient panel.
  • Quality, Promoting Interoperability, Improvement Activities, and Cost category scores
  • MIPS Final Score and MIPS Final Score without Complex Patient Bonus
  • Score source: individual, group, virtual group, or APM
  • Facility-based certification number, when applicable

Twelve categories that show a clinician's procedural experience.

Procedure volume data is one of the most practically useful elements of the clinician dataset — it answers a question patients actually ask before making decisions: how often does this clinician perform this specific procedure? CMS tracks procedure volume across 12 standardized categories, making counts comparable across clinicians nationwide.1

The methodology applies meaningful constraints: modifier codes that indicate a limited or supporting role in a procedure are excluded, so a count reflects procedures in which the clinician was a primary performer, not an assistant or observer.

🦷Hip Replacement
🦵Knee Replacement
🦴Laminectomy / Laminotomy
🫀Spinal Fusion
🏃Lower Limb Arthroscopy
💪Upper Limb Arthroscopy
👁️Cataract Surgery
🔬Colonoscopy
🩺Hernia Repair (Open & Minimally Invasive)
🫁Upper GI Endoscopy
🫀Coronary Angioplasty & Stenting
❤️Coronary Artery Bypass Graft (CABG)

Where quality scores become payment adjustments.

The Quality Payment Program is Medicare's framework for tying clinician payment to quality and value. Most clinicians participate through the Merit-Based Incentive Payment System, or MIPS — a composite scoring model that evaluates performance across four categories and applies the result as a positive or negative adjustment to a clinician's Medicare reimbursement rate in a future payment year.

MIPS scores can be reported at three levels: individual clinician, group, or virtual group. A clinician's final score reflects whichever reporting pathway applied to their participation that year.

MIPS — Four Performance Categories
Each category contributes a weighted percentage to the MIPS Final Score. Weights can shift year over year as CMS adjusts program priorities. A Final Score above or below the performance threshold triggers a corresponding positive or negative Medicare payment adjustment, applied across all Medicare billings for the following payment year.
Quality
  • Clinician selects from hundreds of quality measures
  • Reported via claims, EHR, registry, or web attestation
  • Performance rate compared to a national benchmark
  • Star rating assigned at the measure level
  • Both individual and group-level scores published
Promoting Interoperability
  • Measures use of certified EHR technology
  • Tracks e-prescribing, health information exchange, and patient access to records
  • Reported via web attestation
  • Certain specialties may apply for hardship exception
Improvement Activities
  • Clinician attests to completing practice improvement activities
  • Activities span care coordination, patient safety, population management, and expanded care access
  • Reported via web attestation (Y/N)
  • Bonus credit available for high-priority activities
Cost
  • Calculated directly from Medicare claims — no clinician submission required
  • Measures total per capita costs and episode-based cost measures
  • Risk-adjusted for patient complexity
  • Scores assigned where clinician has sufficient case volume

MIPS performance information is publicly reported at three levels, each with its own dataset in the Provider Data Catalog. Individual clinician data is the most granular and is directly linked to NPI-level identity records. Group and virtual group data allow analysis of practice-wide performance patterns. Clinicians in Advanced Alternative Payment Models (APMs) may be exempt from traditional MIPS scoring entirely and instead receive separate incentive payments.

Clinician
Performance information at the individual NPI level. Includes measure-level performance rates, star ratings, benchmarks, and final scores. A clinician who participated in multiple groups may have multiple score records.
Group
Performance aggregated at the group practice level, identified by Group PAC ID. Additionally reports patient experience survey results for groups — one of the few datasets where the patient's voice is directly captured at the practice level.
Virtual Group
Performance for voluntary associations of solo practitioners and small group practices that elect to participate in MIPS as a combined entity. Virtual group data is published in the Provider Data Catalog only and does not appear on Care Compare profile pages.

Where the data comes from and what shapes it.

The Doctors and Clinicians dataset is built entirely from Medicare data — licensed sources, board certification records, and residency training information are explicitly excluded.2 Procedure volume draws from Medicare fee-for-service claims and Medicare Advantage encounters, using a one-year rolling window with a three-month lag for claims processing.1

MIPS performance data reflects the performance year for which it was collected. Not every clinician with a MIPS Final Score will have a profile or appear in the demographic dataset — some were assigned scores but did not meet the minimum requirements for public reporting. The small cell size policy also applies throughout: when procedure counts fall below 11, they are suppressed to a range rather than reported exactly — a constraint that affects smaller-volume specialties and rural practitioners disproportionately.2

Sources
  1. CMS Provider Data Catalog: Doctors and Clinicians Data Dictionary, Performance Year 2023 — data.cms.gov
  2. CMS Provider Data Catalog: Additional Information, Doctors and Clinicians — data.cms.gov
  3. Quality Payment Program: 2023 MIPS Overview — qpp.cms.gov
  4. CMS Medicare Care Compare: Doctors and Clinicians — medicare.gov/care-compare