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Healthparse Prescriber Lookup & Medicare Part D Summary
x402
Healthparse Prescriber Lookup & Medicare Part D Summary is a paid API for AI agents from api.healthparse.io, paid per call via x402, $0.05/call, status unknown (last checked 2026-09-14).
Search for a prescriber by name or NPI number and retrieve their NPPES identity plus a Medicare Part D prescribing summary including top drugs, beneficiary counts, and drug class flags.
Price / call$0.05
Success—
StatusUnknown
How this service works
Look up a prescriber by NAME (or exact NPI) and get identity plus a Medicare Part D prescribing summary. Matches the NPPES directory by name prefix (first/last), optionally narrowed by state and specialty, then rolls up that NPI's latest-year Part D claims: top drug, distinct drugs, beneficiaries, and tracked class flags (GLP-1/SGLT2/DPP-4/Statin) with a new-to-class signal. Provide name or npi. Public CMS + NPPES provider-level data; not a consumer report.
Output
Returns a paginated list of matched prescribers with their NPPES identity (name, NPI, state, specialty) and a Medicare Part D prescribing summary for the latest available year, including: top prescribed drug, count of distinct drugs, beneficiary count, and boolean flags for GLP-1, SGLT2, DPP-4, and Statin drug classes with a new-to-class signal.
Example use cases
Pharma rep prescriber targeting
“I need to find cardiologists in New York named Patel and check their Medicare Part D prescribing patterns — specifically whether they're prescribing statins or SGLT2 drugs and how many beneficiaries they see.”
Verify provider NPI identity
“Can you pull up the NPPES record for NPI 1234567890 and give me their identity details along with a summary of their recent Medicare Part D prescribing activity?”
Find GLP-1 prescribers by specialty
“Search for endocrinologists in Texas with the last name Williams and tell me which ones have a GLP-1 prescribing flag in their Medicare Part D data, plus how many distinct drugs each one prescribes.”
Technical details
Endpoint
GEThttps://api.healthparse.io/v1/prescribers/lookup/searchWhen to prefer
Use this endpoint when you need to identify a specific prescriber and retrieve their Medicare Part D prescribing behavior in a single call — especially when you have a name but not an NPI, or when you want drug class flags (GLP-1, SGLT2, DPP-4, Statin) without building your own CMS data pipeline. Prefer this over the full NPI dossier endpoint when you need to search by name across multiple providers rather than look up one known NPI. Best for pharmaceutical intelligence, provider vetting, and healthcare market research use cases.
Side effects
- No match found when name spelling differs from NPPES records — try last-name-only prefix
- Ambiguous name returns too many results — narrow with state or specialty filters
- NPI not found in Part D data if prescriber has no Medicare Part D claims
- Invalid NPI format (must be exactly 10 digits) returns validation error
- State code not recognized if not provided as 2-letter abbreviation
- Rate limit or payment failure may block repeated calls at $0.05 USDC per call
Input
Schema · Request body
| Field | Type | Description |
|---|---|---|
| input | object |
Tags
x402
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