All datasets Medicare provider enrollment

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.

Size: 57,530 opt-out affidavits
Refresh: Monthly
Price: $8 per 1,000 records

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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. Every run returns the full field set below.

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. The Apify listing documents the full output schema.

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

Run it on Apify

Open the listing, sign in to Apify, and press Start. The actor reads the public source directly, normalizes each record, and writes the results to your Apify dataset. You can also schedule it to run on a cadence.

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

Export or connect

Download the dataset as CSV, JSON, or Excel from the Apify console, or pull it straight into your own system through the Apify API and integrations.

Default run with no input returns the first 100 records of the current release. maxResults ranges 1 to 20,000 and sets the bill directly. Only the state filter runs server-side; every other filter reads more of the dataset locally, up to about two minutes for a nationwide scan at the CMS-mandated 10-second crawl delay.

Pricing

$8 per 1,000 records

Pay per result, billed through your Apify account at $0.008 per record. You are charged only for the records the run delivers to your dataset, so a filtered run that matches nothing costs nothing. No subscription, no minimum.

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 (CMS accrualPeriodicity: R/P1M)
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?

Yes. The state filter runs server-side against the CMS API; specialty, keyword, ZIP prefix and effective-date-range filters are applied on the delivered rows.

Does this include only currently opted-out physicians, or expired ones too?

Both, by default, since that is what CMS publishes; 1,096 of 57,530 records had already expired as of 2026-08-23. Set currentlyOptedOutOnly to true to keep only active opt-outs.

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Pull the data you need

Run it yourself on Apify, or ask us for a custom extract, a join against another dataset, or a scheduled delivery.

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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.