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InvestigateYourDoctor.com is providing parts of dataset from Medicare data (past and current) which we consider most important to normal patients. If you found out that we lacks of some information, please drop us an email at [email protected]. However, our data is provided as-is, as a reference without any warranty, guarantee (read more in our privacy policy). You have to considered and use InvestigateYourDoctor.com data at your own risks.

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Phone

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, visit MyMedicare.gov, or call 1-800-MEDICARE.

If you want someone to be able to call 1-800-MEDICARE on your behalf or you want Medicare to give your personal information to someone other than you, you need to fill out a "Medicare Authorization to Disclose Personal Health Information."


TTY

1-877-486-2048


Mailing address

Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore, Maryland 21244-1850

HINTS
The 5-star rating for each doctor is calculated by InvestigateYourDoctor.com based on data from Medicare database (at https://data.medicare.gov). However, it is as-is without any guarantee or warranty. It should be looked at carefully. Use it with the other information you gather.
MEDICARE This doctor is certified by Medicare or Medicaid programs.
CLOSED The doctor's business has been closed.

About the data

InvestigateYourDoctor.com allows you to find and choose Physicians and Other Healthcare Professionals enrolled in the Medicare program, as required by the Affordable Care Act (ACA) of 2010.

The purpose of this data is to help you make informed choices about the healthcare you receive through Medicare.

The information comes primarily from the Provider, Enrollment, Chain, and Ownership System (PECOS ) and other information sources. The information is also checked against Medicare claims data.

Here, you can find:

  • Addresses where the professional sees patients (always confirm the address when you make an appointment; some professionals work at more than one location),
  • Primary and secondary specialties,
  • Medicare Assignment status,
  • Whether the individual or group participates in select Centers for Medicare and Medicaid Services (CMS) quality programs,
  • Gender,
  • Medical school education and residency information,
  • Groups that individuals work with (individual profile) or individuals who work with the group (group profile), and
  • Hospital affiliation.

Only Medicare (PECOS and claims) and NPPES data are used in this dataset. All licensed data are excluded from this dataset.
  • There is no Board Certification information
  • No residency data
  • No foreign language data
  • Hospital affiliation data are based only on Medicare claims-based linkages, so the affiliated hospitals fora particular professional listed on the website and on the downloadable file may not be the same.


Update Data




Content using on InvestigateYourDoctor.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file. That is means:
  • The information disclosed on the NPI Registry and in the downloadable files are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to ‘opt out’ or ‘suppress’ the NPPES record data for health care providers with active NPIs.
  • The NPPES Data Dissemination Notice and outreach documents from CMS encouraged health care providers to review their FOIA-disclosable NPPES data and edit it as necessary and to remove, if they wished, sensitive data from FOIA-disclosable fields that were furnished on an optional basis (i.e., data that were not required to be furnished in order to apply for an NPI).Many health care providers have taken some or all of these actions.
  • If the downloadable file or the NPI Registry reflects information that is incorrect, health care providers should correct that information. At any time, providers, or someone acting on their behalf, may edit their records by going to https://nppes.cms.hhs.gov, or by obtaining a paper NPI Application/Update Form (CMS-10114) from the NPI Enumerator or from the CMS forms page (https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms) and mailing the completed, signed form to the NPI Enumerator. Providers who need assistance in editing their records should contact the NPI Enumerator by phone at 1-800-465-3203, by email [email protected], or by letter: NPI Enumerator, P.O. Box 6059, Fargo, ND 58108-6059.

Healthcare professionals can visit the CMS Physician Compare Initiative Page for more information about how to keep Physician Compare data current, troubleshoot problems with your listing, and learn more about public reporting on Physician Compare.




