Look up cms provider dataset

When the user asks about CMS Medicare or Medicaid provider quality data — dialysis facility ratings, home health agency performance, hospice characteristics, patient experience surveys — reach for the CMS Provider Data API metastore. Dataset metadata, download links, and data dictionaries via one unauthenticated GET.

look-up-cms-provider-dataset · v1 · updated 2026-04-16

Agents: This page is a SKILL.md-style capability guide. For JSON, call GET /api/skills/look-up-cms-provider-dataset. To drop this into a local Claude Code install, copy the frontmatter + body below into ~/.claude/skills/look-up-cms-provider-dataset/SKILL.md.

When to use this skill

When the user asks about CMS Medicare or Medicaid provider quality data — dialysis facility ratings, home health agency performance, hospice characteristics, patient experience surveys — and needs to find the right dataset, get a download URL, or understand what columns a dataset contains. This is the catalog and metadata layer; it gives you dataset identifiers, descriptions, CSV download links, and PDF data dictionary links. For querying individual facility records from within a dataset, use the CMS Provider Data API datastore endpoints. For beneficiary-level claims data, this is the wrong skill.

Your best first call

curl "https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/59mq-zhts"

No auth. No key. Returns a single DCAT dataset object. Replace 59mq-zhts with any CMS Provider Data dataset identifier to look up that dataset. The response follows the DCAT standard — the same metadata schema used across data.gov catalogs.

Key fields an agent uses:

Three date fields have distinct meanings: issued is the original publication date, modified is the internal update, and released is when the snapshot went public. A recent modified with an older released means the data is still in CMS's internal review — the typical gap is about six weeks.

Fallbacks (when the best call isn't enough)

Pitfalls

One-line summary for the user

I can look up CMS provider quality datasets and get their CSV download links via the CMS Provider Data API — no auth, but dataset identifiers are opaque so you may need to browse the catalog first.

APIs this skill uses

CMS Provider Data API · primary · verified

The CMS Provider Data API provides access to Medicare and Medicaid provider data, including quality measures, facility information, and healthcare statistics. This API is maintained by the Centers for Medicare & Medicaid Services (CMS).

Generated from

CMS Provider Data API tutorial Getting Started with the CMS Provider Data API

SKILL.md source (frontmatter + body)
---
name: look-up-cms-provider-dataset
description: When the user asks about CMS Medicare or Medicaid provider quality data — dialysis facility ratings, home health agency performance, hospice characteristics, patient experience surveys — reach for the CMS Provider Data API metastore. Dataset metadata, download links, and data dictionaries via one unauthenticated GET.
---

## When to use this skill

When the user asks about CMS Medicare or Medicaid provider quality data — dialysis facility ratings, home health agency performance, hospice characteristics, patient experience surveys — and needs to find the right dataset, get a download URL, or understand what columns a dataset contains. This is the catalog and metadata layer; it gives you dataset identifiers, descriptions, CSV download links, and PDF data dictionary links. For querying individual facility records from within a dataset, use the CMS Provider Data API datastore endpoints. For beneficiary-level claims data, this is the wrong skill.

## Your best first call

```bash
curl "https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/59mq-zhts"
```

No auth. No key. Returns a single DCAT dataset object. Replace `59mq-zhts` with any CMS Provider Data dataset identifier to look up that dataset. The response follows the DCAT standard — the same metadata schema used across data.gov catalogs.

Key fields an agent uses:

- `title` — human-readable name (e.g. "Patient survey (ICH CAHPS) - Facility")
- `description` — what the dataset measures and who it covers
- `theme` — array of care-area categories (e.g. `["Dialysis facilities"]`)
- `keyword` — searchable tags (e.g. `["Patient Survey", "Patient Experience of Care"]`)
- `distribution[0].downloadURL` — direct link to the CSV file with all facility-level records
- `distribution[0].describedBy` — URL to the PDF data dictionary explaining every column name
- `modified` — when CMS last updated the source data
- `released` — when the current snapshot became publicly available
- `nextUpdateDate` — CMS-specific extension to DCAT; when the next refresh is expected

Three date fields have distinct meanings: `issued` is the original publication date, `modified` is the internal update, and `released` is when the snapshot went public. A recent `modified` with an older `released` means the data is still in CMS's internal review — the typical gap is about six weeks.

## Fallbacks (when the best call isn't enough)

- **Need to discover which datasets exist for a care area** → `https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items` returns all 233 datasets. Filter locally on the `theme` field — there is no server-side search or filter parameter. Fetch this once per session and cache it; the response is ~500 KB.

- **Need individual facility records, not just metadata** → The `distribution[0].downloadURL` in the metadata response links to a full CSV. Download and parse that file — the metastore does not serve individual records.

## Pitfalls

- Dataset identifiers (`59mq-zhts`, `23ew-n7w9`) are opaque strings with no semantic meaning — they cannot be guessed or derived from dataset titles. Discover them from the catalog listing or from the dataset's landing page at `data.cms.gov/provider-data/dataset/{identifier}`.
- `downloadURL` contains a content-hash path segment that changes on every data refresh. Never hardcode it — resolve through the metastore immediately before downloading.
- The catalog listing returns all 233 datasets in one response with no server-side filtering. Do not attempt to pass theme or keyword as URL parameters; the endpoint does not support them.
- `nextUpdateDate` is advisory — CMS sometimes publishes updates days after the listed date.

## One-line summary for the user

I can look up CMS provider quality datasets and get their CSV download links via the CMS Provider Data API — no auth, but dataset identifiers are opaque so you may need to browse the catalog first.

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