Centers for Medicare and Medicaid Services
The Centers for Medicare and Medicaid Services (CMS) is the federal agency that provides health coverage to more than 160 million Americans through Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the Health Insurance Marketplace. CMS operates one of the largest public API programs in the U.S. government, including the FHIR-based Blue Button 2.0, Beneficiary Claims Data API (BCDA), and Data at the Point of Care (DPC); the data.cms.gov Socrata Open Data API covering Medicare claims, provider, and enrollment datasets; the Medicare Provider Data Catalog (Hospital Compare, Nursing Home Compare); the Healthcare.gov Marketplace API; NPPES and NPI Registry APIs; the QPP Measures API; and Medicaid Transformed Medicaid Statistical Information System (T-MSIS) resources.
APIs
CMS Blue Button 2.0 API
Blue Button 2.0 is a standards-based HL7 FHIR R4 API that delivers Medicare Part A, B, and D claims data for over 60 million beneficiaries to registered third-party applications...
CMS Beneficiary Claims Data API (BCDA)
The Beneficiary Claims Data API (BCDA) is a Bulk FHIR API that delivers Medicare Part A, B, and D claims data to Medicare Shared Savings Program ACOs, ACO REACH participants, an...
CMS Data at the Point of Care (DPC) API
Data at the Point of Care is a FHIR Bulk Data API that delivers Original Medicare claims data to fee-for-service providers for the patients currently under their care, enabling ...
CMS Socrata Open Data API (data.cms.gov)
data.cms.gov hosts hundreds of CMS datasets including Medicare Fee-for-Service utilization and payment data, Provider of Services files, Medicare Part B/D Prescriber summaries, ...
CMS Provider Data Catalog API (Care Compare)
The Provider Data Catalog API (formerly Hospital Compare) exposes the Medicare.gov Care Compare datasets including Hospital, Nursing Home, Home Health, Hospice, Physician, Long-...
NPPES NPI Registry API
The NPPES NPI Registry API provides free public access to look up active National Provider Identifier records for individual and organizational healthcare providers, supporting ...
Healthcare.gov Marketplace API
The Healthcare.gov Marketplace API and accompanying Open Data Plan Finder exposes Qualified Health Plan (QHP) details, plan attributes, provider networks, and formularies for th...
CMS Quality Payment Program (QPP) Measures API
The Quality Payment Program Measures Data repository and REST API publish machine-readable specifications of MIPS quality, promoting interoperability, improvement activities, an...
Medicare Coverage Database (MCD) API
The Medicare Coverage Database publishes National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), articles, and coding guidance used to determine Medicare ...