What is NPDB?

The National Provider Data Bank (NPDB) collects information on medical malpractice payments and specific adverse actions and discloses that information to eligible entities.

Entities that are required to report to the NPDB include medical malpractice payers, hospitals and other healthcare entities, professional societies, health plans, peer review organizations, private accreditation organizations, federal government agencies, state law enforcement agencies, state Medicaid fraud control units, state agencies administering or supervising the administration of a state health care program, and state licensing and certification authorities (including state medical and dental boards). The information required to be reported to the NPDB concerns healthcare practitioners, entities, providers, and suppliers.

The NPDB is meant to be used as one of many tools available to healthcare entities of all types as they make licensing, certification, hiring, credentialing, contracting, and similar decisions. The NPDB can provide valuable background information, but healthcare entities should use the NPDB in conjunction with other resources when making personnel and contracting decisions.

When a client is contracted for National Practitioner Data Bank (NPDB) continuous query (CQ), the client will need to use the NPDB data template to upload data. The template will look and act like the standard individual template with additional NPDB fields. Where possible, ProviderTrust will use fields already required for ProviderTrust monitoring and verifications when sending data to NPDB. Provider data from the National Practitioner Data Bank (NPDB) refreshes automatically every 90 days for all enrolled providers. This ensures our clients are always working with current information without manual intervention.