Explaination

Accepts Medicare Assignment

All physicians and other healthcare professionals on Physician Compare accept Medicare patients. However, they do not all bill Medicare the same way. In Original Medicare, when a professional accepts Medicare Assignment they agree:

  • To be paid directly by Medicare,
  • To accept the payment amount Medicare approves, and
  • Not to bill you for more than the Medicare deductible and coinsurance.
Electronic Prescribing (eRx) Participates in the Medicare Electronic Prescribing (eRx) Incentive Program - a pay-forreporting program that encourages physicians and other healthcare professionals to use electronic prescribing to improve communication, increase accuracy, and reduce errors
Physician Quality Reporting System(PQRS) Participates in the Medicare Physician Quality Reporting System (PQRS) Incentive Program - a payfor-reporting program that that encourages eligible professionals to report information about the quality of care they provide to people with Medicare who have certain medical conditions
Electronic Health Record (EHR) Participates in the Medicare Electronic Health Record (EHR) Incentive Program - provides incentives and payment adjustments to eligible professionals who use certified EHR technology in ways that may improve healthcare
Received PQRS Maintenance of Certification Program Incentive The PQRS Maintenance of Certification Program Incentive gives an additional incentive to hysicians who satisfactorily report PQRS measures and more frequently than is required participate in Maintenance of Certification Program and successfully complete a Maintenance of Certification Program practice assessment
Million Hearts Million Hearts is a national initiative that focuses action by communities, health systems, onprofit organizations, federal agencies, and private-sector partners to prevent a million heart ttacks and strokes by 2017. Million Hearts encourages physicians and other healthcare professionals o eport—and excel in-- the Cardiovascular Prevention measures group in the PQRS program. High erformance in these measures dramatically reduces the likelihood of a heart attack or stroke

Glossary

Here are definitions of terms and abbreviations used on this data.

Board Certification
Board-certified physicians or other healthcare professionals are experts in a specialty. They have to complete extra education and pass a test to become board certified.
DC - Doctor of Chiropractic
The professional degree for chiropractors.
DMD - Doctor of Dental Medicine
A professional degree for dentists. It is awarded to general dentists when they graduate from dental school. (See also DDS - Doctor of Dental Surgery.) Some dental schools award the DDS degree; others award the DMD.
DDS - Doctor of Dental Surgery
A professional degree for dentists. It has the same meaning as DMD. (See DMD - Doctor of Dental Medicine.) Some dental schools award the DDS degree; others award the DMD.
DO - Doctor of Osteopathic Medicine
The professional degree for osteopathic physicians. People with a DO degree are fully qualified physicians, like those with a Doctor of Medicine (MD) degree. The two degrees have similar requirements. However, DO schools provide extra education in hands-on manual medicine and the body's musculoskeletal system.
DPM - Doctor of Podiatric Medicine
A professional degree for podiatrists (foot doctors).
Group Practice
A practice that has two or more physicians or other healthcare professionals organized to provide patient care (regardless of its legal form or ownership).
Locations
The places where physicians see patients.
MD - Doctor of Medicine
The professional degree for physicians.
Medicare Assignment

All physicians and other healthcare professionals on Physician Compare accept Medicare patients. However, they do not all bill Medicare the same way. In Original Medicare, when a professional accepts Medicare Assignment they agree:

  • To be paid directly by Medicare,
  • To accept the payment amount Medicare approves, and
  • Not to bill you for more than the Medicare deductible and coinsurance.
OD - Doctor of Optometry
A degree for eye care professionals.
Other Healthcare Professional
Health professionals who are not physicians. They include nurse practitioners, physician assistants, social workers, psychologists, and physical therapists.
Physician
One type of healthcare professional who cares for patients. Physicians may specialize in different areas, such as primary care, cardiology, or surgery.
Specialty
In medicine, specialty usually refers to physicians that receive additional training and education to become eligible for board certification in a branch of medicine, such as internal medicine or surgery.

