Primary Care Practitioner Indicator

Updated research request forms and data security approval requirement effective 4/24/23

This variable is contained in the following files:

Next Generation ACO Model Provider RIF Pioneer Accountable Care Organization (ACO)

SAS Name

PCP_FLAG

An indicator of whether the participating provider was considered a primary care specialist for purposes of applying exclusivity rules.

Comments

The primary care specialist flag is not set for Performance Year 1 (PY1) providers. The primary care specialist flag is used solely to apply rules governing whether a provider may be listed as a participating provider by more than one Pioneer ACO.

Source: CMS Participating Provider Pioneer ACO RIF

Code	Code value
N	non-primary care specialist
Y	primary care specialist