# CMS Medicare Physician & Other Practitioners Scraper (`thetatech-data/cms-medicare-physician-scraper`) Actor

Query official CMS Medicare Part B utilization by provider NPI and HCPCS: service volumes, submitted charges, and Medicare payments. Filter by state, specialty, NPI, HCPCS code, and place of service. Public data.cms.gov API — no login.

- **URL**: https://apify.com/thetatech-data/cms-medicare-physician-scraper.md
- **Developed by:** [Theta Tech](https://apify.com/thetatech-data) (community)
- **Categories:** Business, AI
- **Stats:** 2 total users, 1 monthly users, 0.0% runs succeeded, 0 bookmarks
- **User rating**: No ratings yet

## Pricing

Pay per usage

This Actor is paid per platform usage. The Actor is free to use, and you only pay for the Apify platform usage, which gets cheaper the higher subscription plan you have.

Learn more: https://docs.apify.com/actors/running/actors-in-store.md#pay-per-usage

## What's an Apify Actor?

An Actor is a serverless cloud program that runs on the Apify platform. It has two run modes.
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.

Apify vocabulary and the platform model are defined once, in the agent quickstart at https://apify.com/agents.md.

## 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.

Do not guess an integration path. Every one of them is in the agent quickstart at https://apify.com/agents.md: the Apify MCP server, Agent Skills with the Apify CLI, the JavaScript and Python clients, the REST API, and the account-free path for an agent with no human to sign in. It also carries the rule on stating cost before the first paid run.

For examples already wired to this Actor's own input schema, see the [API](#api) section below.

Each client library has reference documentation the quickstart does not restate: [JavaScript/TypeScript](https://docs.apify.com/api/client/js/docs.md) (`npm install apify-client`) and [Python](https://docs.apify.com/api/client/python/docs.md) (`pip install apify-client`).

# README

## CMS Medicare Physician & Other Practitioners Scraper

Query the **official CMS data.cms.gov Public API** for [Medicare Physician & Other Practitioners — by Provider and Service](https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider-and-service): Original Medicare Part B utilization, charges, and payments by **NPI × HCPCS × place of service**.

No login. No ToS-hostile scraping.

### Medicare Physician utilization API

Official public federal open data via HTTP — no login. Filter, page, and export clean JSON for analytics and agents.

### Use cases

- **Market access / HEOR** — map which specialties bill which HCPCS codes in a state
- **Provider diligence** — pull service mix and average Medicare payments for an NPI
- **Competitive intel** — compare office vs facility volumes for a procedure code
- **AI / analytics agents** — structured JSON for Part B procedure economics

### Example input

```json
{
  "state": "RI",
  "hcpcsCode": "99213",
  "maxItems": 50
}
```

```json
{
  "npi": "1234567890",
  "year": 2024,
  "maxItems": 100
}
```

### Output highlights

`npi`, `providerLastOrgName`, `providerState`, `providerType`, `hcpcsCode`, `hcpcsDescription`, `placeOfService`, `totalBeneficiaries`, `totalServices`, `avgSubmittedCharge`, `avgMedicareAllowed`, `avgMedicarePayment`, `datasetYear`, `source`.

### Pricing

**Free** on the Apify Store. You only pay Apify platform usage for your runs.

### Legal

Public CMS PUF via the official [data.cms.gov API](https://data.cms.gov/api-docs). Rows with fewer than 11 beneficiaries are redacted by CMS. Theta Tech LLC (`thetatech-data`).

### Related

- [CMS Open Payments Scraper](https://apify.com/thetatech-data/cms-open-payments-scraper)
- [CMS Hospital Quality / Care Compare Scraper](https://apify.com/thetatech-data/cms-hospital-quality-scraper)
- [CMS Medicare Physician Scraper](https://apify.com/thetatech-data/cms-medicare-physician-scraper)
- [CMS Nursing Home Care Compare Scraper](https://apify.com/thetatech-data/cms-nursing-home-scraper)
- [Medicaid NADAC Drug Pricing Scraper](https://apify.com/thetatech-data/cms-nadac-drug-pricing-scraper)

# Actor input Schema

## `year` (type: `integer`):

PUF vintage year. Latest (default 2024) uses the CMS series API. Historical years: 2013, 2014.

## `npi` (type: `string`):

National Provider Identifier.

## `state` (type: `string`):

Provider state abbreviation, e.g. RI.

## `city` (type: `string`):

Exact provider city as in CMS file.

## `providerLastName` (type: `string`):

Exact match on last name or organization name.

## `providerType` (type: `string`):

Exact specialty string, e.g. Internal Medicine.

## `hcpcsCode` (type: `string`):

Procedure code, e.g. 99213.

## `placeOfService` (type: `string`):

F = facility, O = office (non-facility).

## `maxItems` (type: `integer`):

Maximum number of rows to push to the dataset.

## `pageSize` (type: `integer`):

CMS data-api page size (1–5000).

## `delayMs` (type: `integer`):

Polite delay between API pages in milliseconds.

## Actor input object example

```json
{
  "year": 2024,
  "state": "RI",
  "hcpcsCode": "99213",
  "maxItems": 500,
  "pageSize": 100,
  "delayMs": 200
}
```

# Actor output Schema

## `dataset` (type: `string`):

Dataset of NPI × HCPCS utilization and payment rows.

# 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 '<YOUR_API_TOKEN>' with your token
const client = new ApifyClient({
    token: '<YOUR_API_TOKEN>',
});

// Prepare Actor input
const input = {};

// Run the Actor and wait for it to finish
const run = await client.actor("thetatech-data/cms-medicare-physician-scraper").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 '<YOUR_API_TOKEN>' with your token.
client = ApifyClient("<YOUR_API_TOKEN>")

# Prepare the Actor input
run_input = {}

# Run the Actor and wait for it to finish
run = client.actor("thetatech-data/cms-medicare-physician-scraper").call(run_input=run_input)

# Fetch and print Actor results from the run's dataset (if there are any)
print(f"💾 Check your data here: https://console.apify.com/storage/datasets/{run.default_dataset_id}")
for item in client.dataset(run.default_dataset_id).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 thetatech-data/cms-medicare-physician-scraper --silent --output-dataset

```

## MCP server setup

```json
{
    "mcpServers": {
        "apify": {
            "type": "http",
            "url": "https://mcp.apify.com/?tools=fetch-actor-details,thetatech-data/cms-medicare-physician-scraper"
        }
    }
}
```

The hosted server signs you in with OAuth on first connect, so no API token belongs in this config. Clients without OAuth support can send an `Authorization: Bearer <APIFY_API_TOKEN>` header instead, using a token from API & Integrations in Apify Console (https://console.apify.com/settings/integrations).

## OpenAPI specification

Download the OpenAPI definition: https://api.apify.com/v2/actors/2ZkERGdghYNuhMgwP/builds/xpqq1PoXZOs7bSqhH/openapi.json