Text Size

A A A  

Public Use Data File Format Specifications


Variable Layout

Note: In the table below, columns "Start" and "End" are valid only for file in ASCII text format and should be ignored for SPSS Portable data and CSV (Comma Separated Values) format files.

Variable Type Variable Label Length Start End
seqno Numeric Sequence Number -- Unique to Each Record 8 1 8
rectype String Record Type 1 9 9
reptype Numeric Report Type 4 10 13
origyear Numeric Year original report processed 4 14 17
workstat String Practitioners Work State 2 18 19
workctry String Practitioners Work Country 10 20 29
homestat String Practitioners Home State 2 30 31
homectry String Practitioners Home Country 10 32 41
licnstat String Practitioners State of License (First Listed) 2 42 43
licnfeld Numeric Practitioners Field of License 4 44 47
practage Numeric Age Group of Practitioner 2 48 49
grad Numeric Graduation year group 4 50 53
algnnatr Numeric Malpractice Allegation Group 8 54 61
alegatn1 Numeric Specific Malpractice Allegation 1 8 62 69
alegatn2 Numeric Specific Malpractice Allegation 2 8 70 77
outcome Numeric Severity of Alleged Malpractice Injury [available for use 1/31/2004] 8 78 85
malyear1 Numeric Year of Act or Omission 1 4 86 89
malyear2 Numeric Year of Act or Omission 2 4 90 93
payment Dollar Payment Amount (this payment only) 12 94 105
totalpmt Dollar Total Payment by this Payer for This Practitioner [available for use 1/31/2004] 12 106 117
paynumbr String Single of Multiple Payment 1 118 118
numbprsn Numeric Number of Practitioners Payment For 3 119 121
paytype String Payment A Result of ... 1 122 122
pyrrltns String Relationship of Paying Entity to the Practitioner [available for use 1/31/2004] 1 123 123
ptage Numeric Age Group of Patient [available for use 1/31/2004] 2 124 125
ptgender String Gender of Patient [available for use 1/31/2004] 1 126 126
pttype String Patient Type (Inpatient, Outpatient) 1 127 127
aayear Numeric Year of Adverse Action 4 128 131
aaclass1 Numeric Adverse Action Classification1 [available for use 11/22/1999/old records converted] 4 132 135
aaclass2 Numeric Adverse Action Classification2 [available for use 11/22/1999] 4 136 139
aaclass3 Numeric Adverse Action Classification3 [available for use 11/22/1999] 4 140 143
aaclass4 Numeric Adverse Action Classification4 [available for use 11/22/1999] 4 144 147
aaclass5 Numeric Adverse Action Classification5 [available for use 11/22/1999] 4 148 151
basiscd1 String Basis for Action [available for use 11/22/1999] 2 152 153
basiscd2 String Basis for Action2 [available for use 11/22/1999] 2 154 155
basiscd3 String Basis for Action3 [available for use 11/22/1999] 2 156 157
basiscd4 String Basis for Action4 [available for use 11/22/1999] 2 158 159
basiscd5 String Basis for Action5 [available for use 9/9/2002] 2 160 161
aalentyp String Adverse Action Length Type 1 162 162
aalength Numeric Length of Adverse Action Penalty, in Years 8 163 170
aaefyear Numeric Effective Year of Adverse Action 4 171 174
aasigyr Numeric Year of AA Report Signature 4 175 178
type Numeric Entity Type (assigned) 3 179 181
practnum Numeric Practitioner Number Unique to This File 8 182 189
accrrpts Numeric Subjects Number of Accreditation Reports 4 190 193
npmalrpt Numeric Practitioners Number of Malpractice Payment Reports submitted under Title IV. 4 194 197
nplicrpt Numeric Practitioners Number of Licensure Reports submitted under Title IV and/or Section 1921 4 198 201
npclprpt Numeric Practitioners Number of Clinical Privileges Reports submitted under Title IV 4 202 205
nppsmrpt Numeric Practitioners Number of Prof. Soc. Membership Reports submitted under Title IV 4 206 209
npdearpt Numeric Practitioners Number of DEA Reports submitted under Title IV 4 210 213
npexcrpt Numeric Practitioners Number of Exclusion Reports submitted under Title IV and/or Section 1921 4 214 217
npgarpt Numeric Practitioners Number of Government Administrative Reports submitted under Section 1921 4 218 221
npctmrpt Numeric Practitioners Number of Contract Termination Reports submitted under Section 1921 4 222 225
fundpymt Numeric State Patient Compensation, etc., Fund Payment 1 226 226

top


Detailed Variable Information

Some variables and response categories have been changed over time. Where changes have been made, the variable or value descriptions include "date of first use" and "date of last use." For example, the field of license (LICNFELD) category "Art/Recreation Therapist" was first made available for use by reporting entities on November 22, 1999. Such practitioners previously would have been reported using another field of license category. If no "Date of Last Use" is specified, the category is still in use. Researchers should take the date of first use or last use of a value into account in interpreting analysis results. If no dates are specified, the variable and values are applicable to all records.

top


SEQNO

Record Number. SEQNO is a unique number assigned to each record. The assigned numbers are not necessarily continuous or sequential. In addition, the SEQNO assigned to any particular record may not be the same in different editions of the Public Use File.

top


RECTYPE

Record Type. RECTYPE is the form of Report submitted to the NPDB. Possible values include: Malpractice Payment (old reporting format), Malpractice Payment (new reporting format), Adverse Action (old reporting format), or Adverse Action (new consolidated adverse action "CAAR" format). Note that in this file some variables from type "M" malpractice payment reports and some variables from type "A" adverse action records have been translated into the codes currently used in the new type "P" and type "C" records. This was done to facilitate analysis. These translations are not in the records disclosed in response to queriers submitted to the NDPB by to authorized querying entities. Queriers receive full copies of reports as submitted.

Value Label
A Adverse Action Report (format used prior to 11/22/1999 opening of the Healthcare Integrity and Protection Data Bank)
C Adverse Action Report (new consolidated "CAAR" reporting format first used 11/22/1999)
M Malpractice Payment (format used prior to 1/31/2004)
P Malpractice Payment (format first used 1/31/2004)

top


REPTYPE

Report Type.

Value Label
101 Insurance Company Malpractice Payment (Individuals)
102 Non-Insurance Company Malpractice Payment (Individuals)
301 State Licensure Action (Individuals, Legacy Format)
302 State Licensure Actn (Indiv, CAAR, 11/22/99 and later)
401 Clinical Priv./Panel Mmbrshp Action (Indiv., Legacy Format)
402 Clin Priv/Panel Mmbrshp Actn (Indiv,CAAR,11/22/99 & later)
451 Health Plan Action (Individuals)
501 Prof. Society Membership Action (Individuals, Legacy Format)
502 Prof. Society Mmbrshp Action (Indiv, CAAR, 11/22/99 & later)
601 Drug Enforcement Admin. Action (Individuals, Legacy Format)
602 Drug Enforcmnt Admin Action (Indiv, CAAR, 11/22/99 & later)
604 Government Administrative Action (Individuals)
702 HHS-OIG Exclusion Action (Individuals)
703 Exclusions & Debarments--non-HHS (Individuals, CAAR Format)
1302 State Licensure Action (Organizations)
1451 Health Plan Action (Organization)
1604 Government Administrative Action (Organizations)
1702 HHS-OIG Exclusion Action (Organizations, CAAR Format)
1703 Exclusion or Debarment Action (Organizations)
1803 Accreditation Action (Organizations)

top


ORIGYEAR

Year this record (or, if the record was later corrected or changed, the year the original version of this record) was processed into the National Practitioner Data Bank. This variable is a reasonable substitute for year of Judgment or Settlement, which is an optional field, and frequently was not reported in the first few years of NPDB operation. Reports must be made to the NPDB within 30 days of a payment, so in most cases this value represents the year the payment was made or the adverse action was taken.

Value Label
1990 Sep 1 - Dec 31, 1990
2018 Jan 1 - September 30, 2018

top


WORKSTAT

Practitioner's Work State.

See note to users at LICNSTAT variable.

Value Label
AA Armed Forces - Americas
AE Armed Forces - Europe
AK Alaska
AL Alabama
AP Armed Forces - Pacific
AR Arkansas
AS American Samoa
AZ Arizona
CA California
CO Colorado
CT Connecticut
DC District of Columbia
DE Delaware
FL Florida
FM Federated States of Micronesia
GA Georgia
GU Guam
HI Hawaii
IA Iowa
ID Idaho
IL Illinois
IN Indiana
KS Kansas
KY Kentucky
LA Louisiana
MA Massachusetts
MD Maryland
ME Maine
MH Marshall Islands
MI Michigan
MN Minnesota
MO Missouri
MP Northern Marianas
MS Mississippi
MT Montana
NC North Carolina
ND North Dakota
NE Nebraska
NH New Hampshire
NJ New Jersey
NM New Mexico
NV Nevada
NY New York
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
PR Puerto Rico
PW Palau
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VA Virginia
VI Virgin Islands
VT Vermont
WA Washington
WI Wisconsin
WV West Virginia
WY Wyoming

top


WORKCTRY

Practitioner's Work Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data - i.e., numerical values, punctuation marks, etc.)

top


HOMESTAT

Practitioner's Home State.

See note to users at LICNSTAT variable.

Value Label
(Same as WORKSTAT)

top


HOMECTRY

Practitioner's Home Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data such - i.e., numerical values, punctuation marks, etc.)

top


LICNSTAT

Practitioner's State of License (First Listed State of License -- practitioners may be licensed in more than one State. Up to 10 States of license may be reported to the NDPB. Only the first State listed in an NPDB report is provided in this file.)

