The National Practitioner Data Bank is a database operated by the U.S. Department of Health and Human Services that contains medical malpractice payment and adverse action reports on health care professionals. Hospitals and state licensing boards submit information on physicians and other health care practitioners, including clinical privileges restrictions, actions against physicians' licenses, and medical malpractice payments that is kept in the NPDB database. Only authorized users are permitted by statute to "query" this information in the NPDB. The NPDB was created by Congress with the primary goals of improving health care quality, protecting the public and reducing health care fraud and abuse. The NPDB is managed by the Bureau of Health Workforce of the Health Resources and Services Administration in the U.S. Department of Health and Human Services. Before May 6, 2013, the Data Bank comprised the National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. The two were consolidated by Section 6403 of the Affordable Care Act of 2010, Public Law 111-148. In enacting, the National Practitioner Data Bank-enabling legislation, the Health Care Quality Improvement Act of 1986, Congress intended for physicians to receive "full due process rights with notice and representation".
Private accreditation organization negative actions or findings against a health care practitioner or entity
Exclusions from Federal or State health care programs
Other adjudicated actions or decisions
Access
Access to the information is limited, and is not available to the general public. It is provided to hospitals, other health care entities, professional societies, state and federal licensing and certification authorities, and agencies or contractors administering Federal or State health care programs. In addition, individual healthcare providers can obtain access to their own records; this information is also in some cases available to those who may be suing them. Researchers may also obtain statistical data, but not data on individuals.
Anonymized data
Public access is available which contains no identifying information. In 2011, this access was removed after someone was able to identify a doctor in the database, but it was restored thereafter.
