U.S. Department of Health & Human Services

Opioid Treatment Program Providers

Name: Opioid Treatment Program Providers
Creator: U.S. Department of Health & Human Services

Opioid Treatment Program providers who have enrolled in Medicare are listed. Each record includes the provider's name, National Provider Identifier (NPI), address, phone number, and effective enrollment date.

Example records

Namelegal entity	Street Addressaddress	Cityaddress	Stateaddress	ZIP Codeaddress	Phonephone number	Alternate Namebrand

Use cases

Vendor Credentialing for Behavioral Health Networks

A managed care organization onboarding new substance use disorder treatment partners checks whether a prospective clinic appears in the Medicare-enrolled opioid treatment program list, confirming federal enrollment status before contracting.

NameAlternate NameStreet AddressStateZIP Code

Geographic Coverage Gap Analysis for Insurers

A health insurance underwriter mapping network adequacy for a new plan filing identifies ZIP codes and states with no enrolled opioid treatment providers to flag potential access deficiencies before submitting to regulators.

StateZIP CodeCityStreet Address

Fraud Signal Detection in Claims Data

A healthcare fraud investigator cross-references billing addresses on Medicare claims against the enrolled provider addresses in this dataset to detect clinics submitting claims from locations not listed as active treatment sites.

NameStreet AddressCityStateZIP Code