Value Label
(Same as WORKSTAT)

Note to users concerning State variables:

Researchers often want to assign reports to a State for analysis purposes. Licensure Actions might normally be assigned to a State on the basis of the practitioner's License State. Other actions and malpractice payments might best be assigned on the basis of the practitioner's work State. However, work State is not a required variable in reports; reporters must report either work State or home State. They may report both. About 86 percent of records contain work State information. About 34 percent contain home State information. For non-licensure reports a commonly used method of assigning State is to create a State variable which equals work State if a work State value was reported and home State if no work State was reported. In SPSS, the following syntax would accomplish this:

STRING State (A2) .
RECODE
workstat
(ELSE=Copy) INTO State.

EXECUTE.
DO IF (Workstat = " ").
RECODE
Homestat
(ELSE=Copy) INTO State.

END IF.
EXECUTE.

Note: In the DO IF (Workstat = " ") statement above, there are two spaces between the quotation marks.

top


LICNFELD

Practitioner's Field of License.

Note: Reporting is required for malpractice payments made for all practitioners regardless of their field of license. Prior to implementation of Section 1921, the Public Use File collected reports required for adverse actions (other than exclusions) only for practitioners in license fields 10 through 35 (physicians and dentists). As of March 10, 2010 reporting of licensure adverse actions is collected for all practitioner types.

Important Note: Prior to March 10, 2010, adverse actions concerning practitioners in license fields other than 10 through 35 (physicians and dentists) were occasionally reported to the NPDB although these reports were not required. Since the implementation of Section 1921 licensure actions on all practitioner types have been required to be reported to the NPDB. However, statistical analysis of adverse clinical privileges or professional society action reports for practitioners other than physicians and dentists is not recommended since these reports are not required to be reported and may yield misleading results. Additionally, be aware that some professions have different names in different states and could yield inconclusive results from state to state. For example one state may name a practitioner a counselor, mental health (621) while another state may use the term professional counselor (651) even though the practitioners may provide the same service. Exclusion Actions (REPTYPE = 702), however, are reported for practitioners of all license fields and may be analyzed for all types of practitioners. Malpractice Payments (REPTYPE = 101 and 102) area also reported for practitioners of all license fields and may be analyzed for all types of practitioners.

Value Label
10 Allopathic Physician (MD)
15 Physician Resident (MD)
20 Osteopathic Physician (DO)
25 Osteopathic Physician Resident (DO)
30 Dentist
35 Dental Resident
50 Pharmacist
55 Pharmacy Intern [available 9/9/2002]
60 Pharmacist, Nuclear
70 Pharmacy Assistant
75 Pharmacy Technician [available 9/9/2002]
76 Other Pharmacy Service Occupation - Not Classified, Specify [available 11/17/2014]
100 Registered Nurse
110 Nurse Anesthetist
120 Nurse Midwife
130 Nurse Practitioner
134 Doctor of Nursing Practice [available 11/8/2010]
135 Advanced Nurse Practitioner [3/5/02 - 9/9/02]
140 LPN or Vocational Nurse
141 Clinical Nurse Specialist [available 9/9/02]
142 Other Nurse Occupation - Not Classified, Specify [available 11/17/2014]
148 Certified Nurse Aide/Nursing Assistant [available 10/17/05]
150 Nurse Aide/Nursing Assistant
160 Home Health Aide (Homemaker)
165 Health Care Aide/Direct Care Worker [available 10/17/05]
170 Psychiatric Technician
175 Certified or Qualified Medication Aide [available 10/17/05]
176 Other Aide Occupation - Not Classified, Specify [available 11/17/2014]
200 Dietitian
210 Nutritionist
211 Other Dietitian/Nutritionist Occupation - Not Classified, Specify [available 11/17/2014]
250 EMT, Basic
260 EMT, Cardiac/Critical Care
270 EMT, Intermediate/Critical Care
280 EMT, Paramedic
281 Other Emergency Medical Technician Occupation - Not Classified, Specify [available 11/17/2014]
300 Clinical Social Worker
350 Podiatrist
370 Clinical Psychologist [last use 9/9/02]
371 Psychologist [available 9/9/02]
372 School Psychologist [available 9/9/02]
373 Psychological Asst., Assoc., Examiner [available 9/9/02]
374 Other Psychologist/Psychological Assistant Occupation - Not Classified, Specify [available 11/17/2014]
400 Audiologist
402 Art/Recreation Therapist
405 Massage Therapist
410 Occupational Therapist
420 Occup. Therapy Assistant
430 Physical Therapist
440 Phys. Therapy Assistant
450 Rehabilitation Therapist
460 Speech/Language Pathologist
470 Hearing Aid/Instrument Specialist [available 10/17/05]
471 Other Speech, Language and Hearing Service Occupation - Not Classified, Specify [available 11/17/2014]
500 Medical Technologist [changed to 501(6/15/09)]
501 Medical or Clinical Lab Technician/Technologist [available 6/15/09]
502 Medical/Clinical Lab Technician [available 6/15/09]
503 Surgical Technologist/Assistant [available 6/15/09]
504 Surgical Assistant [available 6/15/09]
505 Cytotechnologist [available 11/22/99]
510 Nuclear Med. Technologist
520 Rad. Therapy Technologist
530 Radiologic Technician/Technologist
540 X-Ray Technician or Operator [available 6/15/09]
550 Limited X-Ray Machine Operator [available 11/8/2010]
551 Other Technologist/Technician - Not Classified, Specify [available 11/17/2014]
600 Acupuncturist
601 Athletic Trainer [available 11/22/99]
603 Chiropractor
604 Chiropractic Assistant [available 11/17/2014]
605 Other Chiropractic Occupation - Not Classified, Specify [available 11/17/2014]
606 Dental Assistant
607 Dental Therapist/Dental Health Aide [available 6/15/09]
609 Dental Hygienist
612 Denturist
613 Other Dental Occupation - Not Classified, Specify [available 11/17/2014]
615 Homeopath
618 Medical Assistant
621 Counselor, Mental Health
624 Midwife, Lay (Non-Nurse)
627 Naturopath
630 Ocularist
633 Optician
636 Optometrist
637 Other Eye and Vision Service Occupation - Not Classified, Specify [available 11/17/2014]
639 Orthotics/Prosthetics Fitter
642 Physician Assistant
645 Phys. Asst., Osteopathic
647 Perfusionist [available 11/22/99]
648 Podiatric Assistant
649 Other Podiatric Service Occupation - Not Classified, Specify [available 11/17/2014]
651 Prof. Counselor
652 Sex Offender Counselor [available 11/17/2014]
653 Pastoral Counselor [available 11/17/2014]
654 Prof. Cnslr., Alcohol
657 Prof. Cnslr., Family/Marriage
658 Other Rehabilitative, Respiratory and Restorative Service Occupation - Not Classified, Specify [available 11/17/2014]
660 Addictions Counselor
661 Marriage and Family Therapist [available 9/9/02]
662 Art Therapist [available 11/17/2014]
663 Respiratory Therapist
664 Recreation Therapist [available 11/17/2014]
665 Dance Therapist [available 11/17/2014]
666 Resp. Therapy Technician
667 Music Therapist [available 11/17/2014]
668 Other Behavioral Health Occupation - Not Classified, Specify [available 11/17/2014]
699 Other Health Care Pract, Not Classified [available 11/22/99]
752 Adult Care Facility Administrator [available 11/22/99]
755 Hospital Administrator [available 11/22/99]
758 Health Care Facility Administrator [available 6/15/09]
759 Assisted Living Facility Administrator [available 6/15/09]
800 Researcher, Clinical [available 11/22/99]
810 Insurance Agent/Broker [available 11/22/99]
812 Insurance Broker [available 11/22/99]
820 Corporate Officer [available 11/22/99]
822 Business Manager [available 11/22/99]
830 Business Owner [available 11/22/99]
840 Salesperson [available 11/22/99]
850 Accountant [available 11/22/99]
853 Bookkeeper [available 11/22/99]
899 Other Individual, Not Classified [available 11/22/99]
998 Subject of Report Not Reportable (missing value)
999 Unspecified or Unknown
1301 General/Acute Care Hospital
1302 Psychiatric Hospital
1303 Rehabilitation Hospital
1304 Federal Hospital
1307 Psychiatric Unit
1308 Rehabilitation Unit
1310 Laboratory/CLIA Laboratory
1320 Health Insurance Company/Provider
1331 Health Maintenance Organization
1335 Preferred Provider Organization
1336 Provider Sponsored Organization
1338 Religious, Fraternal Benefit Society Plan
1342 Blood Bank
1343 Durable Medical Equipment Supplier
1344 Eyewear Equipment Supplier
1345 Pharmacy
1346 Pharmaceutical Manufacturer
1347 Biological Products Manufacturer
1348 Organ Procurement Organization
1349 Portable X-Ray Supplier
1351 Fiscal/Billing/Management Agent
1352 Purchasing Service
1353 Nursing/Health Care Staffing Service
1361 Chiropractic Group/Practice
1362 Dental Group/Practice
1363 Optician/Optometric Group/Practice
1364 Podiatric Group/Practice
1365 Medical Group/Practice
1366 Mental Health/Substance Abuse Group/Facility
1367 Physical/Occupational Therapy Group/Practice
1370 Research Center/Facility
1381 Adult Day Care Facility
1382 Hospice/Hospice Care Provider
1383 Intermed. Care Fclty For Intellectually Disabled/Substance Abuse
1386 Residential Treatment Facility/Program
1388 Outpatient Rehab. Fclty./Comprehensive Outptnt. Rehab. Fclty
1389 Nursing Facility/Skilled Nursing Facility
1390 Ambulance Service/Transportation Company
1391 Ambulatory Surgical Center
1392 Ambulatory Clinic/Center
1393 Home Health Agency/Organization
1394 Health Cntr/Fedrlly. Qualified Hlth Cntr./Cmmnty Hlth Cntr.
1395 Mental Health Center/Community Mental Health Center
1396 Rural Health Clinic
1397 Mammography Service Provider
1398 End Stage Renal Disease Facility
1399 Radiology/Imaging Center
1999 Other Type not classified - specify
9999 Org. Type not specified

* LICNFELD Codes with Major Text Changes - Listed is the value from the previous versions.

Value Label Date of First Use Date of Last Use
758 Long-Term Care Administrator N/A 06/15/2009

top


PRACTAGE

Practitioner's Age Group. (Based on the age of the practitioner at the time of the event leading to the report.)

Value Label
10 Ages 19 and under
20 Ages 20 through 29
30 Ages 30 through 39
40 Ages 40 through 49
50 Ages 50 through 59
60 Ages 60 through 69
70 Ages 70 through 79
80 Ages 80 through 89
90 Ages 90 through 99

top


GRAD

Practitioner's Professional School Graduation Year Group

ValueLabel
1900 1900 through 1909
1910 1910 through 1919
1920 1920 through 1929
1930 1930 through 1939
1940 1940 through 1949
1950 1950 through 1959
1960 1960 through 1969
1970 1970 through 1979
1980 1980 through 1989
1990 1990 through 1999
2000 2000 through 2009
2010 2010 through 2019

top


ALGNNATR

Malpractice Allegation Group. This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the act or omission codes used in old format reports. [This field is blank in Adverse Action records.]

Important Note: When analyzing physician malpractice payments, ALGNNATR should not be used as a substitute for physician specialty. For example, surgery codes may be used to report payments for physicians who are not surgeons, and obstetrics codes may be used to report payments for physicians who are not OB/GYNs, etc. The NPDB does not collect information on practitioner specialty in malpractice payment reports. No information on practitioner specialty is available for analysis.

ValueLabel
1 Diagnosis Related
10 Anesthesia Related
20 Surgery Related
30 Medication Related
40 IV & Blood Products Related
50 Obstetrics Related
60 Treatment Related
70 Monitoring Related
80 Equipment/Product Related
90 Other Miscellaneous
100 Behavioral Health Related

top


ALEGATN1

First Specific Malpractice Act or Omission Code. (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the first listed code.) This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the codes used in old format reports. [This field is blank in Adverse Action records.]

ValueLabel
100 Failure to Use Aseptic Technique
101 Failure to Diagnose
102 Failure to Delay a Case When Indicated
103 Failure to Identify Fetal Distress
104 Failure to Treat Fetal Distress
105 Failure to Medicate
106 Failure to Monitor
107 Failure to Order Appropriate Medication
108 Failure to Order Appropriate Test
109 Failure to Perform Preoperative Evaluation
110 Failure to Perform Procedure
111 Failure to Perform Resuscitation
112 Failure to Recognize a Complication
113 Failure to Treat
200 Delay in Diagnosis
201 Delay in Performance
202 Delay in Treatment
203 Delay in Treatment of Identified Fetal Distress
300 Administration of Blood or Fluids Problem
301 Agent Use or Selection Error
302 Complementary or Alternative Medication Problem
303 Equipment Utilization Problem
304 Improper Choice of Delivery Method
305 Improper Management
306 Improper Performance
307 Improperly Performed C-Section
308 Improperly Performed Vaginal Delivery
309 Improperly Performed Resuscitation
310 Improperly Performed Test
311 Improper Technique
312 Intubation Problem
313 Laboratory Error
314 Pathology Error
315 Medication Administered via Wrong Route
316 Patient History, Exam, or Workup Problem
317 Problems With Patient Monitoring in Recovery
318 Patient Monitoring Problem
319 Patient Positioning Problem
320 Problem with Appliance, Prostheses, Orthotic, Device, etc.
321 Radiology or Imaging Error
322 Surgical or Other Foreign Body Retained
323 Wrong or Misdiagnosis (e.g. Original Diagnosis is Incorrect)
324 Wrong Dosage Administered
325 Wrong Dosage Dispensed
326 Wrong Dosage Ordered of Correct Medication
327 Wrong Medication Administered
328 Wrong Medication Dispensed
329 Wrong Medication Ordered
330 Wrong Body Part
331 Wrong Blood Type
332 Wrong Equipment
333 Wrong Patient
334 Wrong Procedure or Treatment
400 Contraindicated Procedure
401 Surgical or Procedural Clearance Contraindicated
402 Unnecessary Procedure
403 Unnecessary Test
404 Unnecessary Treatment
500 Communication Problem Between Practitioners
501 Failure to Instruct or Communicate with Patient or Family
502 Failure to Report on Patient Condition
503 Failure to Respond to Patient
504 Failure to Supervise
505 Improper Supervision
600 Failure/Delay in Admission to Hospital or Institution
601 Failure/Delay in Referral or Consultation
602 Premature Discharge from Institution
603 Altered, Misplaced or Prematurely Destroyed Records
700 Abandonment
701 Assault and Battery
702 Breach of Contract or Warranty
703 Breach of Patient Confidentiality
704 Equipment Malfunction
705 Failure to Conform with Regulation, Statute, or Rule
706 Failure to Ensure Patient Safety
707 Failure to Obtain Consent or Lack of Informed Consent
708 Failure to Protect a Third Party (Failure to Warn, etc.)
709 Failure to Test Equipment
710 False Imprisonment
711 Improper Conduct
712 Inadequate Utilization Review
713 Negligent Credentialing
714 Practitioner with Communicable Disease
715 Product Liability
716 Religious Issues
717 Sexual Misconduct
718 Third Party Claimant
719 Vicarious Liability
720 Wrongful Life/Birth
899 Cannot Be Determined from Available Records
999 Allegation - Not Otherwise Classified, Specify

top


ALEGATN2

Second Specific Malpractice Act or Omission Code (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the second listed code.) This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the codes used in old format reports. [This field is blank in Adverse Action records and Malpractice Payment records in which a second Allegation code was not supplied.]

ValueLabel
(Same as ALEGATN1)

top


OUTCOME

Severity of Alleged Malpractice Injury. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

ValueLabel
1 Emotional Injury Only
2 Insignificant Injury
3 Minor Temporary Injury
4 Major Temporary Injury
5 Minor Permanent Injury
6 Significant Permanent Injury
7 Major Permanent Injury
8 Quadriplegic, Brain Damage, Lifelong Care
9 Death
10 Cannot Be Determined from Available Records

top


MALYEAR1

Year of Act or Omission 1. (Beginning year of acts or omissions)

Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.(This field is blank in Adverse Action records.)

top


MALYEAR2

Year of Act or Omission 2. (End year of acts or omissions)

Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway. (This field is blank in Adverse Action records and Malpractice Payment records for which a second date was not supplied.)

May be blank if same as MALYEAR1

top


PAYMENT

Amount of Reported Payment. This is the amount of the specific payment that led to the filing of this malpractice payment report. Payment amounts are coded into ranges. All payments of $100 or less are coded as $50. Payments from $101 to $500 are coded as $300. Payments from $501 to $1,000 are coded as $750. Payments between $1,001 and $5,000 are coded as the midpoint of $1,000 increments, e.g. payments between $1,001 and $2,000 are coded as $1,500; payments between $2,001 and $3,000 are coded as $2,500; etc. Payments between $5,001 and $100,000 are coded as the midpoint of $5,000 increments, e.g., payments between $30,001 and $35,000 are coded as $32,500, etc. Payments between $100,001 and $1,000,000 are coded as the midpoint of $10,000 increments. Payments between $1,000,001 and $10,000,000 are coded as the midpoint of $100,000 increments. Payments between $10,000,001 and $20,000,000 are coded as the midpoint of $1,000,000 increments. Payments between $20,000,001 and $50,000,000 are coded as the midpoint of $5,000,000 increments. Payments between $50,000,000 and $100,000,000 are coded as the midpoint of $10,000,000 increments. Any payment of $100,000,001 or more is coded as $105,000,000. The grouping of payment amounts has the effect of slightly lowering the apparent mean and median payment amounts. For example, in the edition of the Public Use File created with data through March 31, 2004 the mean payment amount was $187,474.87 and the median was $72,500. The actual mean of the data that served as the basis for that edition of the file was $189,821.03 and the actual median was $75,000. When calculated for individual years or States, the means and medians in this file could vary slightly above or below the actual means or medians. We expect that similar relatively small differences exist for all editions of the file. Users needing exact means, medians, or other statistics may contact the Division of Practitioner Data Bank, which will provide the needed statistics if its workload permits. The exact payment amount for individual records will not be provided. [This field is blank in Adverse Action records.]

These amounts have not been adjusted for inflation. Users interested in adjusting for inflation may find additional information at the U.S. Department of Labor's Bureau of Labor Statistics (BLS) website. The BLS compiles the Consumer Price Indexes. We recommend using the "Consumer Price Index for All Urban Consumers (CPI-U) for the U.S. City Average for All Items, 1982-84=100" for inflation adjustment of malpractice payment amounts. The BLS also publishes CPI numbers specifically for medical care (prescription drugs and medical supplies, physicians' services, eyeglasses and eye care, hospital services, etc.); however, we recommend use of the broader CPI-U since malpractice payment amounts are based on many factors in addition to the cost of medical care.

