Plain-English guide · Numbers from the August 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 August 2026 file it names 83,842 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.

Search the exclusion list free
83,842
Excluded parties on the August 2026 file
80,396
Individuals
3,446
Businesses and entities
10.5%
Of rows carry an NPI (8,660 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 (43,526 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 (40,042 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 suspension33,355
1128(a)(1)program-related conviction (mandatory)25,981
1128(a)(2)patient-abuse conviction (mandatory)8,094
1128(a)(3)felony health-care fraud conviction (mandatory)5,864
1128(a)(4)felony controlled-substance conviction (mandatory)3,587
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 conviction942
1128(b)(5)exclusion or suspension under another federal or state health program806
1128(b)(7)fraud, kickbacks, or other prohibited activities749

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

Who's on it

Who ends up on the exclusion list

80,396 of the 83,842 parties are individuals; 3,446 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 Aide34,702
Personal Care Provid3,238
Owner/Operator3,179
Health Care Aide2,943
No Known Affiliation2,154
Chiropractic2,023
General Practice/Fp1,863
Employee1,802
Pharmacist1,729
Home Health Agency1,472

New exclusions by year

2026 (year to date)1,874
20252,535
20243,124
20232,247
20222,486
20211,504
20202,046
20192,195
20182,389
20172,762
20163,365

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.

CA9,713
FL9,093
TX5,934
NY4,423
OH3,827
PA3,581
AZ2,684
IL2,392
MS2,060
LA1,953
AL1,875
TN1,845
NC1,834
CO1,770
KY1,755
MA1,715
OK1,667
VA1,605
MI1,570
MN1,408
NJ1,361
WA1,356
IN1,343
GA1,307
AR1,281
MO1,178
IA1,126
OR912
MD898
WV852
WI780
UT777
CT773
SC716
KS692
NV692
ME632
VT577
RI526
NH424
ID361
NE317
NM305
AK275
MT259
SD240
PR234
DE231
ND182
HI177
WY163
DC95
XX82
GU5
VI5
FM3
MP1
The fine print that matters

NPIs, waivers, reinstatement, and SAM.gov

Why most rows have no NPI

Only 10.5% 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 (4 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 August 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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