Provider of Services (December 2018)

Information on Medicare-enrolled professional and institutional providers.

It provides data on characteristics of hospitals and other types of healthcare facilities, including the name and address of the facility and the type of Medicare services the facility provides, among other information. It does not provide any individually identifiable information about beneficiaries.

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Locate Medicare-Enrolled Doctors Near You

If you have Original Medicare (Medicare Part A and B), then you don’t need to choose a primary care physician. In general, you can see any health care provider, but your costs are lower if you get care from a Medicare-approved primary care physician who is accepting new patients. However, some types of Medicare Advantage plans require you to see a primary care doctor before you see a specialist.

Medicare Part B will cover medically necessary services or certain preventive tests from Medicare-approved providers in office, hospital, or other settings. In most cases, you won’t need to get a referral to see specialists.

However, keep in mind that even though you may use any provider that is enrolled in Medicare, your costs will be lowest if you go to a doctor who accepts Medicare assignment. Accepting assignment means the physician agrees to accept the Medicare-approved amount as full payment for covered services. The provider also agrees to charge you only the Medicare deductible, copayment and/or coinsurance, if applicable.

Looking for Medicare-enrolled healthcare professional and institutional providers in your area.

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Locate NPPES Registered Providers Near You

Looking for National Plan and Provider Enumeration System (NPPES) registered providers in your area.

Search all active National Provider Identifier (NPI) records in the National Plan and Provider Enumeration System (NPPES). Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry.

Individuals or organizations apply for NPIs through the CMS National Plan and Provider Enumeration System (NPPES). This record contains public relevance, including the provider's name, specialty (taxonomy) and practice address.

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Locate a CLIA Doctor/Facility

Looking for Medicare-enrolled healthcare professional and institutional providers regulated under the Clinical Laboratory Improvement Amendments (CLIA).

All facilities in the United States that perform laboratory testing on human specimens for health assessment or the diagnosis, prevention, or treatment of disease are regulated under the CLIA of 1988.

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Locate a Facility other than CLIA

Locate about Medicare-enrolled facilities other than CLIA.

Hospitals, Skilled Nursing Facility, Home Health Agency, Psychiatric Residential Treatment Facility, Portable X-Ray Supplier, End Stage Renal Disease (ESRD) Facility, Ambulatory Surgical Center, Hospice, Organ Procurement Organization, Community Mental Health Center, Dialysis facilities, Federally Qualified Health Center, and etc.

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Urgent Care

Learn more about urgent care and locations near you.

Under Construction.

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