Physician Specialties

Addiction Medicine
Specialists in addiction medicine treat substance abuse and addiction.
Allergy/Immunology
Specialists in allergy and immunology treat conditions that involve the immune system. Examples include allergies, immune deficiency diseases, and autoimmune diseases.
Anesthesiology
Anesthesiologists provide anesthesia for patients who are having surgery or other procedures. They also treat pain and care for patients with critical illnesses or severe injuries.
Cardiac Electrophysiology
Cardiac electrophysiologists use technical procedures to evaluate heart rhythms.
Cardiac Surgery
Go to Thoracic Surgery
Cardiovascular Disease (Cardiology)
Cardiologists treat diseases of the heart and blood vessels.
Chiropractic Medicine
Chiropractors adjust specific parts of the body (often the spine) to prevent and treat diseases.
Colorectal Surgery (Proctology)
Colorectal surgeons treat diseases of the lower digestive tract.
Critical Care Medicine (Intensivists)
Intensivists treat critically ill or injured patients.
Dermatology
Dermatologists treat skin conditions.
Diagnostic Radiology
Diagnostic radiologists use imaging, such as x-rays or ultrasound, to diagnose diseases.
Emergency Medicine
Emergency medicine specialists take care of patients with critical illnesses or injuries.
Endocrinology
Endocrinologists treat diseases that involve the internal (endocrine) glands. Examples include diabetes and diseases of the thyroid, pituitary, or adrenal glands.
Family Practice
Family practitioners provide primary care for people of all ages. They treat illnesses, provide preventive care, and coordinate the care provided by other health professionals.
Gastroenterology
Gastroenterologists treat diseases of the digestive organs, including the stomach, bowels, liver, and gallbladder
General Practice
General practitioners provide primary care. They treat illnesses, provide preventive care, and coordinate the care provided by other health professionals.
General Surgery
General surgeons take care of patients who may need surgery.
Geriatric Medicine
Geriatricians provide primary care for elderly patients.
Gynecological Oncology
Gynecological oncologists treat cancers of the female reproductive organs.
Hand Surgery
Hand surgeons perform surgery for patients with problems that affect the hand, wrist, or forearm.
Hematology
Hematologists treat diseases of the blood, spleen, and lymph. Examples include anemia, sickle cell disease, hemophilia, and leukemia.
Hematology/Oncology
Go to Hematology and Medical Oncology
Hospice and Palliative Care
Hospice and palliative care physicians manage pain and other distressing symptoms of serious illnesses. 'Hospice care' is palliative care for patients in their last year of life.
Infectious Disease
Infectious disease physicians treat patients with all types of infectious diseases.
Internal Medicine
Internists treat diseases of the internal organs that don't require surgery. They also provide primary care for teenagers, adults, and elderly people.
Interventional Pain Management
Interventional pain management specialists use special procedures to treat and manage pain. For example, they may use cryoablation (a procedure involving extreme cold) to stop a nerve from working for a long period of time.
Interventional Radiology
Interventional radiologists perform procedures guided by various types of imaging. For example, they may use imaging to find a clogged spot in an artery and to guide a procedure to unclog it.
Maxillofacial Surgery
Maxillofacial surgeons perform surgery on the teeth, jaws, and surrounding tissues.
Medical Oncology
Medical oncologists treat cancer with chemotherapy, hormonal therapy, biological therapy, and targeted therapy. They may also coordinate cancer care given by other specialists.
Nephrology
Nephrologists treat disorders of the kidneys.
Neurology
Neurologists treat diseases of the brain, spinal cord, and nerves.
Neuropsychiatry
Neuropsychiatrists treat patients with behavioral disturbances related to nervous system problems.
Neurosurgery
Neurosurgeons perform surgery to treat problems in the brain, spine, and nerves.
Nuclear Medicine
Nuclear medicine specialists use radioactive materials to diagnose and treat diseases.
Obstetrics/Gynecology
Obstetricians and gynecologists take care of women during pregnancy and childbirth. (This part of their work is called obstetrics.) They also treat disorders of the female reproductive system. (This part of their work is called gynecology.)
Ophthalmology
Ophthalmologists are physicians who specialize in the care of the eyes. They prescribe glasses and contact lenses, diagnose and treat eye conditions, and perform eye surgery.
Optometry
Optometrists are eye care professionals who perform eye examinations, prescribe corrective lenses, and treat some eye diseases that don't require surgery.
Oral Surgery (Dentists only)
Oral surgeons are dentists who use surgery to treat problems in the mouth and nearby areas.
Orthopedic Surgery
Orthopedic surgeons treat diseases, injuries, and deformities of the bones and muscles.
Osteopathic Manipulative Medicine
Osteopathic physicians often use a treatment method called osteopathic manipulative treatment. This is a hands-on approach to make sure that the body is moving freely.
Otolaryngology
Otolaryngologists treat conditions of the ears, nose, and throat (ENT) and related areas of the head and neck.
Pain Management
Pain management specialists take care of patients with pain.
Palliative Care
Go to Hospice and Palliative Care
Pathology
Pathologists examine body tissues and interpret the results of laboratory tests.
Pediatric Medicine
Pediatricians provide primary care for infants, children, and teenagers.
Peripheral Vascular Disease
Peripheral vascular disease physicians treat diseases of the circulatory system other than those of the brain and heart.
Physical Medicine and Rehabilitation
Physical medicine and rehabilitation specialists are physicians who treat patients with short-term or long-term disabilities.
Plastic and Reconstructive Surgery
Plastic and reconstructive surgeons perform procedures to improve the appearance or function of parts of the body.
Podiatry
Podiatrists are professionals who specialize in caring for the foot and treating foot diseases.
Preventive Medicine
Preventive medicine specialists work to promote the health and well-being of individuals or groups of people.
Primary Care
Primary care physicians treat illnesses, provide preventive care, and coordinate the care provided by other health professionals. Physicians in Family Practice, General Practice, Geriatric Medicine, and Internal Medicine provide primary care.
Psychiatry
Psychiatrists treat mental, addictive, and emotional disorders.
Psychiatry (Geriatric)
Geriatric psychiatrists treat mental and emotional disorders in elderly people.
Pulmonary Disease
Pulmonologists treat diseases of the lungs and airways.
Radiation Oncology
Radiation oncologists use radiation to treat cancer.
Rheumatology
Rheumatologists treat problems involving the joints, muscles, bones, and tendons.
Sleep Medicine
Sleep medicine physicians treat problems related to sleep or the sleep-wake cycle.
Sports Medicine
Sports medicine specialists treat problems related to participation in sports or exercise.
Surgical Oncology
Surgical oncologists specialize in the surgical diagnosis and treatment of cancer.
Thoracic Surgery
Thoracic surgeons treat problems in the chest, including problems affecting the heart, lungs, or windpipe.
Urology
Urologists treat problems in the male and female urinary tract and the male reproductive system.
Vascular Surgery
Vascular surgeons treat diseases of the circulatory system, other than the brain and heart.

