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Overview Submitting Reports to the NPDB Reporting Medical Malpractice Payments Reporting Adverse Clinical Privileges Actions Reporting Adverse Professional Society Membership Actions Reporting State Licensure and Certification Actions Reporting Federal Licensure and Certification Actions Reporting Peer Review Organization Negative Actions or Findings Reporting Private Accreditation Organization Negative Actions or Findings Reporting Exclusions from Participation in Federal or State Health Care Programs Reporting Federal or State Health Care-Related Criminal Convictions Reporting Health Care-Related Civil Judgments Reporting Other Adjudicated Actions or Decisions

Q&A: Eligible Entities

  1. If an organization queries the NPDB, is it also required to report? Conversely, if an organization reports to the NPDB, is it automatically eligible to query?

    Not necessarily. Each law governing the NPDB has different requirements for reporting and querying. Reporting and querying authorities for eligible entities under each law are described at the beginning of this chapter. In addition, Chapter D: Queries and Chapter E: Reports, respectively, provide additional information regarding querying and reporting eligibility criteria.

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