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CMS Physician Referral Data

The physician referral data was initially provided as a response to a Freedom of Information (FOIA) request. These files represent data from 2009 through June 2013 showing the number of referrals from one physician to another. The data is available for download from: Files can be downloaded as a txt

NUCC Health Care Provider Taxonomy Code Set

National Uniform Claim Committee

The National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy Code Set contains HIPAA-compliant codes for specifying the specialty of a provider. Other CMS data products, including the NPPES provider database, use the taxonomy codes for self-reported specialty information. The NUCC Taxonomy Code Set can be used in conjunction with

National Provider Identifier (NPI) Standard

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial

Chronic Conditions Dashboard

The CMS Chronic Conditions Dashboard presents statistical views of information on the prevalence, utilization and Medicare spending for Medicare beneficiaries with chronic conditions. The Dashboard displays information on a subset of the predefined chronic conditions available in the Chronic Condition Warehouse (CCW) at the national, state, and hospital referral region

Chronic Conditions Data Warehouse

CMS Chronic Conditions Data Warehouse Logo

Overview The CMS Chronic Conditions Data Warehouse (CCW) provides researchers with Medicare and Medicaid beneficiary, claims, and assessment data linked by beneficiary across the continuum of care. In the past, researchers analyzing data files were required to perform extensive analysis related to beneficiary matching, deduplication, and merging of the files in

DocGraph Database

The DocGraph Edge data set contains very detailed information on referral patterns between CMS healthcare providers. The data can be used to understand referral patterns within any community in the United States. The data sets are very large and are structured for use in network analysis. Providers are identified by