data.cms.govHand-written summary
Medicare Part D Prescribers - by Provider
Total Part D prescriptions, including refills, and total drug cost, one row per prescriber NPI.
Freshness
- Last posted
- Period covered
- Jan 1, 2024 to Dec 31, 2024
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Before you use it
- Covers drugs paid under Medicare Part D only.
Columns 84
| Column | What it means | Type |
|---|---|---|
National Provider IdentifierPrscrbr_NPI | National Provider Identifier (NPI) for the performing provider on the claim. | number |
Last Name/Organization Name of the ProviderPrscrbr_Last_Org_Name | When the provider is registered in NPPES as an individual (Prscrbr_Ent_Cd = “I”), this is the provider’s last name. When the provider is registered as an organization (Prscrbr_Ent_Cd = “O”), this is the organization name. | string |
First Name of the ProviderPrscrbr_First_Name | When the provider is registered in NPPES as an individual (Prscrbr_Ent_Cd = “I”), this is the provider’s first name. When the provider is registered as an organization (Prscrbr_Ent_Cd = “O”), this will be blank. | string |
Middle Initial of the ProviderPrscrbr_MI | When the referring provider is registered in NPPES as an individual (Prscrbr_Ent_Cd=’I’), this is the referring provider’s middle initial. When the referring provider is registered as an organization (Prscrbr_Ent_Cd = ‘O’), this will be blank. | string |
Credentials of the ProviderPrscrbr_Crdntls | When the referring provider is registered in NPPES as an individual (Prscrbr_Ent_Cd=’I’), these are the referring provider’s credentials. When the referring provider is registered as an organization (Prscrbr_Ent_Cd = ‘O’), this will be blank. | string |
Entity Type of the ProviderPrscrbr_Ent_Cd | Type of entity reported in NPPES. An entity code of ‘I’ identifies referring providers registered as individuals and an Prscrbr_Ent_Cd of ‘O’ identifies referring providers registered as organizations. | string |
Street Address 1 of the ProviderPrscrbr_St1 | The first line of the prescriber’s street address, as reported in NPPES. | string |
Street Address 2 of the ProviderPrscrbr_St2 | The second line of the prescriber’s street address, as reported in NPPES. | string |
City of the ProviderPrscrbr_City | The city where the provider is located, as reported in NPPES. | string |
State Code of the ProviderPrscrbr_State_Abrvtn | The state where the provider is located, as reported in NPPES. The fifty U.S. states and the District of Columbia are reported by the state postal abbreviation. The following values are used for other areas: | string |
Prescriber State FIPS CodePrscrbr_State_FIPS | FIPS code for referring providers state. | string |
Zip Code of the Provider (first five digits)Prscrbr_Zip5 | The first 5 digits of the provider’s ZIP code, as reported in NPPES. | number |
Prescriber RUCAPrscrbr_RUCA | Rural-Urban Commuting Area Codes (RUCAs), are a Census tract-based classification scheme that utilizes the standard Bureau of Census Urbanized Area and Urban Cluster definitions in combination with work commuting information to characterize all of the nation's Census tracts regarding their rural and urban status and relationships. The Referring Provider ZIP code was cross walked to theUnited States Department of Agriculture (USDA) 2010 Rural-Urban Commuting Area Codes. | string |
Prescriber RUCA DescriptionPrscrbr_RUCA_Desc | Description of Rural-Urban Commuting Area (RUCA) Code. | string |
Country Code of the ProviderPrscrbr_Cntry | The country where the provider is located, as reported in NPPES. The country code will be “US” for any state or U.S. territory. For foreign countries (i.e., Prscrbr_State_Abrvtn = “ZZ”), the provider country values may include the following: | string |
Provider Specialty TypePrscrbr_Type | Derived from the Medicare provider/supplier specialty code reported on the NPI’s Part B claims. For providers that have more than one Medicare specialty code reported on their claims, the Medicare specialty code associated with the largest number of services is reported. Where a prescriber’s NPI did not have associated Part B claims, the taxonomy code associated with the NPI in NPPES is mapped to a Medicare specialty code using an external crosswalk. For any taxonomy codes that could not be mapped to a Medicare specialty code, the taxonomy classification description from the National Uniform Claim Committee (NUCC) taxonomy code set is used. | string |
