Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Invalid Prescriber Identifiers on Medicare Part D Drug Claims in 2016

Section 1860D-4(c) of the Social Security Act, as amended by Section 507 of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), requires that, starting in plan year 2016, claims for a covered Part D drug must contain a valid prescriber National Provider Identifier (NPI). (P.L. 114-10 (April 6, 2015) � 507.) MACRA Section 507 requires the Secretary of Health and Human Services to establish procedures for determining the validity of the Part D prescriber NPIs. MACRA also requires OIG to submit to Congress a report on the effectiveness of these procedures no later than January 1, 2018. We will determine the extent to which invalid NPIs were used as prescriber identifiers on Part D prescription drug event records in 2016 and identify the procedures the Centers for Medicaid & Medicare Services has used to determine the validity of prescribers� NPIs.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed Centers for Medicare & Medicaid Services Invalid Prescriber Identifiers on Medicare Part D Drug Claims in 2016 Office of Evaluation and Inspections OEI-03-17-00040 2018