Healthcare Provider Database – Technical Documentation
Complete field inventory, data coverage, and intelligence capabilities
1. Database Overview
Our healthcare database fields provide comprehensive intelligence across 10.4 million provider records. Each record contains 45 structured data points including prescribing patterns, procedure volumes, technology stack, and verified contact information. This documentation outlines every available field, coverage percentages, and practical use cases.
10.4M
Total Provider Records
96.4%
Email Verification Rate
98%
NPI Validated
45
Data Points Per Record
| Data Category | Records with Data | Coverage % | Update Frequency |
|---|---|---|---|
| Basic Contact Information | 10,380,376 | 100% | Monthly |
| Email Addresses (Verified) | 10,006,682 | 96.4% | Monthly |
| NPI Numbers (Validated) | 10,172,768 | 98.0% | Quarterly |
| State License Information | 9,757,553 | 94.0% | Quarterly |
| Prescribing Data (Rx) | 4,671,169 | 45.0% | Quarterly (CMS) |
| Procedure Codes (HCPCS/CPT) | 3,944,542 | 38.0% | Quarterly (CMS) |
| EHR/EMR System Data | 2,076,075 | 20.0% | Annual (ONC) |
| Medicare Participation | 8,304,300 | 80.0% | Quarterly |
2. Complete Healthcare Database Fields Inventory (45 Fields)
Professional Identity (11 Fields)
National Provider Identifier (NPI)
First Name
Middle Name
Last Name
Contact Name
Credential (MD, DO, RN, etc.)
Gender
Specialty
State License Number
State License Code
Graduation Year
Contact & Location (9 Fields)
Email Address
Phone Number
FAX Number
Web Address
Address
City
County
State
ZIP Code / Country
Practice Intelligence (6 Fields)
Number of Group Practice Members
Hospital Identifier
Number of Hospital Beds
PAC ID
Professional Enrollment ID
Professional Accepts Medicare Assignment
Technology & Compliance (10 Fields)
Participating in eRx (E-Prescribing)
Participating in PQRS
EHR/EMR Type
EHR/EMR Vendor Name
EHR/EMR Product Name
EHR/EMR Product Version
EHR/EMR Certification Number
Product Certification Edition Year
Attestation Month / Year
Provider Stage Number
Clinical Intelligence – Prescribing (3 Fields)
Prescribing Drug Name
Prescribing Drug Name – Prescribed Count
Prescribing Drug Name – Total Claims
Source: CMS Part D Prescriber Data (updated quarterly). Covers 4.7M providers (45% of database). Typically includes top 10-50 prescribed drugs per provider with claim counts.
Clinical Intelligence – Procedures (3 Fields)
HCPCS/CPT Codes
HCPCS/CPT Codes – Line Service Count
HCPCS/CPT Codes – Total Claims
Source: CMS Physician Utilization Data (updated quarterly). Covers 3.9M providers (38% of database). Includes procedure codes performed with service counts and claim volumes.
3. Healthcare Database Fields – Intelligence Applications by Use Case
Different healthcare database fields combinations enable specific business intelligence use cases. Below are documented applications with required fields.
1
Pharmaceutical Sales Targeting
Objective: Identify physicians prescribing specific drugs or treating specific conditions for competitive displacement or market expansion.
Required Fields:
Query Example:
SELECT First_Name, Last_Name, Specialty, Prescribing_Drug_Name, Prescribed_Count
FROM healthcare_providers
WHERE Prescribing_Drug_Name = ‘Lipitor’
AND Prescribed_Count >= 200
AND Specialty = ‘Cardiology’
AND State IN (‘CA’, ‘TX’, ‘FL’)
ORDER BY Prescribed_Count DESC;
Result Set: 8,442 cardiologists prescribing Lipitor 200+ times annually in CA/TX/FL
Sample Record:
| NPI | 1234567890 |
| Name | Dr. Sarah Chen, MD |
| Specialty | Cardiology – Interventional |
| State Licenses | CA #A12345 (Active), TX #67890 (Active) |
| Practice | Cardiology Medical Group (8 providers) |
| [email protected] (Verified Jan 2025) | |
| Phone | (415) 555-0123 |
| Prescribing Profile (Last 12 Months) | ||
|---|---|---|
| Drug Name | Prescriptions | Claims |
| Lipitor (Atorvastatin) | 450 | 2,340 |
| Crestor (Rosuvastatin) | 180 | 945 |
| Plavix (Clopidogrel) | 220 | 1,155 |
| Zocor (Simvastatin) | 95 | 485 |
Clinical Intelligence: High-volume statin prescriber with 450+ annual Lipitor prescriptions. Strong candidate for competitive cholesterol medication targeting.
2
Medical Device Marketing – High-Volume Procedure Targeting
Objective: Find surgeons performing high volumes of specific procedures who represent strong prospects for surgical devices, implants, or equipment.
Required Fields:
Query Example:
SELECT First_Name, Last_Name, Specialty, CPT_Code, Service_Count, Group_Size
FROM healthcare_providers
WHERE CPT_Code = ‘27447’ — Total Knee Arthroplasty
AND Service_Count >= 150
AND Specialty = ‘Orthopedic Surgery’
ORDER BY Service_Count DESC;
Result Set: 1,247 orthopedic surgeons performing 150+ knee replacements annually
Sample Record:
| NPI | 9876543210 |
| Name | Dr. Michael Rodriguez, MD |
| Specialty | Orthopedic Surgery – Joint Replacement |
| License | TX #OR-45678 (Active) |
| Hospital | Memorial Medical Center (450 beds) |
| Practice | North Texas Orthopedics (12 surgeons) |
| [email protected] (Verified Feb 2025) |
| Procedure Volume (Last 12 Months) | ||
|---|---|---|
| CPT Code / Procedure | Procedures | Claims |
| 27447 – Total Knee Arthroplasty | 220 | 1,870 |
| 27130 – Total Hip Arthroplasty | 145 | 1,233 |
| 27486 – Revision Knee Replacement | 38 | 323 |
| 29881 – Knee Arthroscopy | 95 | 808 |
| Medicare Claims Total: $4.2M annually | ||
Clinical Intelligence: High-volume joint replacement surgeon (220+ knee, 145+ hip annually). Prime target for orthopedic implants, surgical instruments, and robotics.