Source of Provider SpecialtyPrscrbr_Type_Src | A flag that indicates the source of the specialty_description. | string |
Number of Medicare Part D Claims, Including RefillsTot_Clms | The number of Medicare Part D claims. This includes original prescriptions and refills. Aggregated records based on total_claim_count fewer than 11 are not included in the data file. | number |
Number of Standardized 30-Day Fills, Including RefillsTot_30day_Fills | The aggregate number of Medicare Part D standardized 30-day fills.The standardized 30-day fill is derived from the number of days supplied on each Part D claim divided by 30. Standardized 30-day fill values less than 1.0 were bottom-coded with a value of 1.0 and standardized 30-day fill values greater than 12.0 were top-coded with a value of 12.0. | number |
Aggregate Cost Paid for All ClaimsTot_Drug_Cst | The aggregate drug cost paid for all associated claims. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. | number |
Number of Day’s Supply for All ClaimsTot_Day_Suply | The aggregate number of day’s supply for which this drug was dispensed. | number |
Number of Medicare BeneficiariesTot_Benes | The total number of unique Medicare Part D beneficiaries with at least one claim for the drug. Counts fewer than 11 are suppressed and are indicated by a blank. | number |
Reason for Suppression of GE65_Tot_Clms, GE65_Tot_30day_Fills, GE65_Tot_Drug_Cst and GE65_Tot_Day_SuplyGE65_Sprsn_Flag | A flag that indicates the reason the GE65_Tot_Clms, GE65_Tot_30day_Fills, GE65_Tot_Drug_Cst and GE65_Tot_Day_Suply variables are suppressed. | string |
Number of Claims, Including Refills, for Beneficiaries Age 65+GE65_Tot_Clms | The number of Medicare Part D claims for beneficiaries age 65 and older. This includes original prescriptions and refills. A blank indicates the value is suppressed. See GE65_Sprsn_Flag regarding suppression of data. | number |
Number of Standardized 30-Day Fills, Including Refills, for Beneficiaries Age 65+GE65_Tot_30day_Fills | The number of Medicare Part D standardized 30-day fills for beneficiaries age 65 and older.The standardized 30-day fill is derived from the number of days supplied on each Part D claim divided by 30. Standardized 30-day fill values less than 1.0 were bottom-coded with a value of 1.0 and standardized 30-day fill values greater than 12.0 were top-coded with a value of 12.0. If GE65_Tot_Clms is suppressed, this variable is suppressed. A blank indicates the value is suppressed. See GE65_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for All Claims for Beneficiaries Age 65+GE65_Tot_Drug_Cst | The aggregate total drug cost paid for all associated claims for beneficiaries age 65 and older. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If GE65_Tot_Clms is suppressed, this variable is suppressed. A blank indicates the value is suppressed. See GE65_Sprsn_Flag regarding suppression of data. | number |
Number of Day’s Supply for All Claims for Beneficaries Age 65+GE65_Tot_Day_Suply | The aggregate number of day’s supply for which this drug was dispensed, for beneficiaries age 65 and older. If GE65_Tot_Clms is suppressed, this variable is suppressed. A blank indicates the value is suppressed. See GE65_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of GE65_Tot_BenesGE65_Bene_Sprsn_Flag | A flag indicating the reason the GE65_Tot_Benes variable is suppressed. | string |
Number of Medicare Beneficiaries Age 65+GE65_Tot_Benes | The total number of unique Medicare Part D beneficiaries age 65 and older with at least one claim for the drug. A blank indicates the value is suppressed. See GE65_Bene_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_CstBrnd_Sprsn_Flag | A flag indicating the reason the Brnd_Tot_Clms andBrnd_Tot_Drug_Cst variables are suppressed. | string |
Total Claims of Brand-Name Drugs, Including RefillsBrnd_Tot_Clms | Total claims of brand-name drugs, including refills. A drug is classified as “brand” using the Food and Drug Administration (FDA) approval category of New Drug Application (NDA), NDA authorized generic, or Biologic License Application (BLA). A blank indicates the value is suppressed. See Brnd_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for Brand-Name DrugsBrnd_Tot_Drug_Cst | Aggregate drug cost paid for brand-name drugs. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. A drug is classified as “brand” using the FDA approval category of NDA, NDA authorized generic, or BLA. If Brnd_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. See Brnd_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_CstGnrc_Sprsn_Flag | A flag indicating the reason the Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst variables are suppressed. | string |
