{"uid":"cap_HG69ptM8iSWOC-OAgw53_","slug":"govparse-prescriber-lookup-nppes-medicare-part-d-b15c8d29","name":"Govparse Prescriber Lookup (NPPES + Medicare Part D)","description":"Who is this prescriber, and what do they prescribe most in Medicare Part D? Look up a prescriber by NAME (or exact NPI): NPPES identity — specialty, location — plus that NPI's latest-year Part D summary (top drug, total claims, distinct drugs, and which tracked classes GLP-1/SGLT2/DPP-4/Statin they write). Optionally narrow by state and specialty. Observational public CMS/NPPES records — never a clinical recommendation. Cross-gateway via the Healthparse Part D API.","url":"https://api.govparse.io/v1/prescribers/lookup","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","properties":{"input":{"type":"object","properties":{"npi":{"type":"string","examples":["1558852533"],"description":"Exact 10-digit National Provider Identifier."},"name":{"type":"string","examples":["smith"],"description":"Prescriber name — last-name prefix (e.g. Smith) or first+last (e.g. John Smith)."},"state":{"type":"string","examples":["GA"],"description":"Prescriber state code(s), two letters, comma-separated."},"specialty":{"type":"string","examples":["Cardiology"],"description":"NPPES taxonomy / specialty substring."}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"1.25","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$1.25/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"1.25","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"1.25","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_H1AOqr3XNFzLIT29tcU6z","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"1.25","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Look up a prescriber by name or NPI to get their NPPES identity (specialty, location) combined with their latest Medicare Part D prescribing summary including top drug, total claims, distinct drugs, and GLP-1/SGLT2/DPP-4/Statin class flags.","exampleAgentPrompt":"Who is Dr. Sarah Johnson in Georgia — can you pull her NPPES profile and tell me what she prescribes most in Medicare Part D, including whether she writes GLP-1 or statin drugs?","exampleUseCases":[{"title":"Pharma rep prescriber profiling","prompt":"I need to understand Dr. Michael Torres in Florida — pull his specialty, location, and top Medicare Part D drug, and tell me if he writes GLP-1 or SGLT2 medications."},{"title":"NPI identity and prescribing verification","prompt":"Can you look up NPI 1558852533 and give me the full NPPES identity — name, specialty, state — plus their Medicare Part D summary with total claims and top drug?"},{"title":"Specialty-filtered prescriber search","prompt":"Find cardiologists named Williams in Texas who have Medicare Part D prescribing history and tell me their top drug and whether they write statins."}],"resultDescription":"Returns the prescriber's NPPES identity (name, specialty, location/state), plus their latest Medicare Part D year summary: top prescribed drug, total claim count, number of distinct drugs written, and boolean flags for tracked drug classes (GLP-1, SGLT2, DPP-4, Statin). Data is observational public CMS/NPPES records, not a clinical recommendation.","failureModes":["No matching prescriber found for the given name or NPI — returns empty result set","Ambiguous name match returns multiple candidate prescribers requiring NPI disambiguation","NPI provided does not appear in Part D data (prescriber may not participate in Medicare Part D)","State or specialty filters too narrow, producing zero results","Invalid NPI format (must be exactly 10 digits)","Rate limit or payment failure (x402 payment required per call at $1.25 USDC)"],"whenToPreferThis":"Use this endpoint when you need to combine a prescriber's identity (who they are, where they practice, what specialty) with their Medicare Part D prescribing behavior in a single call. Prefer this over raw NPPES lookups when you also need drug-class intelligence (GLP-1/SGLT2/DPP-4/Statin flags) or claim volume. Best for pharma sales intelligence, healthcare market research, prescriber verification, or building provider profiles from public CMS data.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T18:58:52.377Z","isFirstParty":false}