Roughly 2,700 practices, clinics and facilities register with the federal government every week, and every one of them is choosing its billing company, its suppliers and its services right now. You get the practice name, the business phone, the full address, and the name and title of whoever signed the registration.
See the plans — $99 one state, $299 national →A new practice needs billing and payer enrollment before its first claim. One client is worth thousands a year — be the first call.
New offices buy everything at once: exam tables, instruments, consumables. Catch them at setup, not after.
EHR resellers, IT, compliance, waste disposal, cleaning — every new practice signs these contracts in its first 90 days.
New practices have zero patients and a marketing budget. The best-timed pitch in healthcare.
New practices choose their billing partner, suppliers, and services in their first weeks — timing is the whole edge.
→ See 20 real records in full — practice, phone, decision-maker and title, and a link to check each one free at the federal registryReal records from the CMS National Provider Identifier registry. Practices register when they form — typically days to weeks before seeing patients. We tell you the moment they surface.
You should check it. Every record we sell links back to the federal registry so that you can, and we would rather you did. But the free route does not answer the question this product asks, and it is worth being specific about why.
The free lookup cannot filter by date at all. There is no registration-date field in it, so there is no way to ask it who registered this month — tested directly against the live API, which returns practices from 2013 and 2026 side by side and ignores a date filter entirely. The bulk files are the only route that carries the date. The full one runs to over a gigabyte. The weekly one is small, and it is the interesting case.
One recent weekly file held 35,294 rows. Only 6,275 of them were organizations rather than individual practitioners. Only 2,785 of those were actually new — the other 3,490 are updates to practices that registered years ago, a corrected phone number or a new address, sitting in the same file with nothing to mark them apart. More than nine rows in ten are not a new practice, and the file does not contain a column that says so. Four things sit between that and a list you can call. All four are ours.
1. The diff. We pull the file and compare it against our own history, which is what makes “registered in the last 30 days” something that can be handed to you at all — and what lets a subscription send only what is new since your last sheet instead of the whole file again.
2. Organizations only. Individual practitioners sit alongside organizations in the same file, and only the organizations are practices opening their doors. The individuals are dropped before delivery.
3. Specialties as words, not codes. A specialty arrives as
251E00000X rather than Home Health Agency, and each record
carries fifteen taxonomy slots whose primary flag is often not the first one
— so reading them naively mislabels about one row in six.
4. The cross-reference. The same practice filed twice. One phone answering for five different company names. A name holding twenty-two NPIs because it is a national group and not a new independent office. None of that is visible in a single row; it surfaces only by cross-referencing the whole table at once. We flag every one of them in a Data Note column and leave the row in, because you paid for it and you decide.
What arrives is the government’s own record, unchanged — we never add a field from anywhere else. The work is in finding the right rows and telling you what is wrong with them, not in improving them.
Comparing us against the bigger provider databases? We wrote the honest side-by-side, with their real prices and links so you can check them — including when you should buy theirs instead of ours: what a new-practice list should cost in 2026 →
The federal registry does not publish them and we never append them from anywhere else, so nothing in your file is a guess. You get the business phone the owner gave the government, plus the name and title of whoever signed the filing.
No vendor has been chosen, no biller, no credentialing partner — which is exactly why reaching them now is worth anything at all. It also means many are not answering a phone yet, so at this stage mail and LinkedIn land better than a cold call. Every row carries the street address the practice filed with CMS and the full name and title of the person who signed the filing, which is precisely what those two channels need. Expect a low connect rate if you lead with the phone — better you know now than at row 200.
A Data Note column marks a phone that will not dial, a number shared across businesses, a duplicate filing, or a national group rather than a new practice. Nothing is ever deleted on your behalf.
Pick your plan, tell us the state, and your file is built and emailed without anyone touching it — usually within a few minutes.
Pick your scope — one state, or all fifty. Then pick how you pay: once, or every Monday. Every specialty is included at every price, with nothing held back.
The one-time file gets you current — everything from the last 30 days, emailed the moment you order. The subscription keeps you current — every Monday, the new records since your last sheet.
Take the catch-up first if you want the last month as well. Either one stands on its own.
Volume varies enormously by state. Pick yours and the real count appears on the plan below.
All 50 states plus DC and Puerto Rico. Every specialty.
Every Monday, the new records nationwide since your last sheet.
Subscribe — $299/month →Recurring: $299 charged every month until you cancel. No minimum term, no cancellation fee. Cancel any time in the billing portal.
All 50 states plus DC and Puerto Rico. Every specialty.
The catch-up file: everything that registered nationwide in the last 30 days, emailed the same day.
Buy the catch-up file →The state you choose above. Every specialty.
Every Monday, your state’s new records since your last sheet.
Subscribe — $99/month →Recurring: $99 charged every month until you cancel. No minimum term, no cancellation fee. Cancel any time in the billing portal.
The state you choose above. Every specialty.
The catch-up file for your state: the last 30 days, emailed the same day.
Buy the catch-up file →If your file lands more than 15% under the count we quoted, you choose: a wider window, a replacement, or a refund. Before delivery, a one-time order is refundable in full, no questions asked.
Not ready to buy? The free weekly digest sends you the highlights every week — no card, unsubscribe anytime.
FreshMedLeads reports public records as published in the CMS NPPES registry. Not affiliated with CMS or HHS. Records are informational — verify before you rely on them.