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The National Practitioner Data Bank (NPDB) Lawyer

Data Bank Defense Lawyer

The National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB) are two federal data banks that have been created to serve as repositories of information about health care providers in the United States. Federal law requires that adverse actions taken against a health care professional's license be reported to these data banks. Information about nursing discipline actions is reported to the HIPDB by the board taking action. All Information included in the NPDB and HIPDB is NOT available to the general public. Access to information in the NPDB and HIPDB is limited to those entities specified by law as listed below.

NPDBHIPDB
  • State licensing boards
  • Professional societies
  • Hospitals
  • Other health care entities (e.g., HMOs), individual health care practitioners (e.g., nurses, physicians, dentists, etc.) through a self query
  • Federal and state government agencies
  • Health plans
  • Health care providers, suppliers or practitioners through a self query

National Practitioner Data Bank (NPDB)

The Medicare and Medicaid Patient and Program Protection Act of 1987 led to the creation of the NPDB, a data tracking system designed to protect program beneficiaries from unfit health care practitioners. The NPDB was implemented in September 1990 and required reporting of adverse licensure, hospital privilege and professional society actions against physicians and dentists related to quality of care. In addition, the NPDB tracks malpractice payments made for all health care practitioners. Proposed rules regarding adding other practitioners, including nurses to the NPDB, were published in March 2007.

Healthcare Integrity and Protection Data Bank (HIPDB)

The Health Insurance Portability and Accountability Act of 1996 led to the creation of the HIPDB to combat fraud and abuse in health insurance and health care delivery. This is managed by the Healthcare Resources and Services Administration (HRSA) of the Department of Health and Human Services. HIPDB is a tracking system to alert users that a comprehensive review of the practitioner, provider, or supplier's past actions may be prudent. HIPDB information is to be used in combination with information from other sources in making determinations on employment, affiliation, certification, or licensure decisions. Refer to the NCSBN service for employers, or Nursys Nurse Licensure Verification.

Contact a Healthcare Integrity and Protection Data Bank (HIPDB) Attorney

In order to save a physician's, physician assistant's, nurse practitioner's or nurse's career, immediate action should be taken with the help of an experienced attorney such as Jeffrey C. Grass to file a Dispute Statement, to void a Data Bank Report or appeal an NPDB report to the Secretary of Health & Human Services (SHHS).

For more information about protecting your health care license, contact us. We offer free initial consultations to prospective clients throughout the country. Based in our offices in Dallas and Plano, Texas, we regularly travel around the country to meet with clients. If you choose to retain us, we offer cost-effective service and accept credit cards for payment.

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Law Offices of Jeffrey C. Grass
Dallas Office

4514 Cole Avenue, Suite 600
Dallas, TX 75205
Phone: (877) 209-7629
Toll Free: (214) 272-0503
Fax: 214-273-7291
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Law Offices of Jeffrey C. Grass
Plano Office

101 East Park Blvd
Plano, TX 75074
Phone: (877) 209-7629
Toll Free: (214) 272-0503
Fax: 214-273-7291
Plano Law Office Map