Plain-English guide · Numbers from the October 2026 file

The OIG exclusion list,
explained with current numbers.

The OIG exclusion list, formally the List of Excluded Individuals/Entities (LEIE), is the Office of Inspector General's public register of people and businesses barred from Medicare, Medicaid, and all other federal health care programs. As of the October 2026 file it names 84,093 excluded parties. Hiring or billing for an excluded party can trigger civil monetary penalties, which is why credentialing and compliance teams screen against this list every month.

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84,093
Excluded parties on the October 2026 file
80,627
Individuals
3,466
Businesses and entities
10.6%
Of rows carry an NPI (8,743 distinct NPIs)
The two kinds of exclusion

§1128(a) mandatory vs §1128(b) permissive

Every exclusion cites an authority in the Social Security Act. The section tells you why the party was excluded, and whether OIG had a choice.

§1128(a): mandatory (43,665 entries)

Convictions where the law requires OIG to exclude: program-related crimes, patient abuse or neglect, felony health care fraud, and felony controlled-substance convictions. Minimum five years.

§1128(b): permissive (40,153 entries)

Exclusions OIG may impose: license revocations (the single largest category), misdemeanor fraud, kickbacks, defaulted health-education loans, and more. Terms vary by authority.

Top exclusion authorities on the current file

1128(b)(4)license revocation or suspension33,455
1128(a)(1)program-related conviction (mandatory)26,072
1128(a)(2)patient-abuse conviction (mandatory)8,116
1128(a)(3)felony health-care fraud conviction (mandatory)5,886
1128(a)(4)felony controlled-substance conviction (mandatory)3,591
1128(b)(14)default on a health-education loan2,166
1128(b)(8)entity controlled by a sanctioned individual1,497
1128(b)(1)misdemeanor health-care fraud conviction943
1128(b)(5)exclusion or suspension under another federal or state health program811
1128(b)(7)fraud, kickbacks, or other prohibited activities755

Counts are exclusion entries on the October 2026 file. A party excluded more than once appears once per entry.

Who's on it

Who ends up on the exclusion list

80,627 of the 84,093 parties are individuals; 3,466 are businesses (home health agencies, pharmacies, DME companies, and others). The most common role labels on the file, as OIG codes them:

Most common roles (OIG's own labels)

Nurse/Nurses Aide34,776
Personal Care Provid3,266
Owner/Operator3,178
Health Care Aide2,943
No Known Affiliation2,152
Chiropractic2,028
General Practice/Fp1,863
Employee1,801
Pharmacist1,735
Home Health Agency1,488

New exclusions by year

2026 (year to date)2,212
20252,529
20243,120
20232,244
20222,484
20211,498
20202,040
20192,189
20182,387
20172,753
20163,358

By exclusion effective date on the current active file. Reinstated parties have already dropped off, so early years understate history.

Geography

Excluded parties by state

Address state as filed with OIG. Every U.S. state appears on the list.

CA9,726
FL9,146
TX5,943
NY4,431
OH3,857
PA3,594
AZ2,681
IL2,390
MS2,062
LA1,960
AL1,885
TN1,847
NC1,843
CO1,778
KY1,760
MA1,723
OK1,666
VA1,608
MI1,578
MN1,423
NJ1,367
WA1,359
IN1,344
GA1,305
AR1,282
MO1,185
IA1,130
OR912
MD908
WV852
WI781
CT779
UT777
SC722
NV697
KS690
ME632
VT579
RI524
NH425
ID360
NE316
NM307
AK275
MT259
SD242
DE236
PR234
ND183
HI178
WY164
DC95
XX82
GU5
VI5
MP1
The fine print that matters

NPIs, waivers, reinstatement, and SAM.gov

Why most rows have no NPI

Only 10.6% of LEIE rows carry an NPI: many excluded parties (aides, business owners, entities, pre-NPI exclusions) never held one. An NPI check is definitive when it hits, but an NPI-only screen cannot see roughly 9 in 10 rows of the file. That is why OIG's own tool, and ours, search by name, with identity confirmed afterward.

Waivers (3 active on the current file)

OIG can waive an exclusion, for example for a sole community physician. A party with a §1128 waiver may be legally billing in the waived program or state. Any screen that shows an exclusion without its waiver is wrong in the way that hurts a real person, so our checker always renders the waiver line when OIG's file carries one.

Reinstatement

OIG publishes the LEIE as a full replacement file every month, and reinstated parties simply drop off. So the honest claim is always dated: "not on the October 2026 file", never "never excluded" and never "reinstated". If a party you found last month is gone this month, that is the file doing its job.

The LEIE is not SAM.gov

Federal screening policy generally requires checking both the LEIE and the SAM.gov exclusion records (which cover government-wide debarments beyond health care). This page and our tool cover the LEIE only, and say so rather than pretend otherwise.

Where this data comes from. Every result on this page comes from the U.S. Department of Health and Human Services Office of Inspector General's public LEIE download file (oig.hhs.gov), which OIG replaces monthly. We rebuild this tool from each new file automatically, so results always reflect the current list, stamped with its publication month. A clean result means the party is not on the current file, never "never excluded". Name matches are potential matches only: OIG's own verification step (SSN/EIN) is the only way to confirm identity, and this tool does not hold that data. This page is not legal advice and is not a substitute for OIG's official online searchable database in a credentialing file. Not affiliated with or endorsed by OIG or CMS. Full detail on the data page.

Screening is a monthly chore. We made it a column.

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