Point of Service: how many are there, and how many are in private practice?

National totals

What this specialty covers

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Reading the sole-proprietor share

For this specialty, the sole-proprietor share shows how many active records have the NPPES sole-proprietor flag, not how many organizations operate as private practices. Because the field is self-reported and may not capture ownership, employment, contracting, or network structure, it is an imperfect proxy for private practice and should not be read as a measure of Point of Service market structure.

By state

New NPI registrations by year

Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.

Data notes

• The sole-proprietor field is self-reported by the provider in NPPES and is an imperfect proxy for private practice.
• A sole-proprietor count shown as <11 is suppressed: the true value is below 11, which could include zero.
• Counts cover active NPI records with this taxonomy as the primary classification, not every entity that offers a Point of Service product.
• An NPI record is not necessarily a unique clinical practice, service location, or health plan.
• Enumeration-year counts describe when an NPI was first assigned, not necessarily when an organization began operating or adopted this classification.
• Providers are counted once, by their primary taxonomy code only.

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions