National Provider Directory (NPD) Data Sourcing, Aggregation, and Quality Assurance Services

National Provider Directory (NPD) Data Sourcing, Aggregation, and Quality Assurance Services 1 Statement of Objectives (SOO) for National Provider Directory (NPD) Data Sourcing, Aggregation, and Quality Assurance Services 07 August 2026 -- 1 of 91 -- National Provider Directory (NPD) Data Sourcing, Aggregation, and Quality Assurance Services 2 Product Vision ...................................................................................................................................5 Scope .................................................................................................................................................. 5 Context .............................................................................................................................................6 NPD Program Structure ...................................................................................................................... 9 How WA A and WA E Work Together ..................................................................................................... 10 Definitions ....................................................................................................................................... 12 Statement of Need ........................................................................................................................... 17 Objectives ....................................................................................................................................... 18 Category 1 – WA A: Ground Truth Data Access and Licensing ................................................................ 18 Category 2 – WA A: Data Normalization and Delivery ............................................................................ 19 Category 3 – WA E: Data Aggregation, Quality, and Assurance Services ................................................. 20 Anticipated Data Sources and Service Providers .................................................................................. 24 Table 1 – Required Datasets: All Offerors Must Propose and Price ................................................. 24 Table 2 — Supplemental Datasets: Market Capabilities and Experience ........................................ 27 Table 3 — Known Government-Furnished Information: Provider Data Assets ................................. 30 What CMS Is NOT Seeking Under This Contract ....................................................................... 3231 Approach ......................................................................................................................................... 32 Operating Model ................................................................................................................................ 32 How WA A and WA E Work Together ................................................................................................. 3332 Contractor's Role Within the NPD Program ...................................................................................... 3332 Flexibility and Iteration ....................................................................................................................... 33 Constraints ...................................................................................................................................... 34 Constraint 1 – License-Free Output: Government Preference and Field-Level Publication Model ............ 34 Constraint 2 – Intake Validation Scope................................................................................................. 36 Constraint 3 – Issue Escalation Responsibility ..................................................................................... 37 Constraint 4 – Independent Licensing Requirement .............................................................................. 37 -- 2 of 91 -- National Provider Directory (NPD) Data Sourcing, Aggregation, and Quality Assurance Services 3 Constraint 5 – CMS Approval for All Agreements................................................................................... 38 Constraint 6 – Security and Compliance .......................................................................................... 3938 Constraint 7 – No Direct Database Access ........................................................................................... 39 Constraint 8 – Out of Scope Activities .................................................................................................. 39 Data Rights and Portability ........................................................................................................... 4039 CMS-Furnished Tools and Collaboration Environment ................................................................... 4140 Allow Third Parties to Use Our Data and Logic .................................................................................... 42 Open Source/ Re-use ....................................................................................................................... 42 Delivery of Artificial Intelligence (AI) Solutions .............................................................................. 4342 Contractor Personnel ....................................................................................................................... 46 General Expectations for Agile Teams working at CMS ....................................................................... 49 Understand What People Need ........................................................................................................... 49 Work towards outcomes, not outputs .................................................................................................. 49 Build the Service using Agile and Iterative Processes ............................................................................ 51 Use Data to Drive Decisions 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