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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: Reporting State Licensure and Certification Actions

  1. A physician voluntarily terminated a contract to participate in a state health care program after the state initiated an investigation into allegations that the physician had billed for services not provided. Should this action be reported to the NPDB?

    Yes. The surrender of a license or certification agreement or contract for participation in a government health care program, made after a notification of an investigation or a formal official request by a state licensing or certification authority for a health care practitioner, entity, provider, or supplier to surrender a license or certification (including certification agreements or contracts for participation in government health care programs), must be reported to the NPDB.

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