Total Claims of Generic Drugs, Including RefillsGnrc_Tot_Clms | Total claims of generic drugs, including refills. A drug is classified as “generic” using the FDA approval category of Abbreviated New Drug Application (ANDA). A blank indicates the value is suppressed. See Gnrc_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for Generic DrugsGnrc_Tot_Drug_Cst | Aggregate cost paid for generic drugs. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. A drug is classified as “generic” using the FDA approval category of ANDA. If Gnrc_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. See Gnrc_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_CstOthr_Sprsn_Flag | A flag indicating the reason other_claim_count and other_drug_cost variables are suppressed. | string |
Total Claims of Other Drugs, Including RefillsOthr_Tot_Clms | Total claims of other drugs, including refills. A drug is classified as “other” using any FDA approval categories not included in the brand or generic definitions above. A blank indicates the value is suppressed. See Othr_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for Other DrugsOthr_Tot_Drug_Cst | Aggregate cost paid for all other drugs not classified as brand or generic. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. A drug is classified as “other” using any FDA approval categories not included in the brand or generic definitions above. If other_claim_count is suppressed this variable is suppressed. A blank indicates the value is suppressed. See Othr_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of MAPD_Tot_Clms and MAPD_Tot_Drug_CstMAPD_Sprsn_Flag | A flag indicating the reason the MAPD_Tot_Clms and MAPD_Tot_Drug_Cst variables are suppressed. | string |
Number of Claims for Beneficiaries Covered by MAPD PlansMAPD_Tot_Clms | The number of claims for beneficiaries covered by MAPD plans. A blank indicates the value is suppressed. See MAPD_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD PlansMAPD_Tot_Drug_Cst | Aggregate cost paid for claims filled by beneficiaries in MAPD plans. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If MAPD_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. See MAPD_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_CstPDP_Sprsn_Flag | A flag indicating the reason the PDP_Tot_Clms and PDP_Tot_Drug_Cst variables are suppressed. | string |
Number of Claims for Beneficiaries Covered by Standalone PDP PlansPDP_Tot_Clms | The number of claims for beneficiaries covered by standalone PDPs. A blank indicates the value is suppressed. See PDP_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for Claims Filled by Beneficiaries in Standalone PDP PlansPDP_Tot_Drug_Cst | Aggregate drug cost paid for claims filled by beneficiaries in standalone PDPs. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If PDP_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. See PDP_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_CstLIS_Sprsn_Flag | A flag indicating the reason the LIS_Tot_Clms and LIS_Drug_Cst variables are suppressed. | string |
Number of Claims for Beneficiaries Covered by Low-Income SubsidyLIS_Tot_Clms | Total number of claims from this prescriber, including refills, for beneficiaries with a Part D low-income subsidy. A blank indicates the value is suppressed. SeeLIS_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for Claims Covered by Low-Income SubsidyLIS_Drug_Cst | Aggregate drug cost paid for claims for beneficiaries with a Part D low-income subsidy. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If LIS_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. See LIS_Sprsn_Flag regarding suppression of data. | number |
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_CstNonLIS_Sprsn_Flag | A flag indicating the reason the NonLIS_Tot_Clms and NonLIS_Drug_Cst variables are suppressed. | string |
Number of Claims for Beneficiaries Not Covered by Low-Income SubsidyNonLIS_Tot_Clms | Total number of claims from this prescriber, including refills, for beneficiaries without a Part D low-income subsidy. A blank indicates the value is suppressed. See NonLIS_Sprsn_Flag regarding suppression of data. | number |
