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Access to Care – Addiction/Substance Abuse Providers

This indicator reports the number of providers who specialize in addiction or substance use disorder treatment, rehabilitation, addiction medicine, or providing methadone. The providers include Doctors of Medicine (MDs), Doctor of Osteopathic Medicine (DOs), and other credentialed professionals with a Center for Medicare and Medicaid Services (CMS) and a valid National Provider Identifier (NPI). The number of facilities that specialize in addiction and substance use disorder treatment are also listed (but are not included in the calculated rate). Data are from latest Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) Downloadable File.

Source

Source Description

The Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) provides basic information about all organization and individual providers with a National Provider Identifier (NPI). The National Provider Identifier (NPI) is unique identification number for health care providers, including both organizations and individuals. Each month, CMS provides an updated data file available for download which contains FOIA-disclosable NPPES health care provider information, including name, credential, practice location address, and practice type based on multiple (primary, secondary, tertiary, etc.) taxonomy codes. Additional information about the NPPES downloadable file can be found here.

Methodology

Data for this indicator are acquired from the monthly Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) Downloadable File. This file includes directory information for all Medicare providers that had a valid National Provider Identifier (NPI). Provider information contained in this file includes name, credentials, gender, specialty, and complete address. Indicator counts are tabulations of providers that specialize in addiction or substance abuse treatment, determined based on the “provider type” listed in the data file. Addiction or substance abuse providers include MDs, DOs, and other credentialed professionals specializing in substance abuse treatment, rehabilitation, addiction medicine, or providing methadone. The number of facilities that specialize in addiction and substance abuse treatment are also listed (but are not included in the calculated rate). For more information, please refer to the CMS National Provider Identifier documentation, available here .

Data Breakouts Available

  • Addiction/Substance Use Disorder Facilities
  • Addiction/Substance Use Disorder Providers
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