unitedideas/pending-medicare-provider-enrollment-data

Pending Medicare Provider Enrollment Data

This is a dated, source-receipted sample of behavioral-health NPIs newly present in CMS's pending first-time Medicare enrollment files on 2026-07-13, compared with the immediately prior 2026-07-09 publication.

Pending does not mean approved. A row indicates that a first-time Medicare enrollment application appeared in a CMS pending file. It does not prove enrollment, credentialing, licensure, a new practice, service availability, interest, or buying intent.

What is included

• preview.csv: 10 deterministic provider rows with NPI, disclosed behavioral-health taxonomy, public NPPES practice fields, snapshot dates, and direct source URLs.
• state_counts.csv: the complete state and territory distribution for all 211 behavioral-health matches in the dated national validation run.
• specialty_counts.csv: the complete disclosed specialty distribution for those 211 matches.
• receipt.json: source URLs, filenames, row counts, SHA-256 hashes, lookup outcomes, validation counts, taxonomy boundary, and limitations.

This repository does not publish all 211 provider rows. The aggregates let researchers inspect the dated national result without presenting the 10-row sample as the complete edition.

Use the account-free interactive explorer to filter the public sample and inspect the complete state and specialty totals before deciding whether the full CSV fits your work.

Method

1. Resolve the two newest trusted CMS physician and non-physician pending-enrollment CSV snapshots.
2. Diff each newest snapshot against its predecessor by NPI.
3. Look up each added NPI in the official NPPES Registry.
4. Keep the disclosed conservative behavioral-health taxonomy set.
5. Fail closed on unexpected source, schema, lookup, or count conditions.

The dated validation run completed 1,763 of 1,763 NPPES lookups and selected 211 behavioral-health records across 42 jurisdictions, including DC. These are validation facts for the cited snapshots, not a standing market-size claim.

Sources and responsible use

• CMS fee-for-service public provider enrollment methodology
• NPPES NPI Registry
• Source repository and current public sample

Public NPPES contact fields may be old, shared, or operational. Verify every record before a consequential or contact decision and follow applicable privacy, calling, and marketing rules.

Current edition

Credentialing, billing, provider-network, and healthcare-data teams that need every selected row can buy the complete validated national CSV for $12 once. There is no subscription, Apify account, or separate platform charge. Private encrypted access normally activates within 15 minutes after payment.

Buy the complete CSV — $12 once

Every purchased edition preserves the source dates, URLs, taxonomy boundary, and limitations. It does not turn a pending application into an approval. Teams that need state filters or JSON, Excel, XML, or RSS exports can instead use the optional buyer-funded Apify route.

Already responsible for a known Medicare roster? Set public revalidation due-date reminders for up to 20 NPIs — $9/month. The reminder service is separate from the pending-enrollment dataset: it watches CMS's public Revalidation Due Date List, sends a dated baseline, and emails only at applicable countdown stages or after a public record change.

License note

The underlying CMS and NPPES records are U.S. government public data. The repository's transformation code is MIT-licensed. Users remain responsible for evaluating source terms, downstream use, and any jurisdiction-specific obligations.