Reporting to the NPDB
Reports in the National Practitioner Data Bank are records of actions taken by authorized organizations regarding health care practitioners, entities, providers, and suppliers who do not meet professional standards. Health care organizations must register with the NPDB and be authorized to report to the NPDB in accordance with the federal regulations. Reports are permanently stored in the NPDB unless modified or removed by the organization that submitted the report.
Federal regulations determine the types of actions that are eligible to be reported and/or are required to be reported. Actions are reportable regardless of whether they are being appealed.
View the reportable actions table.
Reports must be submitted within 30 days of the date an action was taken or a medical malpractice payment was made.
Organizations that are registered with the NPDB, and are eligible to query, may view reports.
NPDB information is intended to be used in combination with information from other sources when entities are making decisions regarding licensure, employment, contracting, membership or clinical privileges, or when conducting investigations. Health care practitioners and organizations can request their own information from the NPDB by ordering a Self-Query.
Plaintiff’s attorneys can request information from the NPDB under specific circumstances.
- Initial Report: The first report of a medical malpractice payment or other reportable action. It is the current report in the NPDB, unless a correction, void, or revision-to-action is submitted by the reporting entity.
- Correction: A report to correct an error made in a previous report. A correction report replaces the previous report.
- Revision-to-Action: A report of an action that modifies a previously reported adverse action. A revision-to-action does not replace
a previously-reported action, but is a separate action that pertains to the previous action.
- Additional sanctions are taken against the practitioner
- The length of action is extended or reduced
- The original suspension or probationary period has ended
- The licensure, clinical privileges, or membership/program participation is reinstated
- Void: The withdrawal of a report in its entirety. A voided report is completely removed from the NPDB.
State record expungement is not a valid reason to void a report.
A report should be voided if:
- The report contained incorrect information
- The action should not have been reported according to NPDB reporting requirements
- The action was overturned or reversed on appeal.
Flow Charts to Determine if an Action Should Be Reported
- Clinical Privileges Actions (PDF - 191 KB | HTML)
- Licensure Actions Taken By State Boards (PDF - 269 KB | HTML)
- Health Care-Related Criminal Convictions and Civil Judgments (PDF - 267 KB | HTML)
- Other Adjudicated Actions or Decisions (PDF - 260 KB | HTML)
- Medical Malpractice Payments (PDF - 177 KB | HTML)