CMS Makes Available NPI Registry File
The Centers for Medicare & Medicaid Services (CMS) has made available a file that contains the National Provider Identifier (NPI) and the name (last name, first name) of all physicians and non-physician practitioners who are of a type/specialty that is eligible to order and refer in the Medicare program and who have current enrollment records in Medicare (i.e., they have enrollment records in the Provider Enrollment, Chain and Ownership System (PECOS) that contain an NPI).
The Medicare Ordering and Referring file, which contains approximately 800,000 records, can be viewed online or downloaded from the Medicare Provider-Supplier Enrollment > OrderingReferring Report page of the CMS website. A new file will be made available periodically that will replace the posted file. At any given time, only one file (the most recent) will be available.
Users can search the PDF file for a particular physician or non-physician practitioner by NPI or by name. Please note the following: (1) Records are in alphabetical order based on the surname of the physician or non-physician practitioner; (2) Name suffixes (e.g., Jr.), if they exist, are not displayed; (3) There are no “duplicates” in the file. Many physicians or non-physician practitioners share the same first and last name; their corresponding NPIs are the assurance of uniqueness; and (4) Deceased physicians and non-physician practitioners are not included in the file; (5) If a user is unsure of a physician or non-physician practitioner’s NPI, he or she can look it up in the NPI Registry. (Note that the record in the NPI Registry is not the Medicare PECOS enrollment record.)