CMS — Physician Discipline Data
Healthcare professionals and entities in the CMS category excluded from federal programs.
How CMS Compares
The national average discipline rate across all specialties is 10.19 per 1,000 physicians. CMS has a rate below the national average, suggesting relatively lower incidence of disciplinary actions compared to other specialties.
Discipline rates vary for many reasons: prescribing patterns, patient interaction dynamics, practice setting, litigation exposure, and regulatory attention to specific practice areas.
What the CMS Discipline Data Reveals
CMS ranks #0 out of 0 specialties for physician discipline rate, with N/A serious actions per 1,000 licensed physicians. That rate is derived from 2 formal disciplinary actions taken against N/A cms physicians in the United States — meaning roughly 0.0% of all physician discipline in the country involves this specialty. Compared to the national average of 10.19 per 1,000, CMS sits below the overall physician workforce baseline, placing it in the lower-incidence half of the specialty landscape.
Specialty-level discipline rates reflect regulatory exposure more than clinical quality. Specialties with heavy controlled-substance prescribing (pain management, psychiatry, addiction medicine), elevated malpractice exposure (surgery, obstetrics), or concentrated billing-fraud risk (some procedural and telehealth fields) consistently appear at higher rates because they generate more complaints and more board investigations per capita. A lower-than-average rate in CMS therefore tells patients what kind of oversight pressure the specialty faces — not whether an individual cms physician is safe. Recent federal exclusions in this specialty include 2 providers spanning multiple states and exclusion categories.
For patients choosing a cms provider, the takeaway is to verify the specific physician — not judge the specialty. Use the state medical board's license lookup for current status and any disciplinary orders, the FSMB DocInfo service for multi-state history, and the HHS OIG LEIE for federal exclusion checks. Rate statistics like N/A per 1,000 are useful context for understanding enforcement patterns at the specialty level, but personal verification is the only way to confirm that a particular provider is currently eligible to practice and bill federal programs.
Common Questions
What is the discipline rate for CMS physicians?
Does a high discipline rate mean CMS doctors are less safe?
How can I check if my doctor has been disciplined?
Why do discipline rates differ across specialties?
Patient Resources
Recent Federal Exclusions — CMS
| Name | State | Reason | Date |
|---|---|---|---|
| EVA MARIA TREVINO OSORNIO | TX | Conviction: Program-Related Crime | 2014-06-19 |
| GEORGE BAGINYAN | CA | Conviction: Program-Related Crime | 2014-03-20 |
Source: HHS OIG LEIE HHS OIG LEIE
Source: HHS OIG LEIE + FSMB 2023 Physician Census HHS OIG LEIE + FSMB 2023 Physician Census State board discipline data from Public Citizen HRG #2235 (2021-2023). Federal exclusion data from HHS Office of Inspector General. This information is for educational purposes only and does not constitute medical or legal advice
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Read our methodology — how this data is sourced, computed, and verified.