# Medicare US (`dromb/medicare-us`) Actor Search and extract structured provider data from the official CMS Medicare Physician & Other Practitioners dataset. - **URL**: https://apify.com/dromb/medicare-us.md - **Developed by:** [Dmitriy Gyrbu](https://apify.com/dromb) (community) - **Categories:** Automation, Developer tools, Other - **Stats:** 2 total users, 1 monthly users, 100.0% runs succeeded, 0 bookmarks - **User rating**: No ratings yet ## Pricing from $0.30 / 1,000 results This Actor is paid per event and usage. You are charged both the fixed price for specific events and for Apify platform usage. Since this Actor supports Apify Store discounts, the price gets lower the higher subscription plan you have. Learn more: https://docs.apify.com/platform/actors/running/actors-in-store#pay-per-event ## What's an Apify Actor? Actors are a software tools running on the Apify platform, for all kinds of web data extraction and automation use cases. In Batch mode, an Actor accepts a well-defined JSON input, performs an action which can take anything from a few seconds to a few hours, and optionally produces a well-defined JSON output, datasets with results, or files in key-value store. In Standby mode, an Actor provides a web server which can be used as a website, API, or an MCP server. Actors are written with capital "A". ## How to integrate an Actor? If asked about integration, you help developers integrate Actors into their projects. You adapt to their stack and deliver integrations that are safe, well-documented, and production-ready. The best way to integrate Actors is as follows. In JavaScript/TypeScript projects, use official [JavaScript/TypeScript client](https://docs.apify.com/api/client/js.md): ```bash npm install apify-client ``` In Python projects, use official [Python client library](https://docs.apify.com/api/client/python.md): ```bash pip install apify-client ``` In shell scripts, use [Apify CLI](https://docs.apify.com/cli/docs.md): ````bash # MacOS / Linux curl -fsSL https://apify.com/install-cli.sh | bash # Windows irm https://apify.com/install-cli.ps1 | iex ```bash In AI frameworks, you might use the [Apify MCP server](https://docs.apify.com/platform/integrations/mcp.md). If your project is in a different language, use the [REST API](https://docs.apify.com/api/v2.md). For usage examples, see the [API](#api) section below. For more details, see Apify documentation as [Markdown index](https://docs.apify.com/llms.txt) and [Markdown full-text](https://docs.apify.com/llms-full.txt). # README ## Medicare US Scraper Medicare US Scraper extracts structured US healthcare provider data from the official CMS Medicare Physician & Other Practitioners dataset. Use it for provider lookup, geographic filtering, provider-type analysis, NPI-driven workflows, and lightweight health checks. This actor is not affiliated with CMS or Medicare. It uses public data from `data.cms.gov` and does not require proxies. ### Supported operations - `probe`: checks CMS Medicare dataset availability with a stats request. - `categories`: lists browse categories for states and provider types. - `filters`: returns filter metadata and sort options. - `search`: searches the CMS Medicare dataset by keyword or exact filters. - `category`: browses providers by `category_id` in `state:CA` or `provider_type:Cardiology` format. - `item`: returns a detailed provider profile with beneficiary and clinical data. ### Input guide `operation` is required. For `search`, provide `query` or at least one exact filter such as `npi`, `first_name`, `last_name_or_org`, `city`, `state`, `zip_code`, `provider_type`, `entity_type`, or `medicare_participating`. For `item`, provide `npi` or `item_id` (alias for NPI). `limit` defaults to `25` and is capped at `100`. `page` is 1-based. `include_total` defaults to `true` and controls whether an extra stats request is made for exact counts. ### Example inputs Probe: ```json { "operation": "probe" } ```` Search: ```json { "operation": "search", "query": "cardiology", "limit": 5 } ``` Search with exact filter: ```json { "operation": "search", "state": "CA", "provider_type": "Cardiology", "limit": 5 } ``` Category browse: ```json { "operation": "category", "category_id": "state:NY", "limit": 5 } ``` Item detail: ```json { "operation": "item", "npi": "1003000126" } ``` ### Output For monetization and result counting, each useful result is written as its own Apify dataset item. Search limit `5` writes `5` dataset items, and item lookup writes `1` dataset item when the provider is found. Run status, totals, no-result summaries, and error summaries are written to the default key-value store under `OUTPUT`. Probe, no-result