Format: DOLLAR12 (with embedded $ signs and commas; CSV format omits commas)

top


TOTALPMT

Total Payment by this Payer for This Practitioner. In most cases this will equal PAYMENT; however, if the reporting entity has made or will make other payments to this plaintiff for this practitioner in this case, this variable represents the total paid or to be paid. (Payment amounts are coded into ranges. All payments of $100 or less are coded as $50. Payments from $101 to $500 are coded as $300. Payments from $501 to $1,000 are coded as $750. Payments between $1,001 and $5,000 are coded as the midpoint of $1,000 increments, e.g. payments between $1,001 and $2,000 are coded as $1,500; payments between $2,001 and $3,000 are coded as $2,500; etc. Payments between $5,001 and $100,000 are coded as the midpoint of $5,000 increments, e.g., payments between $30,001 and $35,000 are coded as $32,500, etc. Payments between $100,001 and $1,000,000 are coded as the midpoint of $10,000 increments. Payments between $1,000,001 and $10,000,000 are coded as the midpoint of $100,000 increments. Payments between $10,000,001 and $20,000,000 are coded as the midpoint of $1,000,000 increments. Payments between $20,000,001 and $50,000,000 are coded as the midpoint of $5,000,000 increments. Payments between $50,000,000 and $100,000,000 are coded as the midpoint of $10,000,000 increments. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

TOTALPMT values have not been adjusted for inflation. See the discussion of adjustment for inflation with the PAYMENT variable.

Format: DOLLAR12 (with embedded $ signs and commas; CSV format omits commas)

top


PAYNUMBR

Single or Multiple Payment. (Malpractice settlements or judgments may be paid in one payment or in multiple payments. This variable specifies which is applicable to this record.) [This field is blank in Adverse Action records.]

ValueLabel
S Single Payment
M Multiple Payments
U Unknown

top


NUMBPRSN

Number of Practitioners Included in the Payment (Payments may be made which pertain to the acts or omissions of a number of practitioners. A separate report must be filed for each named practitioner.) [This field is blank in Adverse Action records.]

Note to users concerning NUMBPRSN:

NUMBPRSN is an indicator of the total number of practitioners involved in a case. The PAYMENT and TOTALPMT fields should refer to the amounts paid or to be paid for this specific practitioner regardless of the number of other practitioners involved. Other reports should specify the amounts paid for other practitioners. Dividing PAYMENT or TOTALPMT by NUMBPRSN does not generate a meaningful result.

PAYTYPE

Payment a Result of Judgment or Settlement.

[This field is blank in Adverse Action records.]

ValueLabel
B Before Settlement (Applicable only to certain reports filed electronically in 1995 or later. See also "U" below. In other reports, it is impossible to distinguish from NPDB information situations in which a payment is made before a formal settlement from instances in which the reporting entity does not specify whether the payment is a result of a settlement or a judgment. Most such instances are believed to be payments before settlement rather than true "unknowns."
J Judgment
O Other
S Settlement
U Unknown or Before Settlement [See note with "B"]

Note to users concerning PAYTYPE:

We recommend that analysis of the PAYTYPE variable be done by considering all values except "J" to be settlements of one type or another.)

top


PYRRLTNS

Relationship of Paying Entity to the Practitioner. [This field is blank in Adverse Action records.]

ValueLabel
1 Insurance Company (Legacy report, RECTYPE = M, prior to 1/31/2004)
2 Guaranty Fund (Legacy report, RECTYPE = M, prior to 1/31/2004)
3 Self-insured Organization (Legacy report, RECTYPE = M, prior to 1/31/2004)
4 State Medical Malpractice Fund (Legacy report, RECTYPE = M, prior to 1/31/2004
E Insurance Company - Excess Insurer (RECTYPE = P, 1/31/20004 and later)
G Insurance Guaranty Fund (RECTYPE = P, 1/31/20004 and later)
M State Medical Malpractice Payment Fund - Primary Insurer (RECTYPE = P, 1/31/2004 and later)
O State Medical Malpractice Payment Fund - Secondary Payer (RECTYPE = P, 1/31/2004 and later)
P Insurance Company - Primary Insurer (RECTYPE = P, 1/31/2004 and later)
S Self-Insured Organization (RECTYPE = P, 1/31/2004 and later)

top


PTAGE

Patient Age in Groups of Years. (Patient Age at the time of the incident which led to the payment. Fractional years are used only for patients less than one year old. Fetuses are coded as -1.) This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

ValueLabel
-1 Fetus
0 Under 1 year
1 Age 1 through 9
10 Age 10 through 19
20 Age 20 through 29
30 Age 30 through 39
40 Age 40 through 49
50 Age 50 through 59
60 Age 60 through 69
70 Age 70 through 79
80 Age 80 through 89
90 Ages 90 through 99

top


PTGENDER

Gender of Patient. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

ValueLabel
F Female
M Male
U Unknown

top


PTTYPE

Patient Type (Inpatient, Outpatient, Both). This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

ValueLabel
B Both
I Inpatient
O Outpatient
U Unknown

top


AAYEAR

Year of Adverse Action.

Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the reporting entity. The process to obtain corrections for erroneous years is currently underway.(This field is blank in Malpractice Payment records.)

AACLASS1

Adverse Action Classification 1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a RECTYPE value of "A", the value shown has been translated into the new Consolidated Adverse Action Report codes from the codes used in old format reports.