Aggregate Cost Paid for Claims Not Covered by Low-Income SubsidyNonLIS_Drug_Cst | Aggregate drug cost paid for claims for beneficiaries without a Part D low-income subsidy. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If NonLIS_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. See NonLIS_Sprsn_Flag regarding suppression of data. | number |
Total Claims of Opioid Drugs, Including RefillsOpioid_Tot_Clms | Total claims of opioid drugs, including refills. The Opioid_Tot_Clms is suppressed when Opioid_Tot_Clms is between 1 and 10. A blank indicates the value is suppressed. For a list of drug names that include opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Aggregate Cost Paid for Opioid DrugsOpioid_Tot_Drug_Cst | Aggregate cost paid for opioid drugs. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If Opioid_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. For a list of drug names that include opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Number of Day's Supply of All Opioid DrugsOpioid_Tot_Suply | The aggregate number of day’s supply for opioid drugs. If Opioid_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. For a list of drug names that include opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Number of Medicare Beneficiaries Filling Opioid ClaimsOpioid_Tot_Benes | The total number of unique Medicare Part D beneficiaries with at least one opioid claim. The Opioid_Tot_Benes is suppressed when Opioid_Tot_Benes is between 1 and 10. A blank indicates the value is suppressed. For a list of drug names that include opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Opioid_Tot_Clms divided by the Tot_Clms, multiplied by 100Opioid_Prscrbr_Rate | The percent of the Tot_Clms represented by the Opioid_Tot_Clms. If Opioid_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. For a list of drug names that include opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Total Claims of Long-Acting Opioid Drugs, Including RefillsOpioid_LA_Tot_Clms | Total claims of long-acting opioid drugs, including refills. The Opioid_LA_Tot_Clms is suppressed when Opioid_LA_Tot_Clms is between 1 and 10. A blank indicates the value is suppressed. For a list of drug names that include long-acting opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Aggregate Cost Paid for Long-Acting Opioid DrugsOpioid_LA_Tot_Drug_Cst | Aggregate cost paid for long-acting opioid drugs. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If Opioid_LA_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. For a list of drug names that include long-acting opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Number of Day's Supply of All Long-Acting Opioid DrugsOpioid_LA_Tot_Suply | The aggregate number of day’s supply for long-acting opioid drugs. If Opioid_LA_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. For a list of drug names that include long-acting opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Number of Medicare Beneficiaries Filling Long-Acting Opioid ClaimsOpioid_LA_Tot_Benes | The total number of unique Medicare Part D beneficiaries with at least one long-acting opioid claim. The Opioid_LA_Tot_Benes is suppressed when Opioid_LA_Tot_Benes is between 1 and 10. A blank indicates the value is suppressed. For a list of drug names that include long-acting opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Opioid_LA_Tot_Clms divided by the Opioid_Tot_Clms, multiplied by 100Opioid_LA_Prscrbr_Rate | The percent of the Opioid_Tot_Clms represented by the Opioid_LA_Tot_Clms. If Opioid_LA_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. For a list of drug names that include long-acting opioids, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. Please refer to the “Additional Information” section of this document for more details about the source used in classifying opioids. | number |
Total Claims of Antibiotic Drugs, Including RefillsAntbtc_Tot_Clms | Total claims of antibiotic drugs, including refills. The Antbtc_Tot_Clms is suppressed when Antbtc_Tot_Clms is between 1 and 10. A blank indicates the value is suppressed. For a list of drug names that include antibiotics, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | number |
Aggregate Cost Paid for Antibiotic DrugsAntbtc_Tot_Drug_Cst | Aggregate cost paid for antibiotic drugs. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If Antbtc_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. For a list of drug names that include antibiotics, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | number |