searches, invalid item lookups, and invalid inputs do not create fake dataset result rows. Search and category results can include: - `status`, `source`, `operation`, `mode`, `record_type` - `id`, `item_id`, `npi`, `slug` - `name`, `first_name`, `last_name_or_organization`, `credentials` - `entity_type`, `provider_type`, `medicare_participating` - `address`, `city`, `state`, `zip`, `country` - `ruca_code`, `ruca_description` - `totals` (beneficiaries, services, charges, amounts) - `activity_summary` Item results extend listing fields with: - `dataset_id`, `dataset_name`, `landing_url` - `address_lines` - `beneficiary_profile` (age, risk, demographics) - `service_mix` (drug and medical services) - `clinical_profile` (condition percentages) - `source_record` No-result searches write zero dataset items and return `status: "success"` with `dataset_item_count: 0` in `OUTPUT`. Invalid item lookups write zero dataset items and return `status: "not_found"` with a structured error object in `OUTPUT`. ### Limitations - Data freshness, coverage, and field availability are controlled by CMS. - This is a Medicare provider summary and utilization dataset, not a live appointment directory. - The CMS public API may rate-limit heavy usage. - Stats endpoint for total counts may be temporarily unavailable (actor falls back gracefully). - This actor does not provide medical advice and should not be used as a substitute for official provider verification. ### Proxy behavior No proxy is required. The actor performs direct HTTPS requests to public CMS endpoints. # Actor input Schema ## `operation` (type: `string`): The operation to perform: probe, categories, filters, search, category, item ## `query` (type: `string`): Broad CMS keyword search across provider fields. Best combined with state or provider\_type. ## `npi` (type: `string`): Exact NPI filter. ## `first_name` (type: `string`): Exact provider first name filter. ## `last_name_or_org` (type: `string`): Exact last name for individuals or organization name for organizations. ## `city` (type: `string`): Exact city filter. ## `state` (type: `string`): Two-letter state or territory code, for example NY or CA. ## `zip_code` (type: `string`): Exact 5-digit ZIP code filter. ## `provider_type` (type: `string`): Exact CMS provider type, for example Cardiology or Nurse Practitioner. ## `entity_type` (type: `string`): I for individual or O for organization. ## `medicare_participating` (type: `string`): Y or N. ## `category_id` (type: `string`): Category ID like state:CA or provider\_type:Cardiology. ## `item_id` (type: `string`): Alias for NPI. ## `sort` (type: `string`): Sort mode. ## `page` (type: `integer`): 1-based page number. ## `limit` (type: `integer`): Results per page (max 100). ## `include_total` (type: `boolean`): When false, skip the extra stats request for faster responses. ## Actor input object example ```json { "operation": "search", "query": "cardiology", "provider_type": "Cardiology", "sort": "name_asc", "page": 1, "limit": 25, "include_total": true } ``` # Actor output Schema ## `status` (type: `string`): Operation status: success, invalid\_input, not\_found, blocked, or error. ## `source` (type: `string`): Stable source key. ## `operation` (type: `string`): Requested operation. ## `mode` (type: `string`): Internal operation mode or source dataset. ## `query` (type: `string`): Search query when applicable. ## `page` (type: `string`): 1-based page number. ## `limit` (type: `string`): Requested page size. ## `total` (type: `string`): Total matching records reported by CMS, or 0 for errors. ## `record_type` (type: `string`): Dataset row type, such as provider\_listing, provider\_detail, category, or filter\_group. ## `npi` (type: `string`): National Provider Identifier. ## `name` (type: `string`): Provider name. ## `provider_type` (type: `string`): CMS provider type. ## `state` (type: `string`): State code. ## `city` (type: `string`): City name. ## `medicare_participating` (type: `string`): Medicare participation status. ## `source_urls` (type: `string`): Official CMS API source URLs. ## `dataset` (type: `string`): API URL for all flat dataset result rows produced by the run. ## `summary` (type: `string`): Run status, totals, and empty/error summary stored under OUTPUT. # API You can run this Actor programmatically using our API. Below are code examples in JavaScript, Python, and CLI, as well as the OpenAPI specification and MCP server setup. ## JavaScript example ```javascript import { ApifyClient } from 'apify-client'; // Initialize the ApifyClient with your Apify API token // Replace the '' with your token const client = new ApifyClient({ token: '', }); // Prepare Actor input const input = {}; // Run the Actor and wait for it to finish const run = await client.actor("dromb/medicare-us").call(input); // Fetch and print Actor results from the run's dataset (if any) console.log('Results from dataset'); console.log(`💾 Check your data here: https://console.apify.com/storage/datasets/${run.defaultDatasetId}`); const { items } = await client.dataset(run.defaultDatasetId).listItems(); items.forEach((item) => { console.dir(item); }); // 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/js/docs ``` ## Python example ```python from apify_client import ApifyClient # Initialize the ApifyClient with your Apify API token # Replace '' with your token. client = ApifyClient("") # Prepare the Actor input run_input = {} # Run the Actor and wait for it to finish run = client.actor("dromb/medicare-us").call(run_input=run_input) # Fetch and print Actor results from the run's dataset (if there are any) print("💾 Check your data here: https://console.apify.com/storage/datasets/" + run["defaultDatasetId"]) for item in client.dataset(run["defaultDatasetId"]).iterate_items(): print(item) # 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/python/docs/quick-start ``` ## CLI example ```bash echo '{}' | apify call dromb/medicare-us --silent --output-dataset ``` ## MCP server setup ```json { "mcpServers": { "apify": { "command": "npx", "args": [ "mcp-remote", "https://mcp.apify.com/?tools=dromb/medicare-us", "--header", "Authorization: Bearer " ] } } } ``` ## OpenAPI specification ```json { "openapi": "3.0.1", "info": { "title": "Medicare US", "description": "Search and extract structured provider data from the official CMS Medicare Physician & Other Practitioners dataset.", "version": "0.1", "x-build-id": "N8OB6UuvG5StLFFkk" }, "servers": [ { "url": "https://api.apify.com/v2" } ], "paths": { "/acts/dromb~medicare-us/run-sync-get-dataset-items": { "post": { "operationId": "run-sync-get-dataset-items-dromb-medicare-us", "x-openai-isConsequential": false, "summary": "Executes an Actor, waits for its completion, and returns Actor's dataset items in response.", "tags": [ "Run Actor" ], "requestBody": { "required": true, "content": { "application/json": { "schema": { "$ref": "#/components/schemas/inputSchema" } } } }, "parameters": [ { "name": "token", "in": "query", "required": true, "schema": { "type": "string" }, "description": "Enter your Apify token here" } ], "responses": { "200": { "description": "OK" } } } }, "/acts/dromb~medicare-us/runs": { "post": { "operationId": "runs-sync-dromb-medicare-us", "x-openai-isConsequential": false, "summary": "Executes an Actor and returns information about the initiated run in response.", "tags": [ "Run Actor" ], "requestBody": { "required": true, "content": { "application/json": { "schema": { "$ref": "#/components/schemas/inputSchema" } } } }, "parameters": [ { "name": "token", "in": "query", "required": true, "schema": { "type": "string" }, "description": "Enter your Apify token here" } ], "responses": { "200": { "description": "OK", "content": { "application/json": { "schema": { "$ref": "#/components/schemas/runsResponseSchema" } } } } } } }, "/acts/dromb~medicare-us/run-sync": { "post": { "operationId": "run-sync-dromb-medicare-us", "x-openai-isConsequential": false, "summary": "Executes an Actor, waits for completion, and returns the OUTPUT from Key-value store in response.", "tags": [ "Run Actor" ], "requestBody": { "required": true, "content": { "application/json": { "schema": { "$ref": "#/components/schemas/inputSchema" } } } }, "parameters": [ { "name": "token", "in": "query", "required": true, "schema": { "type": "string" }, "description": "Enter your Apify token here" } ], "responses": { "200": { "description": "OK" } } } } }, "components": { "schemas": { "inputSchema": { "type": "object", "required": [ "operation" ], "properties": { "operation": { "title": "Operation", "enum": [ "probe", "categories", "filters", "search", "category", "item" ], "type": "string", "description": "The operation to perform: probe, categories, filters, search, category, item", "default": "search" }, "query": { "title": "Query", "type": "string", "description": "Broad CMS keyword search across provider fields. Best combined with state or provider_type.", "default": "cardiology" }, "npi": { "title": "NPI", "type": "string", "description": "Exact NPI filter." }, "first_name": { "title": "First Name", "type": "string", "description": "Exact provider first name filter." }, "last_name_or_org": { "title": "Last Name Or Organization", "type": "string", "description": "Exact last name for individuals or organization name for