Revoked Medicare Providers and Suppliers with Re-enrollment Bars

A list of U.S. Medicare providers and suppliers whose billing privileges have been revoked and who are under a current re-enrollment bar. It includes provider names, NPIs, revocation authorities, revocation effective dates, and re-enrollment bar expiration dates. The data is maintained by the U.S. Department of Health & Human Services.

Use Cases

• Identify providers with a specific revocation authority code to analyze common compliance failures.
• Analyze the time between revocation effective dates and re-enrollment bar expiration dates to understand sanction durations.
• Cross-reference provider NPI numbers with other claims databases to audit payments made to revoked entities.
• Monitor the geographic distribution of revoked providers by parsing state information from provider addresses.

Strengths

• Data originates from the authoritative U.S. Department of Health & Human Services.
• Includes specific legal revocation authorities pursuant to 42 CFR § 424.535.
• Contains key temporal fields like revocation effective dates and re-enrollment bar expiration dates for trend analysis.

Limitations

• The dataset's size, row count, and column structure are unspecified, making scope assessment difficult.
• Data may be limited to federal Medicare programs and not include all state-level Medicaid exclusions.
• Relies on self-reported or administrative updates, which may lag behind actual enforcement actions.

Provenance

Source

U.S. Department of Health & Human Services

Collection Method

Administrative records from Medicare provider enrollment and sanction actions.

Freshness

Last updated March 10, 2026.

Geography

United States (implied by Medicare program jurisdiction).