Centers for Medicare & Medicaid Services (CMS) – Doctors and Clinicians
| Details | Medicare, Medicare providers, MIPS Scores, Medicare provider locations, Medicare assignment |
|---|---|
| Topics | Medicare, providers, provider locations |
| Source | Centers for Medicare and Medicaid Services |
| Years Available | 2025 |
| Geographies | point |
| Public Edition or Subscriber-only | Public Edition |
| Download Available | yes |
| For more information | https://data.cms.gov/provider-data/dataset/mj5m-pzi6#data-table |
| Last updated on PolicyMap | June 2025 |
Description:
The Centers for Medicare & Medicaid Services’ national downloadable file contains individual-level data on medical providers who accept Medicare assignment. Data in the national downable file is collected from providers’ Medicare enrollment records and includes information on provider credentials, sub-specialties, practice locations, and whether Medicare assignment is accepted as payment in full. PolicyMap has aggregated this data to create facility-level points that group providers practicing the same sub-specialty at the same location. If a provider practices at multiple locations, they are counted at each applicable location.
In addition, PolicyMap has incorporated data from CMS’ PY 2022 Clinician Public Reporting: Overall MIPS Performance dataset to include facility-level information on the MIPS scores of providers at a location. CMS calculates MIPS scores at both the individual and group levels; PolicyMap uses only group-level scores to better reflect the collective performance of providers at a facility. When multiple groups practice at the same location, their scores are averaged.
Each point on the map is labeled with either the name of the facility where the providers are located or, when there is only a single provider, the provider’s name. When providers of different sub-specialties practice at the same facility, multiple points may appear at the same location.