Other Healthcare Professional Specialties

Anesthesiologist Assistant
Anesthesiologist assistants work under the direction of an anesthesiologist as a part of the anesthesia care team.
Audiologist
Audiologists have advanced training and evaluate hearing or balance problems. They dispense hearing aids. They counsel people about how to cope with hearing loss.
Certified Nurse Midwife
Certified nurse midwives (CNM) are registered nurses who have earned a master's degree in nursing and met other requirements. They practice in hospitals and medical clinics. They may also deliver babies in birthing centers and attend home births.
Certified Registered Nurse Anesthetist
Certified registered nurse anesthetists (CRNA) are registered nurses who have earned a master's degree in nursing and met other requirements. They provide anesthesia, working with other healthcare professionals.
Clinical Nurse Specialist
Clinical nurse specialists (CNS) are registered nurses who have earned a master's degree in nursing and met other requirements. They handle a range of physical and mental health problems.
Clinical Psychologist
Clinical psychologists have a doctorate in psychology and have advanced training in promoting mental health and helping people cope with problems.
Clinical Social Worker
Clinical social workers (CSW) have earned a master's degree, and help people deal with life changes and challenges, including mental disorders.
Nurse Practitioner
Nurse practitioners (NP) are registered nurses who have earned a master's degree in nursing and met other requirements. They provide primary and preventive care, prescribe medicines, and treat common minor illnesses and injuries.
Occupational Therapist
Occupational therapists (OT) help people who are recovering from injuries to regain skills. They also support people who are going through changes related to aging. They provide home assessments, teach people to use adaptive equipment (such as devices to help with bathing, dressing, or eating), and work with family members and caregivers. OTs are state-licensed and nationally certified to practice
Physical Therapist
Physical therapists (PT) provide rehabilitation to help people move, reduce pain, restore function, and prevent disability. PTs are licensed to practice at the state level and must pass a national examination.
Physician Assistant
Physician assistants (PA) are graduates of accredited PA educational programs. They're licensed to practice medicine with a physician's supervision. They examine patients, diagnose and treat illnesses, order lab tests, prescribe medicines, perform procedures, assist in surgery, and counsel patients.
Registered Dietitian / Nutrition Professional
Registered dietitians (RD) are food and nutrition experts. They teach patients about nutrition. They also provide medical nutrition therapy.
Speech-Language Pathologist
Speech-language pathologists (SLP), sometimes called speech therapists, treat communication and swallowing disorders. They are state-licensed and nationally certified in speech-language pathology.