ValueLabel
1110 Revocation of License (Individual)
1125 Probation of License (Individual)
1135 Suspension of License (Individual)
1138 Smry/Emrgcy Limitn/Rstctn on Lic(NPDB Only)(av 8-13-07)
1139 Sumry/Emergcy Suspension of Licn. (Phys. & Dent. Only)
1140 Reprimand or Censure (License) (Individual)
1144 Reprimand, Censure, Vol Srndr (Lic)(Indiv)(Lgcy Repts Only)
1145 Voluntary Surrender of License (Individual)
1146 Voluntary Limitation/Restriction on License(Ind)(av 8-13-07)
1147 Limitation or Restriction on License/ Practice (Individual)
1148 Denial of License (Renewal Only) (Individual)
1149 Denial of Initial License
1150 Vol Agrmt Refrn Pract/Susped Lic Pendg Complt Invtgn(Ind)(NPDB Only)(av 8/22/11)
1151 Cease and Desist(av 11-17-14)
1172 Administrative Fine/Monetary Penalty (Licensure) (Individ.)(retired)
1173 Publicly Available Fine/Money Penalty (Licensure) (Indiv)
1179 Prescriptive/Dispensing Authority Action, Specify(av 11-17-14)
1189 Publicly Avail. Negative Action/Finding Specify
1199 Other Licensure Action (Not Classfied) Specify
1280 Licensure Restored or Reinstated (Complete)(Individual)
1282 License Restored or Reinstated (Conditional)(Individual)
1283 License Restored or Reinstated (Partial)(Ind)(av 6/15/09)
1285 License Reinstatement Denied (Individual)
1295 Reduction of Previous Licensure Action (Individual)
1296 Extension of Previous Licensure Action (Individual)
1297 Modification of Previous Licensure Actn (Ind)(av 6/15/09)
1310 Reovctn Nurse Multi-State Lic Priv (Indivil)(avail 8-13-07)
1325 Probatn of Nurse Multi-State Lic Pri (Indiv)(avail 8-13-07)
1335 Suspsn of Nurse Multi-State Lic Priv (Indiv)(avail 8-13-07)
1338 Sumry/Emgcy Lmtn/Rstrct Nrs Multi-St Lic Priv(Ind)(NPDB Only)(av 3/1/10)
1339 Sumry/Emgcy Suspsn Nrs Multi-St Lic Priv(Ind)(NPDB only)(av 3/1/10)
1340 Reprmnd/Censure Nurse Multi-St Lic Priv (Ind)(av 8-13-07)
1345 Vol Surrender Nurse Multi-State Lic Priv (Ind)(av 8-13-07)
1346 Vol Lmtn/Restrct Nrs Multi-St Lic Priv (Indv)(av 8-13-07)
1347 Limit/Restrict Nrs Multi-State Lic Priv (Ind)(avail 8-13-07)
1348 Denial Renewal Nrs Multi-State Lic Priv (Ind)(av 8-13-07)
1349 Denial Initial Nrs Multi-State Lic Priv (Ind)(avail 8-13-07)
1351 Cease and Desist Multi-St Nrs Licensing Priv (Ind)(av 11/23/16)
1373 Pub Avail Fine/Mny Pnlty Nrs Multi-St Lic Prv(av 8-13-07)
1389 Pub Avl Neg Actn/Fndg Nrs Mlti-St Lic Priv,Spcfy(av 8-13-07)
1399 Other Action Nurse Multi-St Lic Priv Specify(avail 8-13-07)
1480 Nrs Multi-St Lic Priv Restord/Reinstatd, Complt (av 8-13-07)
1482 Nrs Multi-St Lic Priv Restord/Reinstatd, Condtn (av 8-13-07)
1483 Nrs Multi-St Lic Priv Restord/Reinstatd, Partial (av 6/15/09)
1485 Nrs Multi-St Lic Priv Rstoratn/Reinstmt Denied (av 8-13-07)
1495 Rdctn-Prev Nrs Multi-St Lic Priv Actn (Ind)(avail 8-13-07)
1496 Extensn-Prev Nrs Multi-St Lic Priv Action (Indv)(av 8-13-07)
1497 Modifictn of Prev Nrs Multi-St Lic Priv Actn (Ind)(av 6/15/09)
1500 Debarment from Federal Programs (Individual)
1505 Exclusion from Federal Health Care Program (Individual)
1507 Exclusion from a State Health Care Program (Individual)
1508 Excl. from Medicare, Medicaid & all Other Fed. Pgms. (Indiv)
1509 Exclusion from Medicare & State Health Care Prgrms (Indiv.)
1510 Govt Admin Termination of Medicare/ Fed. Prgm Partic (Indiv)
1512 Govt Admin Vol Termination Undr Invst, Mdcare/Othr Fed (Ind)
1513 Gov Admin Non Rnewl Mcare/Othr Prgm Ptcptn for Cause (Indiv)
1514 Modification of Previous Action (Exclusion)(Ind)(av 6/15/09)
1515 Reinstatement (Exclusion) (Individual)
1516 Reinstatement Denied (Exclusion) (Individual)
1517 Govt Admin Vol Srndr fr Medicaid/St Prgm Under Invst (Indiv)
1518 Govt Admin Nonrnwl Mcaid/Othr St Prgm Partic for Cause (Ind)
1520 Govt Admin Contract Termination (Individual) (retired 5/6/13)
1521 Govt Admin Contract Termination (Individual) (av 5/6/13)
1525 Govt Admin Denial of Initial Application (Ind)(av 6/15/09)
1530 Govt Admin Civil Money Penalty (Individual) (retired 5/6/13)
1531 Govt Admin Civil Money Penalty Imposed by a Federal or State Health Care Program (Ind) (av 5/6/13)
1532 Govt Admin Administrative Fine/Monetary Penalty (Indiv) (retired 5/6/13)
1533 Govt Admin Administrative Fine/Monetary Penalty Imposed by a Federal or State Health Care Program (Ind) (av 5/6/13)
1536 Govt Admin Administrative Fine/Monetary Penalty (Ind) (av 5/6/13)
1539 Govt Admin Civil Money Penalty (Individual) (av 5/6/13)
1550 Govt Admin Disqual of Clin Invstgtr from Recv Invest Prodcts (retired 5/6/13)
1551 Govt Admin Termination from Medicaid/Other State Prgm (Ind)
1552 Govt Admin Disqualification of Clinical Investigator From Receiving Investigational Products (Ind) (av 5/6/13)
1555 Govt Admin Disqual Based on St. Nurses Aide Reistry (Indiv)
1556 Govt Admin Negative Finding or Listing in a State Health Care Practitioner Registry (Ind) (av 5/6/13)
1560 Govt Admin Personnel Action--Employee Termination (Indiv) (retired 5/6/13)
1561 Govt Admin Personnel Action - Employee Termination (Ind) (av 5/6/13)
1562 Govt Admin Personnel Action--Employee Suspension (Indiv) (retired 5/6/13)
1563 Govt Admin Personnel Action - Employee Suspension (Ind) (av 5/6/13)
1565 Govt Admin Personnel Action--Not Classified (Individual) (retired 5/6/13)
1566 Govt Admin Personnel Action - Not Classified, Specify (Ind) (av 5/6/13)
1579 Govt Admin Other Action Imposed by Medicaid or Other State Health Care Program- Not Classified, Specify (Ind) (av 5/6/13)
1580 Govt Admin Reinstatement (Ind) (av 5/6/13)
1581 Govt Admin Reinstatement Denied (Ind) (av 5/6/13)
1582 Govt Admin Reduction of Previous Action (Ind) (av 5/6/13)
1583 Govt Admin Extension of Previous Action (Ind) (av 5/6/13)
1584 Govt Admin Modification of Previous Action (Ind) (av 5/6/13)
1588 Govt Admin Other Adjudicated Action or Decision - Not Classified, Specify (Ind) (av 5/6/13)
1589 Govt Admin Other Action--Not Classified (Individual) (retired 5/6/13)
1590 Govt Admin Reinstatement (Individual)
1592 Govt Admin Reinstatement Denied (Individual)
1595 Govt Admin Reduction of Previous Action (Individual)
1596 Govt Admin Extension of Previous Action (Individual)
1597 Govt Admin Modification of Previous Action (Ind)(av 6/15/09)
1598 Govt Admin Other Action Imposed by Medicare or Other Federal Health Care Program- Not Classified, Specify (Ind)(av 5/6/13)
1599 Govt Admin Other Certification Action - Not Classified, Specify (Ind)(av 5/6/13)
1610 Revocation of Clinical Privileges/Panel Membership(Indiv)
1615 Prof Review Emplmnt or Panel Mmbrshp Firing (av 6/15/09)
1630 Suspension of Clinical Privileges/Panel Membership(Indiv)
1632 Summary/Emergency Suspension of Clin Priv/PM(Indiv)
1634 Vol Lim,Restr/Rdct Clin Priv/Pan Mmb Invstgn (avail 8-13-07)
1635 Vol Surrender of Clin. Priv/Panel Memb. Under Investig (Ind)
1636 Voluntary Acceptance of Restrtns on Privlg (Indiv) (retired)
1637 Involuntary Resignation/Panel Membership (av 6/15/09)
1638 Vol Lv of Absence,While Undr/to Avoid Invtgtn(av 6/15/09)
1639 Smry/Emrgncy Limitn/Rstrctn/Reduction Clin Priv (Individ)
1640 Reduction of Clinical Privileges/Panel Membership (Individ)
1642 Limit/Restrict Procdures/Practce Area (av 6/15/09)
1643 Concurring Consult Required Before Procedures(av 6/15/09)
1644 Proctoring/Monitoring Required During Procedures(av 6/15/09)
1645 Other Restriction/Limitation of Clinical Privileges(Indiv)
1650 Denial of Clinical Privileges (Individual)
1655 Withdrew Renewal Appl While Undr Investgtn (av 6/15/09)
1656 Priv Expired While Under Investgtn (av 6/15/09)
1680 Clin. Priv. /Panel Memb Restored/Reinstated (Complete) (Ind)
