What are usnpi Profile Scores?

They are two informational metrics—Experience and Completeness—computed from public NPPES registry fields on each provider or physician profile. They help you see how long a record has been active and how much contact and practice data CMS has on file.

Do Profile Scores measure quality of care?

No. usnpi Profile Scores do not evaluate clinical skill, patient satisfaction, treatment outcomes, or professional standing. They only summarize selected NPPES registration fields.

How is the Experience score calculated?

Experience combines years since NPI enumeration (40%), license count (20%), states licensed (15%), taxonomy count (15%), and whether a certification date is present (10%). Each component is scaled 0–100 before weighting.

How is the Completeness score calculated?

Completeness adds fixed points for practice address, phone, specialty, multiple locations, digital endpoints, other names, and a recent NPPES update within 12 months. The maximum is 100 points.

Are user reviews included in Profile Scores?

No. Star ratings on usnpi.com come from visitor reviews and are shown separately. OIG exclusions, PECOS Medicare enrollment, Open Payments, and Medicare utilization are also separate profile sections.

How often are scores updated?

Scores are recalculated when provider profile data is loaded, using the latest NPPES fields synced into usnpi. Registry imports run on our NPPES sync schedule; see Recent NPPES Updates for change activity.

How usnpi Profile Scores Work

usnpi Profile Scores summarize public NPPES registry data on provider and physician profiles. This page documents the formulas, fields, limits, and what we deliberately exclude from the model.

Important disclaimer

usnpi Profile Scores are informational metrics derived from public NPPES data. They should not be used as the sole basis for choosing a healthcare provider.

These scores do not measure quality of care, patient outcomes, clinical competence, or professional reputation. Always verify credentials with licensing boards, payers, and the provider’s office before making medical decisions.

Overview

usnpi.com displays two Profile Scores on provider and physician pages: Experience and Completeness. Both are calculated exclusively from fields published in the National Plan and Provider Enumeration System (NPPES), maintained by CMS.

The goal is practical transparency: how long the NPI record has been active, and how much practice and contact information the registry currently contains. Scores appear in the Profile Insights widget on individual profiles.

Experience score (0–100)

The Experience score estimates registry-documented tenure and credential breadth—not years in clinical practice before NPI existed.

Factor	Weight / Points	Description
Years active	40%	Time since NPI enumeration date. Reaches maximum at 20+ years.
License count	20%	Unique professional license numbers on file. Maximum at 5+ licenses.
States licensed	15%	Distinct states on license records. Maximum at 3+ states.
Specialty count	15%	Number of taxonomy codes registered. Maximum at 3+ specialties.
Board certification	10%	Whether a certification date is present in NPPES.

Experience = (YearsActive × 0.40) + (LicenseCount × 0.20) + (StatesLicensed × 0.15) + (SpecialtyCount × 0.15) + (Certification × 0.10)

Completeness score (0–100)

Completeness measures how much contact and practice information appears in the NPPES record. Higher scores mean more address, phone, taxonomy, and endpoint data is available to the public.

Factor	Weight / Points	Description
Practice address	25 pts	Street address, city, and state on a practice location.
Phone number	20 pts	At least one telephone number on an address or endpoint record.
Specialty defined	20 pts	At least one taxonomy (specialty) code registered.
Multiple locations	10 pts	More than one address on file.
Digital endpoints	10 pts	Electronic endpoints such as Direct address or EDI.
Other names	5 pts	Alternative names or DBAs listed in NPPES.
Recently updated	10 pts	Profile updated within the last 12 months.

What is not included

Profile Scores intentionally exclude data outside the NPPES scoring model. On usnpi.com these remain separate, clearly labeled sections on the same profile:

Visitor star ratings and written reviews
OIG exclusion status (LEIE)
CMS PECOS Medicare enrollment
Open Payments summaries and risk signals
Medicare utilization and prescription activity
Hospital quality measures or state board actions

State context and future percentiles

When available, the Profile Insights widget may show how many providers share the same specialty in a state (from our specialty directory statistics).

Percentile rankings—comparing a provider to others with the same specialty in the same state—require a large enough cohort (typically 10+ providers). Full percentile benchmarks are planned as a follow-up aggregate; they are not shown until statistically meaningful.

Data sources

All inputs come from the official NPPES database, updated by CMS and redistributed monthly. Relevant fields include enumeration and update dates, taxonomy codes, licenses, practice addresses, telephone numbers, electronic endpoints, and alternative names.

CMS NPPES Data Dissemination (public FOIA dataset)
usnpi NPPES sync pipeline and change history
Specialty directory counts for optional state context

Limitations

Scores are not quality indicators and must not be read as endorsements.
Outdated or incomplete NPPES submissions lower Completeness even when the provider is reachable elsewhere.
Newly enumerated providers score lower on Experience regardless of prior career length.
NPI enumeration began in 2005; pre-2005 practice is not reflected in Years active.
Multi-state licensing norms vary by specialty and profession.

How often scores change

Scores are computed on each profile view from the latest NPPES fields stored in usnpi. When our NPPES import completes, updated enumeration dates, licenses, and addresses flow into new scores automatically.

Track registry activity on Recent NPPES Updates or open a profile’s History of changes section for field-level diffs.

Related usnpi resources

Legal notice

Profile Scores on usnpi.com are provided for informational purposes only. usnpi makes no warranties regarding accuracy, completeness, or fitness for a particular use.

usnpi.com is not affiliated with, endorsed by, or connected to CMS, HHS, or any government agency. NPI data is public information supplied by CMS under the Freedom of Information Act.

Last methodology update: May 2026