Number of Medicare Beneficiaries Filling Antibiotic ClaimsAntbtc_Tot_Benes | The total number of unique Medicare Part D beneficiaries with at least one antibiotic claim. The Antbtc_Tot_Benes is suppressed when Antbtc_Tot_Benes is between 1 and 10. A blank indicates the value is suppressed. For a list of drug names that include antibiotics, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | number |
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_CstAntpsyct_GE65_Sprsn_Flag | A flag indicating the reason the Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst variables are suppressed. For a list of drug names that include antipsychotics in the elderly, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | string |
Total Claims of Antipsychotic Drugs, Including Refills, for Beneficiaries Age 65+Antpsyct_GE65_Tot_Clms | Total claims of antipsychotic drugs, including refills, for beneficiaries age 65 and older. A blank indicates the value is suppressed. See Antpsyct_GE65_Sprsn_Flag regarding suppression of data. For a list of drug names that include antipsychotics in the elderly, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | number |
Aggregate Cost Paid for Antipsychotic Drugs for Beneficiaries Age 65+Antpsyct_GE65_Tot_Drug_Cst | Aggregate cost paid for antipsychotic drugs for beneficiaries age 65 and older. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If Antpsyct_GE65_Tot_Clms is suppressed this variable is suppressed. A blank indicates the value is suppressed. See Antpsyct_GE65_Sprsn_Flag regarding suppression of data. For a list of drug names that include antipsychotics in the elderly, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | number |
Reason for Suppression of Antpsyct_GE65_Tot_BenesAntpsyct_GE65_Bene_Suprsn_Flag | A flag indicating the reason the Antpsyct_GE65_Tot_Benes variable is suppressed. For a list of drug names that include antipsychotics in the elderly, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | string |
Number of Medicare Beneficiaries Age 65+ Filling Antipsychotic ClaimsAntpsyct_GE65_Tot_Benes | The total number of unique Medicare Part D beneficiaries age 65 and older with at least one antipsychotic claim. A blank indicates the value is suppressed. See Antpsyct_GE65_Bene_Suprsn_Flag regarding suppression of data. For a list of drug names that include antipsychotics in the elderly, see the “Drug Category Lists” available within the “NPI Summary Table” Section of each calendar year’s web page. | number |
Average Age of BeneficiariesBene_Avg_Age | Average age of beneficiaries. Beneficiary age is calculated at the end of the calendar year or at the time of death. The Bene_Avg_Age is suppressed when Tot_Benes is between 1 and 10. A blank indicates the value is suppressed. | number |
Number of Beneficiaries Age Less Than 65Bene_Age_LT_65_Cnt | Number of beneficiaries under the age of 65. Beneficiary age is calculated at the end of the calendar year or at the time of death. | number |
Number of Beneficiaries Age 65 to 74Bene_Age_65_74_Cnt | Number of beneficiaries between the ages of 65 and 74. Beneficiary age is calculated at the end of the calendar year or at the time of death. | number |
Number of Beneficiaries Age 75 to 84Bene_Age_75_84_Cnt | Number of beneficiaries between the ages of 75 and 84. Beneficiary age is calculated at the end of the calendar year or at the time of death. | number |
Number of Beneficiaries Age Greater Than 84Bene_Age_GT_84_Cnt | Number of beneficiaries over the age of 84. Beneficiary age is calculated at the end of the calendar year or at the time of death. | number |
Number of Female BeneficiariesBene_Feml_Cnt | Number of female beneficiaries. The Bene_Feml_Cnt is suppressed when Bene_Feml_Cntt is between 1 and 10 and counter suppressed when Bene_Male_Cnt is between 1 and 10. A blank indicates the value is suppressed. | number |
Number of Male BeneficiariesBene_Male_Cnt | Number of female beneficiaries. The Bene_Male_Cnt is suppressed when Bene_Male_Cnt is between 1 and 10 and counter suppressed when Bene_Feml_Cnt is between 1 and 10. A blank indicates the value is suppressed. | number |
