Every commercial list of US medical practices is built from the same free federal source: the CMS NPPES registry. Nobody has secret data. What you are actually paying for is scope (all providers, or only the new ones) and freshness (how often it refreshes). Full-universe databases run about $199 for one state to $3,799 a year nationally. A new-registrations-only feed starts at $99.
Last updated 29 August 2026. All competitor prices below were read directly from the vendors' own public pricing pages on that date and are linked so you can check them.
The National Plan and Provider Enumeration System (NPPES) is run by the Centers for Medicare & Medicaid Services. Every practice, clinic and facility that wants to bill insurance has to register and receive an NPI number. CMS publishes the full file, and a weekly file of changes, free to anyone.
That matters because it sets the honest floor for this whole market: the raw data costs nothing. Roughly 2,700 organisations register every week. Any vendor charging you money is charging for the work on top — parsing a multi-gigabyte monthly file, filtering, deduplicating, and figuring out what actually changed.
Because the free file is a full national dump with no "what's new" column, no filtering, and a format that is not usable in a spreadsheet without engineering. If you have a developer and a few days, download it yourself — genuinely. If you do not, you are buying that work.
| What you get | Vendor | One-time | Ongoing updates | Refresh rate |
|---|---|---|---|---|
| Every provider in one state the full universe, active and long-established |
CarePrecise | $199 | $597/yr quarterly $1,791/yr monthly |
Quarterly or monthly |
| Every provider nationally all 50 states, DC, PR and territories |
CarePrecise | $669 | $1,769/yr quarterly $3,799/yr monthly |
Quarterly or monthly |
| Only the new registrations, one state last 30 days, or new every week |
FreshMedLeads | $99 | $99/month | Weekly |
| Only the new registrations, national all 50 states plus DC and PR |
FreshMedLeads | $299 | $299/month | Weekly |
| Raw federal file unfiltered, unparsed, no change detection |
CMS NPPES | Free | Free | Weekly changes, monthly full file |
These are not the same product and should not be read as one being a cheaper version of the other. A full-universe database contains millions of records including practices that opened twenty years ago. A new-registrations feed contains only what appeared recently — roughly 2,700 organisations nationally per week.
A full-universe vendor hands you a snapshot and leaves the hard part to you: working out what changed since the last one. That is a real engineering job, and doing it wrong is how people end up calling the same practice three times or missing it entirely.
Our entire product is that diff. We hold the history, compare each new federal file against it, and send you only the records that were not there before. If your team can run that comparison in-house, a cheaper full-universe download is genuinely the better buy and we would rather tell you that than sell you the wrong thing.
The underlying registry is, yes. CMS publishes it at no cost. You are paying for parsing, filtering, deduplication and change detection — not for access to something secret. We say this on every page because a buyer who finds it out later, on their own, is entitled to feel misled.
CMS publishes a weekly changes file. We ingest it weekly and send subscribers only what is new since their last sheet, every Monday. Vendors selling the full universe typically refresh quarterly or monthly, so a practice that registered this week may not appear in their file for weeks.
Practice or facility name, specialty, business phone, full address, the name and title of the person who signed the registration, and the registration date. There are no email addresses — NPPES does not publish them, and no vendor working from this source has them either. Expect a lower connect rate than an email list. We would rather you knew that before you paid.
It is public federal record data about businesses, not consumers, and it contains no health information. Normal business-to-business marketing rules still apply to you as the sender — CAN-SPAM for email, and the TCPA's restrictions on automated or prerecorded calls to mobile numbers.
Volume varies enormously by state. Pick your state on the homepage and the current count appears before you pay anything.
Yes. There is a free sample file, and a free weekly digest you can subscribe to without giving a card.
Check your state's real count, look at a sample row, then decide. If the full-universe database is the better fit for what you are doing, buy that instead — the links above go straight to it.