1681 Clin Priv/Panel Memb Restored/Reinstated (Conditional) (Ind)
1682 Clin.Priv/Panel Memb Restored/Reinstated (Partial)(av 6/15/09)
1689 Clinical Privileges/Panel Mmbrshp Reinstatement Denied (Ind)
1690 Reduction of Previous Actn (Clin Priv/Panel Mmbrshp) (Ind)
1695 Extension of Previous Actn (Clin Priv/Panel Mmbrshp) (Ind)
1696 Modifictn of Previous Actn (Clin Priv/Panl Mmbrshp) (av 6/15/09)
1699 Reversal of Prev Clin Priv/PM Action, Appeal or Review (Ind) (retired)
1710 Revocation of Professional Society Membership (Individual)
1730 Suspension of Professional Society Membership (Individual)
1735 Disciplinry Probatn Affectg Membshp Rights or Priv (av 6/15/09)
1745 Other Restriction/Limitation on Prof. Soc. Membership (Ind)
1750 Denial of Professional Society Membership (Subsequent) (Ind)
1780 Professional Society Membership Reinstated (Complete) (Ind)
1781 Professional Society Mmbrshp Reinstated (Conditional) (Ind)
1789 Professional Society Membership Reinstatement Denied (Indiv)
1790 Reduction of Previous Action (Prof Soc Membership) (Indiv)
1795 Extension of Previous Action (Prof Society Membership) (Ind)
1796 Modificatn of Previous Actn (Prof Soc Mmbershp)(av 6/15/09)
1799 Reversal of Previous Prof Soc Action, Appeal or Review (Ind) (retired)
1820 Health Plan Contract Termination (Individual)
1920 Contract Termination (Individuals)
1930 Suspension of Health Plan Contract (Individual)
1931 Health Plan Contract Restriction(Ind)(av 6/15/09)
1932 Health Plan Administrative Fine/Monetary Penalty (Individ.)
1941 Health Plan Employment Termination (Individual)
1942 Health Plan Employment Suspension (Individual)
1950 Denial of Hlth Plan Contrct Applictn/Renew (Retired 6/15/09)
1951 Denial of Health Plan Initial Contract Applicatn (av 6/15/09)
1952 Denial of Health Plan Contract Renewal (ind) (av 6/15/09)
1989 Other Health Plan Action, Specify (Individual)
1990 Health Plan Reinstatement (Individual)
1992 Health Plan Reinstatement Denied (Individual)
1995 Health Plan Reduction of Previous Action (Individual)
1996 Health Plan Extension of Previous Action (Individual)
1997 Health Plan Modificatn of Previous Action (ind)(av 6/15/09)
3111 Revocation of License or Certificate (Organization)
3136 Suspension of License or Certificate (Organization)
3138 Reprimand or Censure (Licensure) (Org)
3141 Voluntary Surrender of License of Certificate (Organization)
3143 Conditional or Probationary License of Certificate (Org)
3144 Denial of License or Certificate (Renewal Only) (Org)
3145 Denial of Initial License or Certificate (Org)
3202 Directed Plan or Correction (Licen/Gov Admin) (Organization)
3203 On-Site Monitoring (Licen/Gov Admin) (Organization)
3204 Monitoring (Licensure) (Org)
3205 Directed In-Service Training (Licen/Gov Admn) (Organization)
3206 Appointment of Temporary Management (Licen/Gov Admin)(Org)
3207 Restrictions on Admissions or Services (Licen/Gov Adm) (Org)
3210 Closure of Facility (Licensure/Gov Admin) (Organization)
3212 Transfr Residnts to Othr Facil w/o Closure (Lic/GovAd) (Org)
3220 Receivership (Licensure) (Organization)
3225 Liquidation (Licensure) (Organization)
3230 Civil Money Penalty (Licensure/Gov Admin) (Organization)
3231 Civil Money Penalty Imposed by a Federal or State Health Care Program (Org) (av 5/6/13)
3232 Administrative Fine/Money Penalty (Gov Adm) (Org) (retired 5/6/13)
3233 Publicly Available Fine/Monetary Penalty (Licen) (Org)
3234 Gov Admin Administrative Fine/Monetary Penalty Imposed by a Federal or State Health Care Program (Org) (av 5/6/13)
3238 Summary/Emergency Action (NPDB Only), Specify (Org.)
3239 Other Licensure Action, Not Classified (Organization)
3281 License or Certification Restored or Reinst. Complete (Org.)
3283 License or Cert. Restored or Reinstated, Conditional (Org)
3284 License Restored or Reinstated, Partial (Org) (av 6/15/09)
3286 License or Certification Restoration/Reinstatement Denied (Org.)
3295 Reduction of Previous Licensure Action (Organization)
3296 Lic. Extension of Previous Action (Org.)
3297 Modification of Previous Licensure Action (Org) (av 6/15/09)
3500 Debarment from Federal Programs (Organization)
3505 Exclusion from a Federal Health Care Program (Organization)
3507 Exclusion from a State Health Care Program (Organization)
3508 Exclusion from Mcare, Mcaid & All Othr Fed HC Programs (Org)
3509 Exclusion from Medicare and State Health Care Programs (Org)
3510 Gov Admin Termin of Mcare/Othr Fed Prgm Partic (Organiztion)
3512 Gov Admin Vol Termntn of Mcare/Prgm Partic Undr Invest (Org)
3513 Gov Admin Nonrenwl of Mcare/Othr Prgm Partic for Cause (Org)
3515 Reinstatement from Exclusion or Debarment (Organization)
3516 Reinstatement from Exclusion or Debarment Denied (Org)
3517 Gov Adm Vol Tmntn Mcaid/St Prgm Prtcpn Undr Invst/Disc (Org)
3518 Gov Admin Non-rnwl of Mcaid/St Prgm Partic for Cause (Org)
3519 Modification of Previous Action (Exclusion) (Org) (av 6/15/09)
3520 Gov Admin Contract Termination (Organization)
3521 Gov Admin Contract Termination (Org) (av 5/6/13)
3525 Gov Admin Denial of Initial Application (Org) (av 6/15/09)
3538 Gov Admin Administrative Fine/Monetary Penalty (Org) (av 5/6/13)
3539 Gov Admin Civil Money Penalty (Org) (av 5/6/13)
3540 Gov Admin Marketing Activities Suspended or Restricte (Org)
3542 Gov Admin Beneficiary Enrollment Suspended (Organization)
3551 Gov Admin Terminatn Mcaid/State Prgm Partic for Cause (Org)
3579 Gov Admin Other Action Imposed by Medicaid or Other State Health Care Program- Not Classified, Specify (Org) (av 5/6/13)
3580 Gov Admin Reinstatement (Org) (av 5/6/13)
3581 Gov Admin Reinstatement Denied (Org) (av 5/6/13)
3582 Gov Admin Reduction of Previous Action (Org) (av 5/6/13)
3583 Gov Admin Extension of Previous Action (Org) (av 5/6/13)
3584 Gov Admin Modification of Previous Action (Org) (av 5/6/13)
3588 Gov Admin Other Adjudicated Action or Decision Not Classified, Specify (Org) (av 5/6/13)
3589 Gov Admin Other Action, Not Classified (Organization) (retired 5/6/13)
3590 Gov Admin Reinstatment (Organization)
3592 Gov Admin Reinstatement Denied (Organization)
3595 Gov Admin Reduction of Previous Action (Organization)
3596 Gov Admin Extension of Previous Action (Organization)
3597 Gov Admin Modificatn of Previous Actn (Org) (av 6/15/09)
3598 Gov Admin Other Action Imposed by Medicare or Other Federal Health Care Program- Not Classified, Specify (Org) (av 5/6/13)
3599 Gov Admin Other Certification Action - Not Classified, Specify (Org) (av 5/6/13)
3850 Accreditation Award Revoked (Org.) (av 3/1/10)
3855 Non-Accreditation/Denial of Accreditation (Org.) (av 3/1/10)
3859 Other Private Accred. Actn (Not Classified) Specify (Org.)(av 3/1/10)
3860 Accreditation (Organization) (av 3/1/10)
3862 Accreditation Restored/Reinstated, Conditional (Org.)(av 3/1/10)
3864 Accreditation Restoration/Reinstatement Denied (Org.)(av 3/1/10)
3920 Health Plan Contract Termination (Organization)
3930 Health Plan Suspension of Contract (Organization)
3932 Administrative Fine/Monetary Penalty (Organization)
3950 Denial of Contrct Applictn/Renewal (Org) (Retired 6/15/09)
3951 Health Plan Denial of Initial Contract Applicatn (av 6/15/09)
3952 Health Plan Denial of Contract Renewal (Org)(av 6/15/09)
3989 Other Health Plan Action, Specify (Organization)
3990 Reinstatement (Organization)
3992 Reinstatement Denied (Organization)
3995 Reduction of Previous Action (Organization)
3996 Extension of Previous Action (Organization)
3997 Health Plan Modificatn of Previous Actn (Org)(av 6/15/09)

