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Centers for Medicare & Medicaid Services

The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (DHHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children's Health Insurance Program (SCHIP), and health insurance portability standards.

Other Access

The information on this page (the dataset metadata) is also available in these formats.

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via the DKAN API

Medicare Part D Prescriber Look-up Tool

This look-up tool is a searchable database that allows you to look up a Medicare Part D prescriber by National Provider Identifier (NPI), or by name and location. The look-up tool will return information on prescriptions provided to and filled by Medicare beneficiaries, including drug name, total number of prescriptions dispensed (including original prescriptions and refills) and total drug cost. The data covers calendar year 2016 and is based on final-action Part D claims for the entire Medicare Part D population. Information is redacted where necessary to protect beneficiary privacy.

The database is populated from the Medicare Part D Prescriber Public Use File (PUF). Although the Part D Prescriber PUF has a wealth of information on payment and utilization for Medicare Part D claims, the dataset has a number of limitations. Of particular importance is the fact that the data may not be representative of a physicians entire practice as it only includes information on beneficiaries enrolled in Medicare Part D prescription drug program. In addition, the data are not intended to indicate the quality of care provided. To review more information about the Part D Prescriber PUF, please refer to the Methodology document.

Source: dnav.cms.gov

Data and Resources

FieldValue
Publisher
Modified
2018-09-05
Release Date
2015-09-03
Homepage URL
Identifier
616
Temporal Coverage
Fri, 01/01/2016 - 05:00 to Sat, 12/31/2016 - 05:00
License
Contact Name
Health Data Initiative
Contact Email
Public Access Level
Public
Bureau Code
009:38 - Centers for Medicare and Medicaid Services
Program Code
009:000 - Department of Health and Human Services - (Primary Program Not Available)
Data Quality
True
Harvested from dnav.cms.gov
Harvest Source Titlednav.cms.gov
Harvest Source URIhttps://dnav.cms.gov/api/healthdata
Last Harvest PerformedFri, 12/13/2019 - 02:50
Medicare