CMS
Open Payments
Financial transfers from manufacturers to physicians and teaching hospitals.
Dataset · CMS
PECOS Ordering & Referring
Medicare enrollment status for providers eligible to order and refer services.
Source: CMS · Refreshed monthly · Freshness SLA: Within 24h of monthly CMS release · FHIR Practitioner
81,149enrolled providersAs of 2026-05-01
2024–2026temporal coverageRefreshed monthly
Source: CMS — PECOS Ordering & Referring·Snapshot: 2026-05-01·Method: pecos-or/v1·ID: ordering-referring
FHIR Practitioner
What a record looks like in the API response.
{
"resourceType": "Practitioner",
"id": "prac-pecos-1234567890",
"_source": "cms-pecos-or",
"_methodology": "pecos-or/v1",
"identifier": [{ "system": "http://hl7.org/fhir/sid/us-npi", "value": "1234567890" }]
}Every record carries _source, _methodology, a snapshot date, and a confidence tier. These provenance fields survive export and API delivery — each fact stays chained to the federal release it came from.
Sample query
One request returns a provenance-tracked record.
curl -H "Authorization: Bearer $FONTEUM_KEY" \ "https://api.fonteum.com/fhir/r4/Practitioner?_source=ordering-referring" \ | jq '._source, ._methodology, .meta.tag'
The response includes the FHIR resource body plus Fonteum provenance metadata on every record.
Dataset facts
The record, in full.
| Field | Value |
|---|---|
| Agency | Centers for Medicare & Medicaid Services |
| Category | Provider performance |
| Records | 81,149 enrolled providers |
| Temporal coverage | 2024–2026 |
| Refresh cadence | Monthly |
| Freshness SLA | Within 24h of monthly CMS release |
| Last synced | 2026-05-01 |
| FHIR resource | Practitioner |
| Methodology | pecos-or/v1 |
| Measured | Ordering and referring provider enrollment status per NPI |
| Upstream source | data.cms.gov → |
Get access
How to reach this dataset.
Related · Provider performance
Other datasets in this category.
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QPP Individual Scores
Individual clinician performance scores from the Quality Payment Program.