Medicare Opt-Out Physicians and Practitioners
We track every physician and practitioner who has formally opted out of Medicare, from CMS's Opt Out Affidavits dataset. Each record is one provider at one practice address, with their specialty, NPI, and the exact window their opt-out runs for.
Published by JS Tech Solutions on Apify
- Size
- 57,530 opt-out affidavits
- Refresh
- Monthly
The Apify listing is launching soon. Request the dataset directly in the meantime.
Who uses this
Concierge and direct-primary-care recruiters
A physician who has already opted out of Medicare has made the hard decision the recruiter is usually selling; filter by state and specialty for a pre-qualified list.
Private-pay and cash-pay networks
Build provider directories, especially in behavioural health where Clinical Psychologist, Mental Health Counselor, Clinical Social Worker and Marriage And Family Therapist are the four largest specialties in the file.
Payer network teams
Know which providers in a market are unavailable to a Medicare Advantage or fee-for-service network, and when each opt-out period ends.
Compliance, credentialing and claims teams
Check opt-out status against a date, and whether the provider is still eligible to order and refer.
Health-economics researchers
Study opt-out patterns by specialty, geography and time.
Sample records
Real records from the source, shown with a subset of the fields. Ask us which fields and delivery options are available.
Download privacy-safe CSV sample ↓| npi | fullName | specialty | state | optoutEffectiveDate | currentlyOptedOut |
|---|---|---|---|---|---|
| 1811981905 | (name withheld on this page) | Internal Medicine | MD | 2010-07-01 | true |
| 1578852851 | (name withheld on this page) | Family Practice | TX | 2016-08-04 | false |
| 1720444581 | (name withheld on this page) | Psychiatry | PA | 1998-01-30 | true |
Sample rows taken from the CMS API on 2026-08-23, shown in the actor's output shape; currentlyOptedOut is computed as of that date.
Fields
The most used fields in each record. Contact us to confirm the available fields and delivery format.
- npi
- The provider's National Provider Identifier
- fullName
- Provider's first and last name joined
- specialty
- CMS-published specialty, e.g. Psychiatry, Clinical Psychologist
- state
- Two-letter state code of the practice address
- optoutEffectiveDate
- ISO date the opt-out affidavit took effect
- optoutEndDate
- ISO date the opt-out period ends
- currentlyOptedOut
- Boolean, computed against the date the run started
- eligibleToOrderAndRefer
- Boolean, whether the provider may still order or refer
How it works
1
Request this dataset
Tell us the geography, record count, and filters you need. We will confirm source availability and delivery options.
2
Filter to what you need
- •state: US state/district/territory codes, applied server-side, e.g. ["NY","NJ"]
- •specialty: case-insensitive substring, e.g. "psych" matches Psychiatry and Clinical Psychologist
- •keyword: case-insensitive substring across full name and NPI
- •zipPrefix: 1-9 digit prefix match against the ZIP
- •effectiveFrom / effectiveTo: keep opt-outs whose effective date falls in this window
- •currentlyOptedOutOnly: keep only records whose end date has not passed
3
Agree on delivery
We will confirm the available file formats and delivery options with you before any order.
Pricing
Request availability and pricing
This dataset is not yet available for self-service on Apify. Contact us to discuss current availability, delivery, and a custom quote.
Request a custom quote →Source, refresh, and licence
- Source
- Centers for Medicare & Medicaid Services (CMS): Opt Out Affidavits
- Size
- 57,530 records, counted 2026-08-23, release "Opt Out Affidavits: 2026-07-01" (modified 2026-08-20)
- Refresh
- Monthly
- Licence
- US Government work, public domain: https://www.usa.gov/government-works (CMS catalogue: accessLevel public, accessRights Open)
- Attribution
- Centers for Medicare & Medicaid Services (CMS)
Questions buyers ask
How many Medicare providers have opted out?
57,530 physicians and practitioners had filed an opt-out affidavit with CMS as of 2026-08-23, spread across 117 specialties and 55 states and territories.
Can I get a list of opted-out physicians by state or specialty?
This dataset is not yet available for self-service on Apify. Contact us to confirm which published source records, filters, and delivery options are currently available.
Does this include only currently opted-out physicians, or expired ones too?
This dataset is not yet available for self-service on Apify. Contact us to confirm which published source records, filters, and delivery options are currently available.
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Pull the data you need
Ask us about availability, a custom extract, or joining this source against another dataset.
We are not affiliated with or endorsed by Centers for Medicare & Medicaid Services (CMS). The actor reads the public dataset linked above and adds no data of its own.