3
Healthcare Technology Sales – EMR System Upgrade Targeting
Objective: Identify practices using outdated EMR systems or not participating in key programs, indicating readiness for system upgrades.
Required Fields:
Query Example:
SELECT Contact_Name, EHR_Vendor, Product_Version, Certification_Year, Group_Size
FROM healthcare_providers
WHERE Certification_Year < 2018
AND (eRx_Participation = 'No' OR PQRS_Participation = 'No')
AND Group_Size >= 5
ORDER BY Group_Size DESC;
Result Set: 18,340 practices with outdated EMR systems and 5+ providers
Sample Record:
| Practice Name | Mountain View Family Practice |
| Group Size | 12 providers (7 MD, 3 NP, 2 PA) |
| Specialty Mix | Family Medicine (70%), Internal Medicine (30%) |
| Location | Denver, CO |
| Patient Volume | ~24,000 annually (from claims) |
| [email protected] |
| Current Technology Stack | |
|---|---|
| EHR Vendor | Allscripts |
| Product | Professional EHR v10.2 |
| Version Date | 2016 (9 years old) |
| Certification | 2014 Edition (outdated) |
| Last Attestation | 2019 |
| Program Participation | |
|---|---|
| eRx (E-Prescribing) | No |
| PQRS | No |
| Medicare EHR Incentive | Not participating |
| Meaningful Use | Stage 1 only |
Clinical Intelligence: Behind on compliance, outdated 9-year-old system, not participating in eRx or PQRS. Strong upgrade candidate for modern cloud EMR.
4
Healthcare Recruitment – Relocation Candidate Identification
Objective: Identify mid-career professionals licensed in multiple states who may be open to relocation opportunities.
Required Fields:
Query Example:
SELECT First_Name, Last_Name, Specialty, Graduation_Year, License_States, Group_Size
FROM healthcare_providers
WHERE Graduation_Year BETWEEN 2010 AND 2015
AND License_State_Count >= 3
AND Group_Size <= 2
AND Specialty IN ('Emergency Medicine', 'Hospitalist', 'Anesthesiology')
ORDER BY License_State_Count DESC;
Result Set: 12,845 providers with multi-state licenses in small practices
Sample Record:
| NPI | 5647382910 |
| Name | Dr. Jennifer Wu, MD, FACEP |
| Specialty | Emergency Medicine |
| Credential | Board Certified Emergency Medicine |
| Graduation | Stanford Medical School, 2012 (13 years experience) |
| Current Practice | Solo / Independent Contractor (1099) |
| [email protected] (Verified Jan 2025) |
| Multi-State License Portfolio | |
|---|---|
| California | #A-98765 (Active, exp: 2026-12-31) |
| Nevada | #NV-12345 (Active, exp: 2027-03-15) |
| Arizona | #AZ-54321 (Active, exp: 2026-08-30) |
| Texas | #TX-67890 (Active, exp: 2027-06-15) |
| 4 Active State Licenses (signals relocation willingness) | |
| Technology Profile | |
|---|---|
| eRx Participation | Yes (tech-savvy) |
| PQRS | Yes |
| DEA | Active in all 4 states |
Clinical Intelligence: Mid-career emergency physician with 4-state licensing and no group ties. Excellent relocation candidate for ER director or hospitalist leadership. Ready to start immediately.
4. Comparative Analysis – Data Depth vs. Industry Standard
| Data Category | EmailAddress.ai | Typical Healthcare Database |
|---|---|---|
| Basic Contact Fields | Name, Email (96.4% verified), Phone, Address | Name, Email (claimed 80%), Phone |
| NPI Verification | 98% validated against NPPES | Often unverified or missing |
| State Licensing Data | License numbers + codes (94% coverage) | Rarely included |
| Prescribing Intelligence | 4.7M records with drug names + counts | Not typically available |
| Procedure Code Data | 3.9M records with HCPCS/CPT codes | Not typically available |
| EHR/EMR System Data | 2.1M records with vendor/version/certification | Not available |
| Sub-Specialty Granularity | 1,000+ tracked subspecialties | 50-100 broad categories |
| Update Frequency | Monthly (890K records/month) | Annual updates |
| Medicare Participation | 80% coverage | Rarely tracked |
| Technology Stack (eRx/PQRS) | Participation flags included | Not available |
5. Data Sources & Methodology
| Data Category | Primary Source | Update Frequency | Verification Method |
|---|---|---|---|
| NPI Numbers | NPPES (National Plan & Provider Enumeration System) | Quarterly | Direct API validation |
| State Licenses | State Medical Boards (50 states) | Quarterly | State board verification |
| Prescribing Data | CMS Part D Prescriber Public Use File | Quarterly | CMS published dataset |
| Procedure Codes | CMS Physician & Other Supplier Data | Quarterly | CMS published dataset |
| EHR/EMR Systems | ONC Certified HIT Products List | Annual | ONC attestation data |
| Email Addresses | Multi-source aggregation | Monthly | MonthlySMTP verification + bounce tracking |
| Contact Information | Practice websites, NPI registry, state boards | Monthly | Phone validation + address verification |
Related Healthcare Data Resources
By Use Case:
By Specialty: