{
  "name": "Data behind: NPI database download by state: record counts",
  "description": "64 NPI counts by entity type and practice state from the CMS NPPES September 2026 file (records to 13 September 2026). One row per published figure, plus one row per derived figure with its formula and inputs. Practice-location states are self-reported; counts are NPI records, not people.",
  "dateModified": "2026-09-13",
  "license": "https://creativecommons.org/licenses/by/4.0/",
  "fixture": false,
  "columns": [
    "id",
    "kind",
    "entity",
    "attribute",
    "scenario",
    "value",
    "number",
    "unit",
    "scope",
    "input_price_scope",
    "scenario_scope",
    "formula",
    "expression",
    "source_owner",
    "source_url",
    "observed_at",
    "fixture"
  ],
  "grain": "one row per aggregate group (each published figure), plus one row per derived figure with its formula and inputs",
  "rows": [
    {
      "id": "r01",
      "kind": "observed",
      "entity": "Active NPPES records (individual and organization), all practice locations",
      "attribute": "Active records, total",
      "scenario": "",
      "value": "9,443,429 active NPI records; 4,910,847 (52.0%) last updated five or more years before 1 October 2026",
      "number": 9443429,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "provenance.md#registry-files",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r02",
      "kind": "observed",
      "entity": "Active NPPES records, individual (NPI-1)",
      "attribute": "Active records by entity type",
      "scenario": "",
      "value": "7,471,371 of the 9,443,429 active NPI records (79.1%)",
      "number": 7471371,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r03",
      "kind": "observed",
      "entity": "Active NPPES records, organization (NPI-2)",
      "attribute": "Active records by entity type",
      "scenario": "",
      "value": "1,972,058 of the 9,443,429 active NPI records (20.9%)",
      "number": 1972058,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r04",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in California (CA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "1,188,147 active NPI records (12.6% of active records): 990,604 individual, 197,543 organization; 576,591 (48.5% of the state's records) last updated five or more years before 1 October 2026",
      "number": 1188147,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r05",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in New York (NY)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "658,554 active NPI records (7.0% of active records): 553,751 individual, 104,803 organization; 397,930 (60.4% of the state's records) last updated five or more years before 1 October 2026",
      "number": 658554,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r06",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Florida (FL)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "654,298 active NPI records (6.9% of active records): 480,245 individual, 174,053 organization; 324,009 (49.5% of the state's records) last updated five or more years before 1 October 2026",
      "number": 654298,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r07",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Texas (TX)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "608,782 active NPI records (6.4% of active records): 441,777 individual, 167,005 organization; 311,872 (51.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 608782,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r08",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Ohio (OH)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "408,060 active NPI records (4.3% of active records): 341,769 individual, 66,291 organization; 197,672 (48.4% of the state's records) last updated five or more years before 1 October 2026",
      "number": 408060,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r09",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Michigan (MI)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "358,035 active NPI records (3.8% of active records): 292,163 individual, 65,872 organization; 174,393 (48.7% of the state's records) last updated five or more years before 1 October 2026",
      "number": 358035,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r10",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Pennsylvania (PA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "336,445 active NPI records (3.6% of active records): 265,651 individual, 70,794 organization; 192,473 (57.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 336445,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r11",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Illinois (IL)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "319,057 active NPI records (3.4% of active records): 244,865 individual, 74,192 organization; 171,773 (53.8% of the state's records) last updated five or more years before 1 October 2026",
      "number": 319057,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r12",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in North Carolina (NC)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "277,639 active NPI records (2.9% of active records): 204,218 individual, 73,421 organization; 139,501 (50.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 277639,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r13",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Massachusetts (MA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "259,106 active NPI records (2.7% of active records): 222,619 individual, 36,487 organization; 149,449 (57.7% of the state's records) last updated five or more years before 1 October 2026",
      "number": 259106,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r14",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Washington (WA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "243,690 active NPI records (2.6% of active records): 206,950 individual, 36,740 organization; 135,438 (55.6% of the state's records) last updated five or more years before 1 October 2026",
      "number": 243690,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r15",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in New Jersey (NJ)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "234,529 active NPI records (2.5% of active records): 168,087 individual, 66,442 organization; 133,206 (56.8% of the state's records) last updated five or more years before 1 October 2026",
      "number": 234529,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r16",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Georgia (GA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "231,044 active NPI records (2.4% of active records): 171,580 individual, 59,464 organization; 120,569 (52.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 231044,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r17",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Maryland (MD)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "216,529 active NPI records (2.3% of active records): 162,592 individual, 53,937 organization; 100,119 (46.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 216529,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r18",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Virginia (VA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "201,370 active NPI records (2.1% of active records): 152,297 individual, 49,073 organization; 101,389 (50.3% of the state's records) last updated five or more years before 1 October 2026",
      "number": 201370,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r19",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Colorado (CO)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "197,612 active NPI records (2.1% of active records): 151,984 individual, 45,628 organization; 99,864 (50.5% of the state's records) last updated five or more years before 1 October 2026",
      "number": 197612,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r20",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Arizona (AZ)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "176,734 active NPI records (1.9% of active records): 129,800 individual, 46,934 organization; 91,556 (51.8% of the state's records) last updated five or more years before 1 October 2026",
      "number": 176734,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r21",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Minnesota (MN)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "168,923 active NPI records (1.8% of active records): 136,475 individual, 32,448 organization; 82,681 (48.9% of the state's records) last updated five or more years before 1 October 2026",
      "number": 168923,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r22",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Tennessee (TN)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "160,698 active NPI records (1.7% of active records): 128,023 individual, 32,675 organization; 83,835 (52.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 160698,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r23",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Indiana (IN)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "156,158 active NPI records (1.7% of active records): 122,889 individual, 33,269 organization; 73,195 (46.9% of the state's records) last updated five or more years before 1 October 2026",
      "number": 156158,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r24",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Oregon (OR)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "150,473 active NPI records (1.6% of active records): 127,704 individual, 22,769 organization; 82,726 (55.0% of the state's records) last updated five or more years before 1 October 2026",
      "number": 150473,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r25",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Missouri (MO)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "148,904 active NPI records (1.6% of active records): 114,553 individual, 34,351 organization; 78,874 (53.0% of the state's records) last updated five or more years before 1 October 2026",
      "number": 148904,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r26",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Wisconsin (WI)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "144,985 active NPI records (1.5% of active records): 118,686 individual, 26,299 organization; 76,754 (52.9% of the state's records) last updated five or more years before 1 October 2026",
      "number": 144985,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r27",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Louisiana (LA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "125,957 active NPI records (1.3% of active records): 93,479 individual, 32,478 organization; 71,085 (56.4% of the state's records) last updated five or more years before 1 October 2026",
      "number": 125957,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r28",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Nevada (NV)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "123,468 active NPI records (1.3% of active records): 102,279 individual, 21,189 organization; 60,635 (49.1% of the state's records) last updated five or more years before 1 October 2026",
      "number": 123468,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r29",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Oklahoma (OK)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "117,468 active NPI records (1.2% of active records): 93,887 individual, 23,581 organization; 64,775 (55.1% of the state's records) last updated five or more years before 1 October 2026",
      "number": 117468,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r30",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in South Carolina (SC)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "116,758 active NPI records (1.2% of active records): 88,228 individual, 28,530 organization; 62,023 (53.1% of the state's records) last updated five or more years before 1 October 2026",
      "number": 116758,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r31",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Kentucky (KY)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "113,560 active NPI records (1.2% of active records): 88,850 individual, 24,710 organization; 60,823 (53.6% of the state's records) last updated five or more years before 1 October 2026",
      "number": 113560,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r32",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Connecticut (CT)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "105,759 active NPI records (1.1% of active records): 85,393 individual, 20,366 organization; 59,433 (56.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 105759,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r33",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Utah (UT)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "95,905 active NPI records (1.0% of active records): 79,545 individual, 16,360 organization; 46,350 (48.3% of the state's records) last updated five or more years before 1 October 2026",
      "number": 95905,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r34",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Alabama (AL)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "95,037 active NPI records (1.0% of active records): 69,412 individual, 25,625 organization; 49,348 (51.9% of the state's records) last updated five or more years before 1 October 2026",
      "number": 95037,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r35",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Nebraska (NE)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "92,879 active NPI records (1.0% of active records): 80,835 individual, 12,044 organization; 28,847 (31.1% of the state's records) last updated five or more years before 1 October 2026",
      "number": 92879,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r36",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in West Virginia (WV)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "91,596 active NPI records (1.0% of active records): 81,591 individual, 10,005 organization; 37,310 (40.7% of the state's records) last updated five or more years before 1 October 2026",
      "number": 91596,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r37",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Arkansas (AR)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "86,591 active NPI records (0.9% of active records): 68,922 individual, 17,669 organization; 49,213 (56.8% of the state's records) last updated five or more years before 1 October 2026",
      "number": 86591,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r38",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Kansas (KS)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "72,813 active NPI records (0.8% of active records): 56,189 individual, 16,624 organization; 38,614 (53.0% of the state's records) last updated five or more years before 1 October 2026",
      "number": 72813,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r39",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in New Mexico (NM)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "69,780 active NPI records (0.7% of active records): 57,471 individual, 12,309 organization; 37,905 (54.3% of the state's records) last updated five or more years before 1 October 2026",
      "number": 69780,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r40",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Iowa (IA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "66,129 active NPI records (0.7% of active records): 49,602 individual, 16,527 organization; 35,046 (53.0% of the state's records) last updated five or more years before 1 October 2026",
      "number": 66129,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r41",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Mississippi (MS)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "58,103 active NPI records (0.6% of active records): 41,424 individual, 16,679 organization; 33,587 (57.8% of the state's records) last updated five or more years before 1 October 2026",
      "number": 58103,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r42",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Puerto Rico (PR)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "58,000 active NPI records (0.6% of active records): 41,200 individual, 16,800 organization; 34,402 (59.3% of the state's records) last updated five or more years before 1 October 2026",
      "number": 58000,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r43",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in District of Columbia (DC)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "52,872 active NPI records (0.6% of active records): 47,454 individual, 5,418 organization; 27,492 (52.0% of the state's records) last updated five or more years before 1 October 2026",
      "number": 52872,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r44",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Idaho (ID)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "46,334 active NPI records (0.5% of active records): 34,220 individual, 12,114 organization; 23,080 (49.8% of the state's records) last updated five or more years before 1 October 2026",
      "number": 46334,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r45",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Maine (ME)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "43,344 active NPI records (0.5% of active records): 34,286 individual, 9,058 organization; 25,660 (59.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 43344,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r46",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Hawaii (HI)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "40,981 active NPI records (0.4% of active records): 32,757 individual, 8,224 organization; 22,631 (55.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 40981,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r47",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in New Hampshire (NH)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "40,795 active NPI records (0.4% of active records): 33,554 individual, 7,241 organization; 23,370 (57.3% of the state's records) last updated five or more years before 1 October 2026",
      "number": 40795,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r48",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Alaska (AK)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "36,065 active NPI records (0.4% of active records): 29,443 individual, 6,622 organization; 20,790 (57.6% of the state's records) last updated five or more years before 1 October 2026",
      "number": 36065,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r49",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Rhode Island (RI)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "32,249 active NPI records (0.3% of active records): 26,112 individual, 6,137 organization; 16,767 (52.0% of the state's records) last updated five or more years before 1 October 2026",
      "number": 32249,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r50",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Montana (MT)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "30,051 active NPI records (0.3% of active records): 22,447 individual, 7,604 organization; 15,727 (52.3% of the state's records) last updated five or more years before 1 October 2026",
      "number": 30051,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r51",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Delaware (DE)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "27,969 active NPI records (0.3% of active records): 21,628 individual, 6,341 organization; 15,548 (55.6% of the state's records) last updated five or more years before 1 October 2026",
      "number": 27969,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r52",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in North Dakota (ND)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "27,668 active NPI records (0.3% of active records): 22,850 individual, 4,818 organization; 13,248 (47.9% of the state's records) last updated five or more years before 1 October 2026",
      "number": 27668,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r53",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in South Dakota (SD)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "23,217 active NPI records (0.2% of active records): 17,646 individual, 5,571 organization; 12,916 (55.6% of the state's records) last updated five or more years before 1 October 2026",
      "number": 23217,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r54",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Vermont (VT)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "19,198 active NPI records (0.2% of active records): 15,565 individual, 3,633 organization; 10,450 (54.4% of the state's records) last updated five or more years before 1 October 2026",
      "number": 19198,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r55",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Wyoming (WY)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "18,486 active NPI records (0.2% of active records): 13,936 individual, 4,550 organization; 10,956 (59.3% of the state's records) last updated five or more years before 1 October 2026",
      "number": 18486,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r56",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Non-US or blank",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "5,986 active NPI records (0.1% of active records): 4,440 individual, 1,546 organization; 3,238 (54.1% of the state's records) last updated five or more years before 1 October 2026",
      "number": 5986,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r57",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Armed Forces Europe, Middle East, Africa and Canada (AE)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "2,906 active NPI records (0.0% of active records): 2,777 individual, 129 organization; 1,053 (36.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 2906,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r58",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Armed Forces Pacific (AP)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "2,298 active NPI records (0.0% of active records): 2,187 individual, 111 organization; 756 (32.9% of the state's records) last updated five or more years before 1 October 2026",
      "number": 2298,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r59",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in US Virgin Islands (VI)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "1,249 active NPI records (0.0% of active records): 739 individual, 510 organization; 782 (62.6% of the state's records) last updated five or more years before 1 October 2026",
      "number": 1249,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r60",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Guam (GU)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "1,183 active NPI records (0.0% of active records): 899 individual, 284 organization; 655 (55.4% of the state's records) last updated five or more years before 1 October 2026",
      "number": 1183,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r61",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Armed Forces Americas (AA)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "430 active NPI records (0.0% of active records): 420 individual, 10 organization; 147 (34.2% of the state's records) last updated five or more years before 1 October 2026",
      "number": 430,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r62",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Northern Mariana Islands (MP)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "319 active NPI records (0.0% of active records): 208 individual, 111 organization; 207 (64.9% of the state's records) last updated five or more years before 1 October 2026",
      "number": 319,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r63",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in American Samoa (AS)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "231 active NPI records (0.0% of active records): 195 individual, 36 organization; 97 (42.0% of the state's records) last updated five or more years before 1 October 2026",
      "number": 231,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "r64",
      "kind": "observed",
      "entity": "Active NPPES records with a practice location in Federated States of Micronesia (FM)",
      "attribute": "Active records per practice state",
      "scenario": "",
      "value": "13 active NPI records (0.0% of active records): 10 individual, 3 organization; 7 (53.8% of the state's records) last updated five or more years before 1 October 2026",
      "number": 13,
      "unit": "NPI records",
      "scope": "",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "",
      "expression": "",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "d01",
      "kind": "derived",
      "entity": "Top 3 by Active records per practice state combined (California (CA), New York (NY) and Florida (FL))",
      "attribute": "Derived figure",
      "scenario": "",
      "value": "2,500,999 NPI records",
      "number": 2500999.0,
      "unit": "NPI records",
      "scope": "inputs r04, r05, r06",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "1,188,147 + 658,554 + 654,298",
      "expression": "1188147+658554+654298",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "d02",
      "kind": "derived",
      "entity": "Top 5 by Active records per practice state combined (California (CA), New York (NY), Florida (FL), Texas (TX) and Ohio (OH))",
      "attribute": "Derived figure",
      "scenario": "",
      "value": "3,517,841 NPI records",
      "number": 3517841.0,
      "unit": "NPI records",
      "scope": "inputs r04, r05, r06, r07, r08",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "1,188,147 + 658,554 + 654,298 + 608,782 + 408,060",
      "expression": "1188147+658554+654298+608782+408060",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    },
    {
      "id": "d03",
      "kind": "derived",
      "entity": "The 56 outside the top 5 by Active records per practice state combined",
      "attribute": "Derived figure",
      "scenario": "",
      "value": "5,925,578 NPI records",
      "number": 5925578.0,
      "unit": "NPI records",
      "scope": "inputs r09, r10, r11, r12, r13, r14, r15, r16, r17, r18, r19, r20, r21, r22, r23, r24, r25, r26, r27, r28, r29, r30, r31, r32, r33, r34, r35, r36, r37, r38, r39, r40, r41, r42, r43, r44, r45, r46, r47, r48, r49, r50, r51, r52, r53, r54, r55, r56, r57, r58, r59, r60, r61, r62, r63, r64",
      "input_price_scope": "",
      "scenario_scope": "",
      "formula": "sum of the 56 smaller figures",
      "expression": "358035+336445+319057+277639+259106+243690+234529+231044+216529+201370+197612+176734+168923+160698+156158+150473+148904+144985+125957+123468+117468+116758+113560+105759+95905+95037+92879+91596+86591+72813+69780+66129+58103+58000+52872+46334+43344+40981+40795+36065+32249+30051+27969+27668+23217+19198+18486+5986+2906+2298+1249+1183+430+319+231+13",
      "source_owner": "Provyx aggregation of the CMS NPPES monthly file (September 2026 release, records to 13 September 2026)",
      "source_url": "https://download.cms.gov/nppes/NPI_Files.html",
      "observed_at": "2026-09-13",
      "fixture": false
    }
  ]
}