organizations." }, "city": { "title": "City", "type": "string", "description": "Exact city filter." }, "state": { "title": "State", "type": "string", "description": "Two-letter state or territory code, for example NY or CA." }, "zip_code": { "title": "ZIP Code", "type": "string", "description": "Exact 5-digit ZIP code filter." }, "provider_type": { "title": "Provider Type", "type": "string", "description": "Exact CMS provider type, for example Cardiology or Nurse Practitioner.", "default": "Cardiology" }, "entity_type": { "title": "Entity Type", "enum": [ "I", "O" ], "type": "string", "description": "I for individual or O for organization." }, "medicare_participating": { "title": "Medicare Participating", "enum": [ "Y", "N" ], "type": "string", "description": "Y or N." }, "category_id": { "title": "Category ID", "type": "string", "description": "Category ID like state:CA or provider_type:Cardiology." }, "item_id": { "title": "Item ID", "type": "string", "description": "Alias for NPI." }, "sort": { "title": "Sort", "enum": [ "npi_asc", "npi_desc", "name_asc", "name_desc", "beneficiaries_desc", "services_desc", "charges_desc", "allowed_desc", "payments_desc" ], "type": "string", "description": "Sort mode.", "default": "name_asc" }, "page": { "title": "Page", "type": "integer", "description": "1-based page number.", "default": 1 }, "limit": { "title": "Limit", "type": "integer", "description": "Results per page (max 100).", "default": 25 }, "include_total": { "title": "Include Total", "type": "boolean", "description": "When false, skip the extra stats request for faster responses.", "default": true } } }, "runsResponseSchema": { "type": "object", "properties": { "data": { "type": "object", "properties": { "id": { "type": "string" }, "actId": { "type": "string" }, "userId": { "type": "string" }, "startedAt": { "type": "string", "format": "date-time", "example": "2025-01-08T00:00:00.000Z" }, "finishedAt": { "type": "string", "format": "date-time", "example": "2025-01-08T00:00:00.000Z" }, "status": { "type": "string", "example": "READY" }, "meta": { "type": "object", "properties": { "origin": { "type": "string", "example": "API" }, "userAgent": { "type": "string" } } }, "stats": { "type": "object", "properties": { "inputBodyLen": { "type": "integer", "example": 2000 }, "rebootCount": { "type": "integer", "example": 0 }, "restartCount": { "type": "integer", "example": 0 }, "resurrectCount": { "type": "integer", "example": 0 }, "computeUnits": { "type": "integer", "example": 0 } } }, "options": { "type": "object", "properties": { "build": { "type": "string", "example": "latest" }, "timeoutSecs": { "type": "integer", "example": 300 }, "memoryMbytes": { "type": "integer", "example": 1024 }, "diskMbytes": { "type": "integer", "example": 2048 } } }, "buildId": { "type": "string" }, "defaultKeyValueStoreId": { "type": "string" }, "defaultDatasetId": { "type": "string" }, "defaultRequestQueueId": { "type": "string" }, "buildNumber": { "type": "string", "example": "1.0.0" }, "containerUrl": { "type": "string" }, "usage": { "type": "object", "properties": { "ACTOR_COMPUTE_UNITS": { "type": "integer", "example": 0 }, "DATASET_READS": { "type": "integer", "example": 0 }, "DATASET_WRITES": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_READS": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_WRITES": { "type": "integer", "example": 1 }, "KEY_VALUE_STORE_LISTS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_READS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_WRITES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_INTERNAL_GBYTES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_EXTERNAL_GBYTES": { "type": "integer", "example": 0 }, "PROXY_RESIDENTIAL_TRANSFER_GBYTES": { "type": "integer", "example": 0 }, "PROXY_SERPS": { "type": "integer", "example": 0 } } }, "usageTotalUsd": { "type": "number", "example": 0.00005 }, "usageUsd": { "type": "object", "properties": { "ACTOR_COMPUTE_UNITS": { "type": "integer", "example": 0 }, "DATASET_READS": { "type": "integer", "example": 0 }, "DATASET_WRITES": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_READS": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_WRITES": { "type": "number", "example": 0.00005 }, "KEY_VALUE_STORE_LISTS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_READS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_WRITES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_INTERNAL_GBYTES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_EXTERNAL_GBYTES": { "type": "integer", "example": 0 }, "PROXY_RESIDENTIAL_TRANSFER_GBYTES": { "type": "integer", "example": 0 }, "PROXY_SERPS": { "type": "integer", "example": 0 } } } } } } } } } } ```