Number of Non-Hispanic White BeneficiariesBene_Race_Wht_Cnt | Number of non-Hispanic white beneficiaries. The Bene_Race_Wht_Cnt is suppressed when Bene_Race_Wht_Cnt is between 1 and 10 and may be counter suppressed when a count in one of the other race categories is suppressed. A blank indicates the value is suppressed. | number |
Number of Black or African American BeneficiariesBene_Race_Black_Cnt | Number of non-Hispanic black or African American beneficiaries. The Bene_Race_Black_Cnt is suppressed when Bene_Race_Black_Cnt is between 1 and 10 and may be counter suppressed when a count in one of the other race categories is suppressed. A blank indicates the value is suppressed. | number |
Number of Asian Pacific Islander BeneficiariesBene_Race_Api_Cnt | Number of Asian or Pacific Islander beneficiaries. The Bene_Race_Api_Cnt is suppressed when Bene_Race_Api_Cnt is between 1 and 10 and may be counter suppressed when a count in one of the other race categories is suppressed. A blank indicates the value is suppressed. | number |
Number of Hispanic BeneficiariesBene_Race_Hspnc_Cnt | Number of Hispanic beneficiaries. The Bene_Race_Hspnc_Cnt is suppressed when Bene_Race_Hspnc_Cnt is between 1 and 10 and may be counter suppressed when a count in one of the other race categories is suppressed. A blank indicates the value is suppressed. | number |
Number of American Indian/Alaskan Native BeneficiariesBene_Race_Natind_Cnt | Number of American Indian or Alaska Native beneficiaries. The Bene_Race_Natind_Cnt is suppressed when Bene_Race_Natind_Cnt is between 1 and 10 and may be counter suppressed when a count in one of the other race categories is suppressed. A blank indicates the value is suppressed. | number |
Number of Beneficiaries with Race Not Elsewhere ClassifiedBene_Race_Othr_Cnt | Number of beneficiaries with race not elsewhere classified. The Bene_Race_Othr_Cnt is suppressed when Bene_Race_Othr_Cnt is between 1 and 10 and may be counter suppressed when a count in one of the other race categories is suppressed. A blank indicates the value is suppressed. | number |
Number of Beneficiaries with Medicare & Medicaid EntitlementBene_Dual_Cnt | Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits. The Bene_Dual_Cnt is suppressed when Bene_Dual_Cnt is between 1 and 10 and counter suppressed when Bene_Ndual_Cnt is between 1 and 10. A blank indicates the value is suppressed. | number |
Number of Beneficiaries with Medicare Only EntitlementBene_Ndual_Cnt | Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year. The Bene_Ndual_Cnt is suppressed when Bene_Ndual_Cnt is between 1 and 10 and counter suppressed when Bene_Dual_Cnt is between 1 and 10. A blank indicates the value is suppressed. | number |
Average Hierarchical Condition Category (HCC) Risk Score of BeneficiariesBene_Avg_Risk_Scre | Average Hierarchical Condition Category (HCC) risk score of beneficiaries. Please refer to the “Additional Information” section of this document for more details on HCC risk scores. The Bene_Avg_Risk_Scre is suppressed when bene_count is between 1 and 10. A blank indicates the value is suppressed. | number |
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At a glance
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- data.cms.gov
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- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 1,416,883
- Columns
- 84
- State column
Prscrbr_State_Abrvtn
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/14d8e8a9-7e9b-4370-a044-bf97c46b4b44/data?size=10
To keep only one state, filter on the Prscrbr_State_Abrvtn column.
Versions 12
The newest version is the one linked above. Older releases stay on the official site.
- 2024-12-03posted Aug 3, 2026
- 2023-12-03posted Aug 3, 2026
- 2022-12-03posted Aug 3, 2026
- 2021-12-03posted Aug 3, 2026
- 2020-12-03posted Aug 3, 2026
- 2019-12-03posted Aug 3, 2026
- 2018-12-03posted Aug 3, 2026
- 2017-12-03posted Aug 3, 2026
Show 4 older versions
- 2016-12-03posted Aug 3, 2026
- 2015-12-03posted Aug 3, 2026
- 2014-12-03posted Aug 3, 2026
- 2013-12-03posted Aug 3, 2026
CMS's description
The Medicare Part D Prescribers by Provider dataset contains information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The dataset identifies providers by their National Provider Identifier (NPI) and summarizes for each prescriber the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost.
Methodology and other documents from CMS:
The summary at the top was written by hand from this description. Record id cms:14d8e8a9-7e9b-4370-a044-bf97c46b4b44. This record as JSON.