CMMI Model Data Sharing (CMDS) Provider File

The Provider file is one of a set of three file types (entity, provider, beneficiary) included for each model. A Provider is a Medicare provider/supplier who has an arrangement with an Entity to participate as a member of their entity group in a model.

What does this file include? (variable highlights)

  • Model ID (in which the Provider participates)
  • Entity ID (with which the Provider is associated)
  • National Provider Identifier (NPI)
  • Tax Identification Number (TIN)
  • CMS Certification Number (CCN)
  • Provider Start Date
  • Provider End Date
  • Provider Participation Type Code

The Entity ID is the only key field needed to link a Provider to their Entity.

The NPI, TIN, and/or CCN can be used to link to claims and other relevant CCW data.

A Provider may have an End Date of 12/31/9999, which indicates that the Provider is “currently” participating in the model.

Availability of this file

Varies by model start and end date

This file set will be updated on a quarterly basis, reflecting changes captured for the prior quarter.

See what is in this file