Medicare Provider Utilization and Payment Data: Physician and Other Supplier Look-up Tool

This look-up tool is a searchable database that allows you to look up a provider by National Provider Identifier (NPI), or by name and location. The look-up tool will return information on services and procedures provided to Medicare beneficiaries, including utilization information, payment amounts (allowed amount and Medicare payment), and submitted charges organized by Healthcare Common Procedure Coding System (HCPCS) code. The data covers calendar year 2015 and contains 100% final-action physician/supplier Part B non-institutional line items for the Medicare fee-for-service population (information is redacted where necessary to protect beneficiary privacy).

The database is populated from the Physician and Other Supplier Public Use File (PUF). While the Physician and Other Supplier PUF has a wealth of information on payment and utilization for Medicare Part B services, the dataset has a number of limitations. Of particular importance is the fact that the data may not be representative of a physician’s entire practice as it only includes information on Medicare fee-for-service beneficiaries. In addition, the data are not intended to indicate the quality of care provided and are not risk-adjusted to account for differences in underlying severity of disease of patient populations. To review more information about the Physician and Other Supplier PUF, please refer to the Methodology document.

When populating any field in the look-up tool, you need to enter content exactly. You may choose to populate only one field, but partial entry will yield exact matches.

View data here.

Download Full Dataset
Find a Provider
By Name and Location:
Find a provider by one or more fields. Please use exact spelling.
OR
National Provider Identifier – a unique identification number for healthcare providers.