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2855 excluded physicians — active NPI
149 patient abuse convictions
716 migrated post-exclusion
$23.9M industry payments to excluded MDs

Key Findings

  • 2,855 federally excluded physicians still maintain active National Provider Identifier (NPI) records
  • 149 physicians convicted of patient abuse or neglect have active NPI records
  • 202 convicted of felony healthcare fraud maintain active provider identifiers
  • 716 excluded physicians (25%) migrated to a different state after exclusion

This investigation cross-references federal exclusion records against the national provider registry to identify physicians who are federally excluded from Medicare/Medicaid but still maintain active National Provider Identifier (NPI) records.

Methodology

Excluded physicians from the OIG LEIE are matched against active NPI records in the CMS NPPES using a multi-tier matching approach: NPI direct match (highest confidence), name + state + DOB match, and name + state match with confidence modifiers for name commonality and ZIP overlap.

Results are further cross-referenced against state medical board disciplinary actions (NY OPMC, CA DHCS) and CMS Open Payments data to identify excluded physicians who also received industry payments or state-level sanctions.

Explore by State

Each state has a detailed factsheet with per-capita rates, exclusion type breakdowns, migration patterns, and priority cases. Browse all states.

Downloads

For newsrooms: the full dataset is available on request. Contact editor@thepublicledgers.org.