Medicare Order and Referring Provider Eligibility Records

A dataset listing physicians and non-physician practitioners legally eligible to order and refer within the Medicare program. It provides information by National Provider Identifier (NPI) for practitioners with current Medicare enrollment records. The data is maintained by the U.S. Department of Health & Human Services and was last updated on 2026-03-25.

Use Cases

• Verify provider ordering and referring capabilities based on NPI and Medicare enrollment status.
• Support regulatory compliance audits based on Medicare fee-for-service eligibility data.
• Build transparency tools for Medicare program standards using the listed provider information.

Strengths

• Data is sourced from the authoritative U.S. Department of Health & Human Services.
• Focuses on a specific regulatory function (Medicare ordering and referring eligibility).
• Last update timestamp is precisely provided: 2026-03-25 18:13:38.565384.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• Row count is unknown, which may limit suitability assessment.

Provenance

Source

U.S. Department of Health & Human Services

Collection Method

Likely compiled from Medicare provider enrollment records.

Time Range

Current enrollment records as of the last update.

Freshness

Last updated 2026-03-25 18:13:38.565384; freshness should be verified.

Geography

United States (Medicare program).