*AACLASS1 Codes with Major Text Changes - Listed is the value from the previous versions.

Value Label Date of First Use Date of Last Use
1146 Reprimand, Censure, Voluntary Surrender of License
(Individual)(Legacy Reports Only)
[This is now code 1144]
8/13/2007
1173 Admin. Fine/Monetary Pnlty & Another Actn
(Licensure) (Individual)
1/8/2002
1283 License Restored or Reinstated
(Legacy Report)(Individual)
11/22/1999 6/15/2009

top


AACLASS2

Adverse Action Classification 2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

ValueLabel
(Same as AACLASS1)

top


AACLASS3

Adverse Action Classification 3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

ValueLabel
(Same as AACLASS1)

top


AACLASS4

Adverse Action Classification 4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

ValueLabel
(Same as AACLASS1)

top


AACLASS5

Adverse Action Classification 5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

ValueLabel
(Same as AACLASS1)

top


BASISCD1

Basis for Action1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a RECTYPE value of "A" (old format Adverse Action Reports), the value shown has been translated into the new Consolidated Adverse Action Report BASISCD1 codes from the codes used in old format reports.

ValueLabelDate of First UseDate of Last Use
0 Basis Code Not Required
01 Alcohol and/or Other Substance Abuse 11/22/1999 9/9/2002
03 Narcotics Violation 11/22/1999 9/9/2002
05 Fraud (Unspecified) 11/22/1999
06 Insurance Fraud (Medicare and Other Federal Gov. Program) 11/22/1999 9/9/2002
07 Insurance Fraud (Medicaid or Other State Gov. Program) 11/22/1999 9/9/2002
08 Insurance Fraud (Non-Government or Private Insurance) 11/22/1999 9/9/2002
09 Fraud in Obtaining License or Credentials 11/22/1999 9/9/2002
10 Unprofessional Conduct 11/22/1999 6/15/2009
11 Incompetence 11/22/1999
12 Malpractice 11/22/1999
13 Negligence 11/22/1999
14 Patient Abuse 11/22/1999
15 Patient Neglect 11/22/1999
16 Misappropriation of Patient Property or Other Property 11/22/1999
17 Inadequate or Improper Infection Control Practices 6/15/2009
18 Deferred Adjudication 6/15/2009
19 Criminal Conviction 11/22/1999
20 Mental Disorder 11/22/1999 9/9/2002
21 Failure to Repay Overpayment [available 1/25/2010]
22 Advertising or Marketing Services or Products That Are Discriminatory, Misleading, False, or Deceptive 11/22/1999 9/9/2002
23 Failure to Cooperate With Board Investigation 6/15/2009
24 Practicing With an Expired License 6/15/2009
25 Practicing Without a License 6/15/2009
29 Practicing Beyond Scope of Practice 11/22/1999
30 Allowing Unlicensed Person to Practice 11/22/1999 9/9/2002
31 Noncompliance with Health and Safety Requirements 11/22/1999
32 Lack of Appropriately Qualified Professionals 11/22/1999
34 Financial Insolvency
35 Drug Screening Violation 6/15/2009
36 Violation of Federal or State Tax Code 6/15/2009
37 Failure to Pay Child Support/Delinquent Child Support 6/15/2009
39 License Action by Fed., State, or Local Licensing Authority 11/22/1999
40 Exclusion/Suspension from Fed or State HC Program 11/22/1999
41 Entities Owned/Controlled by Sanctioned Individual
42 Individuals Controlling Sanctioned Entities 11/22/1999
43 Employing/Contractng w. Individ. Excluded frm Fed/St HC Prgm
44 Default on Health Education Loan or Scholarship Obligations 11/22/1999
45 * Failure to Maintain Records or Provide Medical, Financial or Other Required Information 11/22/1999
46 Failure to Grant Immediate Access 11/22/1999
47 Failure to Corrective Action
48 Failure to Obtain Surety Bond
49 Failure to Comply w. Composition of Enrollment Requirements
50 Failure to Maintain Adequate or Accurate Records 6/15/2009
51 Failure to Perform Contractual Obligations
52* Incompetence, Malpractice, Negligence (Legacy Format Reports) 11/22/1999
53 Failure to Provide Med Resnble or Nec. Items/Services 11/22/1999
54 Furnishing Unnecessary or Substandard Items/Services 11/22/1999
55 Improper or Abusive Billing Practices 11/22/1999
56 Submitting False Claims 11/22/1999
57 Fraud, Kickbacks and Other Prohibited Activities 11/22/1999
58 Imposition of Civil Money Penalty or Assessment 11/22/1999
59 Peer Review Organization Recommendation 11/22/1999
60 Felony Conviction Related to Health Care Fraud 11/22/1999
61 Felony Conviction Re: Controlled Substance Violation 11/22/1999
62 Program-Related Conviction 11/22/1999
63 Conviction Re: Patient Abuse or Neglect 11/22/1999
64 Conviction Re: Fraud 11/22/1999
65 Conviction Re: Obstruction of an Investigation 11/22/1999
66 Conviction Re: Controlled Substances 11/22/1999
69 Criminal Conviction, Not Classified 11/22/1999
70 Violation of By-Laws, Protocols or Guidelines 6/15/2009
71 Conflict of Interest 11/22/1999
72 Corporate Integrity Agreement Breach
73 Settlement Agreement Breach
74 Violation of Federal or State Antitrust Statute
75 Violation of Drug-Free Workplace Act
76 Viol. of Immig. & Nationality Act Employment Provisions
77 Viol. of ADA or Applicable Federal or State Laws
78 Viol. of Civil Rights Act or Applicable Fed or State Laws
79 Violations of Code of Ethics 6/15/2009
80 Physical Impairment 11/22/1999 9/9/2002
81 Misrepresentation of Credentials 4/30/2001
82 Debarment from Federal or State Program
83 Hospital Privileges Restricted, Suspended, or Revoked
84 Violation of State Health Code (av 6/15/09)
91 Noncompl. w Priv. Accred. Standards
92 Noncompl w Prv Accrd stds posing risk to safety/quality care
99 Other (Not Classified) 11/22/1999
A1 Failure to Meet the Initial Requirements of a License 9/9/2002
A2 Failure to Comply with Continuing Education or Competency Rqmts 9/9/2002
A3 Failure to Meet Licensing Board Reporting Requirements 9/9/2002
A4 Practicing Without a Valid License 9/9/2002
A5 Violation of or Failure to Comply with Licensing Board Order 9/9/2002
A6 Violation of Federal or State Statutes, Regulations or Rules 9/9/2002
A7 Surrendered License to Practice 9/9/2002
A8 * Clinical Priv. Restricted, Suspended or Revoked by Another Hospital or Health Care Facility 9/9/2002
A9 Fail to Meet/Comply w Contract Oblgtns or Particptn Rqrmnts
AA Failure to Comply with Corrective Action Plan 9/9/2002
AB Practicing Beyond the Scope of Privileges 9/9/2002
AC Failure to Maintain Equipment/Missing or Inadequate Equipment 9/9/2002
AD Surrendered Clinical Privileges 9/9/2002
AE Operatg w/o a License/Permits/on a Lapsed License [av 6/15/09]
AF Operating beyond scope of license (av 6/15/09)
AG Failure to Maintn Supplies/Missg or Inadequt Suppls [av 6/15/09]
AH Failure to Comply with Terms of Probation or other Previously Imposed Requirements 6/15/2009
B1 Nolo Contendre Plea 9/9/2002
C1 Failure to Obtain Informed Consent 9/9/2002
C2 Failure to Comply with Patient Consultation Requirements 9/9/2002
C3 Breach of Confidentiality 9/9/2002
D1 Sexual Misconduct 9/9/2002
D2 Non-Sexual Dual Relationship or Boundary Violation 9/9/2002
D3 Exploiting a Patient for Financial Gain 9/9/2002
D4 Abusive Conduct Toward Staff 6/15/2009
D5 Disruptive Conduct 6/15/2009
D6 Conduct Evidencing Moral Unfitness 6/15/2009
D7 Conduct Evidencing Ethical Unfitness 6/15/2009
D8 Other Unprofessional Conduct, Specify 6/15/2009
E1 Insurance Fraud (Medicare, Medicaid or Other Insurance) 9/9/2002
E2 Providing or Ordering Unnecessary Tests or Services 9/9/2002
E3 Filing False Reports or Falsifying Records 9/9/2002
E4 Fraud, Deceit or Material Omission in Obtaining License or Credentials 9/9/2002
E5 Misleading, False or Deceptive Advertising or Marketing 9/9/2002
E6 Failure to Disclose 6/15/2009
F1 Immediate Threat to Health or Safety 9/9/2002
F2 Unable to Practice safely by Reason of Alcohol or Other Substance Abuse 9/9/2002
F3 Unable to Practice Safely by Reason of Psychological Impairment or Mental Disorder 9/9/2002
F4 Unable to Practice Safely by Reason of Physical Illness or Impairment 9/9/2002
F5 Unable to Practice Safely 9/9/2002
F6 Substandard or Inadequate Care 9/9/2002
F7 Substandard or Inadequate Skill Level 9/9/2002
F8 Failure to Consult or Delay in Seeking Consultation w Supervisor/Proctor 9/9/2002
F9 Patient Abandonment 9/9/2002
FA Inappropriate Refusal to Treat 9/9/2002
FB Excessive Malpractice Cases / Extensive Malpractice History
FC Negligent Credentialing
G1 Improper or Inadequate Supervision or Delegation 9/9/2002
G2 Allowing or Aiding Unlicensed Practice 9/9/2002
H1 Narcotics Violation or Other Violation of Drug Statutes 9/9/2002
H2 Unauthorized Prescribing of Medication 9/9/2002
H3 Unauthorized Dispensing of Medication 9/9/2002
H4 Unauthorized Administration of Medication 9/9/2002
H5 Error in Prescribing, Dispensing or Administering Medication 9/9/2002
H6 Diversion of Controlled Substance 9/9/2002
H7 Inadequate security for controlled substances (org) [avail 6/15/09] 6/15/2009
H8 Expired drugs in inventory (Org) (av 6/15/09)
H9 Misbrand Drug Labels/Lack Reqrd Labelg Drugs (Org) [av 6/15/09]
I1 Diverted Conviction [av 6/6/11]

* The table below lists BASISCD1 codes with Major Text Changes - the value from previous versions is shown.

ValueLabelDate of First UseDate of Last Use
45 Failure to Maintain/Provide Records 11/21/1999
A8 Clinical Privileges Restricted, Suspended or Revoked by Another Health Care Facility 09/08/2002
52 Failure to Repay Overpayment 06/15/2009 01/24/2010

top


BASISCD2

Basis for Action2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

ValueLabel
(SAME AS BASISCD1)

top


BASISCD3

Basis for Action3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

ValueLabel
(SAME AS BASISCD1)

top


BASISCD4

Basis for Action4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

ValueLabel
(SAME AS BASISCD1)

top


BASISCD5

Basis for Action5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 9/2/2002; between 11/22/1999 and 9/2/2002 only four basis codes were allowed.

ValueLabel
(SAME AS BASISCD1)

top


AALENTYP

Adverse Action Length Type. [This field is blank in Malpractice Payment records.]

ValueLabel
I Indefinite Penalty Length
P Permanent Penalty
S Specified Penalty Length

top


AALENGTH

For specified penalty lengths, Length of Adverse Action Penalty, in Years and Fractions of Years (i.e., 2.25 is 2 years 3 months). [This field is blank in Malpractice Payment, Old Format Exclusion, and Adverse Action Records which do not have a specified penalty length.]

top


AAEFYEAR

Effective Year of Adverse Action

Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway. (This field is blank in Malpractice Payment records.)

top


AASIGYR

Year of Adverse Action Report Signature.

Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.] [This field is blank in Malpractice Payment records.]

TYPE

Type of Reporting Entity.

ValueLabel
0 Self Query Processing (Legacy)
10 Non-Fed. Malp. Payor (Legacy)
11 State Nursing Board (Legacy)
12 State Pharmacist Board (Legacy)
13 Federal Malp. Payor (Legacy)
14 State Chiropractor Board (Legacy)
15 Indiv. Malp. Payor (Legacy)
16 Malpractice Payer (Organization) (Legacy)
17* State Fund (Legacy)
18 State Optometry Board (Legacy)
19 State Podiatry Board (Legacy)
20 State Allopathic Board (Legacy)
21 Other Malpractice Payer, specify (Legacy)
22 State Osteopathic Board (Legacy)
23 Insurance Commission (Legacy)
24 State Composite Board (Legacy)
25 State Board - Other Practitioners (Legacy)
26 State Dentistry Board (Legacy)
27 Survey and Certification Agency (Legacy)
28 Other Licensing Agency Specify (Legacy)
29 State Board - Entity Licensing (Legacy)
30 Hospital (non-U.S. Government) (Legacy)
31 U.S. Government Hospital (Legacy)
32 Community Health Center (Legacy)
33 Health Maintenance Organization (Legacy)
34 Employer Health Care Purchasing Coalition or Group (Legacy)
35 Preferred Provider Organization (Legacy)
36 Group Medical Practice (Legacy)
37 End Stage Renal Disease Facility (Legacy)
38 Other U.S. Government Health Care Entity (Legacy)
39 Other Entity (non-U.S. Government) (Legacy)
40 Allopathic Professional Society (Legacy)
41 Health Insurance Company (Legacy)
42 Special Investigative Unit (Ins. Co./Health Plan) (Legacy)
43 Osteopathic Professional Society (Legacy)
44 Hospital (Legacy)
45 Home Health Agency/Organization (Legacy)
46 Dental Professional Society (Legacy)
47 Hospice / Hospice Care Provider (Legacy)
48 Managed Care Organization (MCO, PPO, HMO) (Legacy)
49 Professional Society - Other Practitioners (Legacy)
51 Mental Health Center / CMHC (Legacy)
52 Malpractice Litigant (Self) (Legacy)
53 Nursing Facility / Skilled Nursing Facility (Legacy)
54 Org. under Contract with Gov. Health Care Program (Legacy)
55 Residential Treatment Facility / Program (Legacy)
56 Medicare Program - CMS (Legacy)
57 State Medicaid Agency (Legacy)
58 Other Govt. Program Paying for Health Care Services (Legacy)
59 Indemnity Insurance Company (Legacy)
60 Self-Insured Employer Health Plan (Legacy)
61 Medicare Part A Contractor (Legacy)
62 Medicare Part B Contractor (Legacy)
63 Champus Contractor (Legacy)
64 Medicare Contractor - FI, Enrollment or Program Integrity (Legacy)
66 Other Health Care Service Provider, Specify (Legacy)
67 Other Health Plan, Specify (Legacy)
70 Accreditation Organization (Legacy)
71 State Agency (Legacy)
72 Medicaid Fraud Control Unit (Legacy)
73 State Agency Admin. State Health Care Programs (Legacy)
74 State Prosecutor or States Attorney (Legacy)
75 District Attorney/County Prosecutor, etc. (Legacy)
76 State Police/Bureau of Investigation (Legacy)
77 Health Care Investigative Unit or Task Force (Legacy)
78 Local/Municipal Police (Legacy)
79 Other Law Enforcement Agency, Specify (Legacy)
81 U.S. Attorney General (Legacy)
82 U.S. Chief Postal Inspector (Legacy)
83 U.S. Inspectors General (Legacy)
84 U.S. Attorneys (Legacy)
85 U.S. Comptroller General (Legacy)
86 U.S. Drug Enforcement Administration (Legacy)
87 U.S. Nuclear Regulatory Commission (Legacy)
88 Federal Bureau of Investigation (Legacy)
90 Federal Prosecutor or US Attorney (Legacy)
91 State Attorneys General (Legacy)
92 Peer Review Organization Non-CMS (Legacy)
93 Secretary, U.S. DHHS (Legacy)
94 Quality Improvement Organization under CMS Contract (Legacy)
95 HHS OIG Exclusion (Legacy)
96 Federal Agency Admin. Health Care Program(s) (Legacy)
97 Private Accreditation Organization (Legacy)
98 Correctional Institution (Legacy)
99 Authorized Agent (Legacy)
100 General/Acute Care Hospital
101 Children Hospital
102 Psychiatric Hospital
103 Rehabilitation Hospital
104 Long Term Care Hospital
105 Specialty Hospital
106 Critical Access Hospital
109 Other Hospital, Specify
110 Hospital in a Correctional Institution
120 Ambulatory Surgical Center
121 Ambulatory Clinic/Center
122 Health Center - All or Federally Qualified or Community
123 Student Health Services
125 Group Medical Practice
130 Mental Health Center/CMHC
135 End Stage Renal Disease Facility
140 Nursing/Skilled Nursing Facility
143 Assisted Living Facility
145 Hospice/Hospice Care Provider
150 Residential Treatment Facility/Program
160 Home Health Agency/Organization
169 Other Health Care Service Provider, Specify
170 Other Health Care Provider in a Correctional Facility
200 Employer Health Care Purchasing Coalition/Group
210 Managed Care Organization (MCO)
211 Preferred Provider Organization (PPO)
212 Health Maintenance Organization (HMO)
213 Point of Service Plan (POS)
220 Independent Practice Association (IPA)
221 Physician-Hospital Organization (PHO)
222 Third-Party Administrator (TPA)
223 Vision Services Plan
224 Dental Services Plan
225 Managed Behavioral Health Care Org.(MBHO)
230 Indemnity Health Insurance Company
231 Health Insurance Company
232 Special Investigative Unit (SIU)
240 Self-Insured Employer Health Plan
241 Managed Services Organization (MSO)
242 Delegated Credentialing Services Provider
259 Other Health Plan, Specify
300 Health Care Practitioner Licensing Board/Authority
320 Health Care Facility Licensing Board/Authority
330 Insurance Commission
349 Other Licensing Board/Authority, Specify
350 Survey and Certification Agency
400 Allopathic Professional Society
401 Dental Professional Society
402 Osteopathic Professional Society
409 Professional Society - Other Practitioners, Specify
500 Malpractice Payer (Organization)
510 State Insur. Guarty/Guar. Fund or Insolvt Insurer Fund
511 State Gov. Patient Compensatn, Excess Judgmt or Stablzatn Fund
515 Self-Insured Entity (not eligible to register in other category)
519 Other Malpractice Payer, Specify
600 Federal Prosecutor or US Attorney
601 Fed. Inspector General Office/Investigative Agency
606 State Prosecutor or States Attorney
607 State Police/Bureau of Investigation
608 Medicaid Fraud Control Unit
610 Local Prosecutor/District Attorney
611 Local/Municipal Police
622 Correctional Institution
629 Other Law Enforcement Agency, Specify
650 Medicare Program - CMS
660 Medicaid Agency
679 Other Govt. Program Paying for Health Care Services
689 Org. Under Contract w/ Govt. Health Care Program
700 Peer Review Org. Under Contract w/ CMS
710 Peer Review Org. Not Under Contract w/ CMS
800 Private Accreditation Organization

*The table below shows a TYPE code with a major text change - the text shown was previously used.

ValueLabel
17 State Fund

The following eleven variables are not contained in NPDB reports but instead are calculated at the time the public use file is created. The values of the "NPxxxRPT" variables and ACCRRPTS variable will be the same in all reports for a given practitioner (i.e., all records with the same PRACTNUM value). The FUNDPYMT variable will have a value shown only for malpractice payment records.

top


PRACTNUM

Practitioner Number. (This number is assigned solely to each individual practitioner listed in this edition of the NPDB Public Use Data File. Its use allows researchers to link reports concerning the same practitioner. For example, if the fictional Dr. James Kildare had been reported for a malpractice payment, a clinical privileges action, and a state licensure action, the records for all three reports would list the same PRACTNUM in this file. PRACTNUM values are assigned during the creation of this file and are unique to this file. PRAACTNUM is not used by the National Practitioner Data Bank in any way. It is neither linked to nor derived from any practitioner identification numbers used by the National Practitioner Data Bank. Note also that although all records of a given practitioner will have the same PRACTNUM in this edition of the Public Use Data File, that same practitioner may have a different PRACTNUM in other editions of the Public Use Data Files prepared on different dates.)

top


ACCRRPTS

Subject's Number of Accreditation Reports.

Caution: This variable counts the number of accreditation actions for the subjects in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the subject's number of accreditation action reports in your selected subset. For example, if subject number 1545 has three accreditation action reports, two for Kansas accreditation actions and one for a Missouri accreditation action, a researcher who selected only Missouri accreditation action for analysis would have only one record for subject number 1545 in his or her Missouri data file, but that record would say the subject has three accreditation action reports, not one.

top


NPMALRPT

Subject's Number of Malpractice Payment Reports submitted under Title IV.

Caution: This variable counts the number of malpractice payments for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of payment reports in your selected subset. For example, if practitioner number 1545 has three malpractice payment reports, two for Kansas payments and one for a Missouri payment, a researcher who selected only Missouri malpractice payments for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three malpractice payment reports, not one.

top


NPLICRPT

Subject's Number of Licensure Reports submitted under Title IV and/or Section 1921.

Caution: This variable counts the number of licensure actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of licensure action reports in your selected subset. For example, if practitioner number 1545 has three licensure action reports, two for Kansas licensure actions and one for a Missouri licensure action, a researcher who selected only Missouri licensure actions for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three licensure action reports, not one.

top


NPCLPRPT

Subject's Number of Clinical Privileges or Panel Member Reports submitted under Title IV.

Caution: This variable counts the number of clinical privileges or panel membership actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of clinical privileges or panel membership action reports in your selected subset. For example, if practitioner number 1545 has three clinical privileges or panel membership action reports, two for Kansas actions and one for a Missouri action, a researcher who selected only Missouri clinical privileges or panel membership actions for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three clinical privileges or panel membership action reports, not one.

top


NPPSMRPT

Subject's Number of Professional Society Membership Reports submitted under Title IV.

Caution: This variable counts the number of professional society membership action reports for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of professional society membership action reports in your selected subset. For example, if practitioner number 1545 has three professional society membership reports, two for Kansas actions and one for a Missouri action, a researcher who selected only Missouri professional society membership actions for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three professional society membership action reports, not one.

top


NPDEARPT

Subject's Number of DEA Reports submitted under Title IV.

Caution: This variable counts the number of DEA actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of DEA action reports in your selected subset. For example, if practitioner number 1545 has three DEA action reports, two for DEA actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one DEA action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three DEA action reports, not one.

top


NPEXCRPT

Subject's Number of Exclusion Reports submitted under Title IV and/or Section 1921.

Caution: This variable counts the number of exclusion actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of exclusion action reports in your selected subset. For example, if practitioner number 1545 has three exclusion action reports, two for exclusion actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one exclusion action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three exclusion action reports, not one.

top


NPGARPT

Subject's Number of Government Administrative Reports submitted under Section 1921.

Caution: This variable counts the number of government administrative actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of government administrative action reports in your selected subset. For example, if practitioner number 1545 has three government administrative action reports, two for government administrative actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one government administrative action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three government administrative action reports, not one.

top


NPCTMRPT

Subject's Number of Contract Termination Reports submitted under Section 1921.

Caution: This variable counts the number of contract termination actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of contract termination action reports in your selected subset. For example, if practitioner number 1545 has three contract termination action reports, two for contract termination actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one contract termination action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three contract termination action reports, not one.

top


FUNDPYMT

Malpractice Payment Made by a State Patient Compensation Fund, Excess Judgment Fund, or Other Similar State Funds. (Nine States -- Florida, Indiana, Kansas, Louisiana, Nebraska, New Mexico, Pennsylvania, South Carolina, and Wisconsin -- have or had State funds which make malpractice payments in addition to the payment made by a practitioner's primary malpractice insurance carrier if the total amount of the settlement or judgment is more than a maximum amount set in State law for payments by a primary insurance carrier. If such payments are made, there are in most cases two reports to the NPDB, one from the primary malpractice insurance carrier and one from the State fund, for a single malpractice incident. [In some instances, however, a State fund may be the only payer.] Note that payments made by these funds have the effect of increasing the number of reports and decreasing the mean and median payment amounts in the affected States. Some of these funds have made payments for practitioners not practicing in the State of the fund at the time of the malpractice incident and some routinely make some payments for practitioners who are not covered by any primary carrier. New York has a malpractice carrier of last resort which sometimes is a practitioner's only carrier and sometimes provides only excess coverage. Payments by this New York carrier are NOT identified as state fund payments.) [This field is blank except for Malpractice Payment records.]

ValueLabel
0 Malpractice Payment Made by an Insurance Company or Self-Insured Entity
1 Malpractice Payment Made by a State Fund

top