Data Submission Data Mapping

CMS-10495 - 2016-Data-Submission-Data-Mapping-Doc.xlsx

Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495)

Data Submission Data Mapping

OMB: 0938-1237

Document [xlsx]
Download: xlsx | pdf

Overview

General Payments
Research Payments
Physician Ownership
Allowed Special Characters
Revision Log


Sheet 1: General Payments

Submission File Information (this section contains data elements which are reported once per submission file. The same data values for these elements must be repeated for each record).
DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters
1 Applicable Manufacturer or Applicable GPO Name Textual proper name of either the Submitting Applicable Manufacturer or Submitting Applicable Group Purchasing Organization (GPO).

If this submission file contains records of payment(s) and/or other transfer(s) of value made by only one Applicable Manufacturer/Applicable GPO, enter that Applicable Manufacturer’s/Applicable GPO’s name in this data field for all records in the submission file.

If this submission file contains records of payment(s) and/or other transfer(s) of value from multiple Applicable Manufacturers/Applicable GPOs, enter the name of the Applicable Manufacturer/Applicable GPO submitting the consolidated report in this field. The name of the Applicable Manufacturer/Applicable GPO that made the payment for each record is entered in the “Applicable Manufacturer or Applicable GPO Making Payment Name” (DE#32) field of that record.


Text Free form text Yes ≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Match the name on file for associated Registration ID
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_NAME Published as "Submitting Applicable Manufacturer or Applicable GPO Name" All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
2 Applicable Manufacturer or Applicable GPO Registration ID Open Payments system-generated identifier used to identify the Applicable Manufacturer or GPO (populated only with CMS-provided identifier).

If this submission file contains records of payment(s) and/or other transfers of value made by only one Applicable Manufacturer/Applicable GPO, enter that Applicable Manufacturer’s/Applicable GPO’s Registration ID in this data field for all records in the submission file.

If this submission file contains records of payment(s) and/or other transfer(s) of value from multiple Applicable Manufacturers/Applicable GPOs, enter the Record ID of the Applicable Manufacturer/Applicable GPO submitting the consolidated report. The Record ID of the Applicable Manufacturer/Applicable GPO that made the payment for each record is entered in the “Applicable Manufacturer or Applicable GPO Making Payment Registration ID” (DE#33) field of that record.

Numeric System generated Yes System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

Match the Registration ID on file
No APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_ID No notes System generated value only.
3 Consolidated Report Indicator Indicator showing if this submission file constitutes a Consolidated Report. Boolean "Y" = Yes;
"N" = No
Yes 1 Char Validates that only character "Y" or "N" is provided No CONSOLIDATED_REPORT_INDICATOR For more information on Consolidated Reporting, consult the Quick Reference Guide on Consolidated Reporting, located on the CMS Open Payments website No, only values given in Format Column E are allowed.
4 Resubmission File Indicator Indicator showing if this submission file contains payment(s) and/or other transfer(s) of value that are all new records, amended or corrected versions of previously submitted records, previously submitted records for which a delay in publication has been requested that you now wish to update, or previously submitted records that you now wish to delete.




Enumeration "N" = New Submission
"Y" = Resubmission
"R" = Renew Delay in Publication
"D" = Delete
Yes 1 Char Validates that only character "N","Y","R", or "D" is provided

If "R" is provided, only DE# 2, 3, 4, 33, 34, 36, and 49 are required for the record. All other fields are optional.

If "D" is provided, only DE# 2, 3, 4, 33, 34, and 36 are required for the record. All other fields are optional.

All records in a file must have the same value in this field.
No RESUBMISSION_FILE_INDICATOR No notes No, only values given in Format Column E are allowed.
5 Original File Submission ID This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. This field is no longer collected by Open Payments and has been replaced by Home System Payment ID, data element 33A. N/A
Submission Record Information (all sections from here to the end of this table contain data elements that are reported once per payment/transfer of value)
Recipient Demographic Information
DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters
6 Covered Recipient Type Indicator showing if the recipient of the payment or other transfer of value is a physician covered recipient or a teaching hospital.

Enumeration "1" = Physician
"2" = Teaching Hospital
Yes 1 Char Validated against data type, format, and field size (columns D, E, G) Yes COVERED_RECIPIENT_TYPE No notes No, only values given in Format Column E are allowed.
7 Teaching Hospital Name The "doing business as" name of the Teaching Hospital receiving the payment or other transfer of value. This can be found under the "Hospital Name" field on the CMS-provided Teaching Hospital List.

A standardized list of covered Teaching Hospital names and information is provided on the CMS Open Payments website.
Text Text from Standardized Selection Yes IF

DE# 6
Covered Recipient Type = "2" (Teaching Hospital)

IF DE# 6 Covered Recipient Type = "1" (Physician), this field must be blank.
≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

A standardized list of covered Teaching Hospital names and information is provided on the CMS Open Payments website. Hospital name submitted is matched against this list. Use the "Hospital Name" value in the list for the correct name. (Records for program year 2013 only must use the "PECOS Legal Name" instead)

Value must match the hospital name associated with the TIN (DE #8) as per the Teaching Hospital List
Yes TEACHING_HOSPITAL_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
8 Teaching Hospital Tax ID Number (TIN) Tax Identification Number (TIN) of the Teaching Hospital receiving the payment or other transfer of value.
Numeric 999999999 Yes IF

DE# 6
Covered Recipient Type = "2" (Teaching Hospital)

IF DE# 6 Covered Recipient Type = "1" (Physician), this field must be blank.
9 Char Validated against data type, format, and field size (columns D, E, G)

A standardized list of covered Teaching Hospital names and information is provided on the CMS Open Payments website.

Value must match the TIN associated with the teaching hospital name (DE #7) as per the Teaching Hospital List
No TEACHING_HOSPITAL_TAX_ID_NUMBER_TIN No notes No, only numeric values are allowed.
9 Physician First Name Textual first name of the physician (covered recipient) receiving the payment or other transfer of value.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text Yes IF

DE# 6
Covered Recipient Type = "1" (Physician)


IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
≤ 20 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
Yes PHYSICIAN_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
10 Physician Middle Name Textual middle initial or middle name of the physician (covered recipient) receiving the payment or other transfer of value.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text No

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PHYSICIAN_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
11 Physician Last Name Textual last name of the physician (covered recipient) receiving the payment or other transfer of value.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text Yes IF

DE# 6
Covered Recipient Type = "1" (Physician)

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
≤ 35 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
Yes PHYSICIAN_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
12 Physician Name Suffix Name suffix of the physician (covered recipient) receiving the payment or other transfer of value chosen from a constrained list of values (Examples: Jr., Sr., III).

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text No

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes PHYSICIAN_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
13 Recipient Primary Business Street Address Line 1 The first line of the primary practice/business street address of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value. Text Two line address format;
First line contains building number, street name, street identifier
Yes
≤ 55 Char Validated against data type, format, and field size (columns D, E, G)

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address Line 1 from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_PRIMARY_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
14 Recipient Primary Business Street Address Line 2 The second line of the primary practice/business street address of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value. Text Two line address format;
Second line contains suite number, apartment number, post office box number or other qualifying information
No ≤ 55 Char Validated against data type, format, and field size (columns D, E, G)

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address Line 2 from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_PRIMARY_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
15 Recipient City The primary practice/business city of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value.
Text Free form text Yes ≤ 40 Char Validated against data type, format, and field size (columns D, E, G)

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address City from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
16 Recipient State The primary practice/business state or territory abbreviation of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value, if the primary practice/business address is in the United States. Enumeration 2 character U.S. state or territory alpha abbreviation Yes IF

Recipient Country, DE# 18 = "US" or "United States"

IF DE# 18 is any other value, this field must be blank.
2 Char Validated against data type, format, and field size (columns D, E, G)

Limited to list of state abbreviations and territories per US Postal Service

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address State from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_STATE No notes No, only values given in Format Column E are allowed.
17 Recipient Zip Code The 5- or 9-digit zip code for the primary practice/business location of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value, if the primary practice/business address is in the United States. Numeric 5- or 9-digit numeric zip code Yes IF

Recipient Country, DE# 18 = "US" or "United States"


IF DE# 18 is any other value, this field must be blank.
≤ 9 Char Validated against data type, format, and field size (columns D, E, G)

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address Zip Code from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_ZIP_CODE No notes No, only numeric values are allowed.
18 Recipient Country The primary practice/business address country name of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value.
Text Free form text Yes 2 Char
* For US only, you can enter either US or United States
Validated against data type, format, and field size (columns D, E, G)

Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes RECIPIENT_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
19 Recipient Province The primary practice/business province name of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value, if the primary practice/business address is outside the United States, and if applicable.
Text Free form text No



≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes RECIPIENT_PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
20 Recipient Postal Code The international postal code for the primary practice/business location of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value, if the primary practice/business address is outside the United States. Text Alphanumeric Yes IF

Recipient Country, DE# 18, is outside the United States

IF DE# 18 = "US" or "United States", this field must be blank.
≤ 20 Char Validated against data type, format, and field size (columns D, E, G)

Proper length and format validated for each country
Yes RECIPIENT_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
21 Recipient Email Address The primary email address for this payment recipient to be used for communication purposes. Text Email Address No ≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Proper email format enforced
No RECIPIENT_EMAIL_ADDRESS No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
22 Physician Primary Type Primary type of medicine practiced by the physician covered recipient. Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)

Yes IF

DE# 6
Covered Recipient Type = "1" (Physician)

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
1 Char Allowed values limited to "1", "2", "3", "4", "5", or "6" Yes PHYSICIAN_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.
23 Physician NPI Individual NPI for the Physician (not the NPI of a group the physician belongs to).

Numeric Numeric digits only Yes IF Physician has an NPI

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
10 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
No PHYSICIAN_NPI No notes No, only numeric values are allowed.
24 Physician Specialty Taxonomy code for the physician's specialty, chosen from the standardized "provider taxonomy" code list. Text Text from Standardized Selection Yes IF

DE# 6
Covered Recipient Type = "1" (Physician)

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
10 Char Validated against data type, format, and field size (columns D, E, G) Yes PHYSICIAN_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
25 Physician License State and License Number Paired state and official state license number of the covered recipient physician. May include up to 5 "Physician License State and License Number" pairs, if a physician is licensed in multiple states. Text Maximum of 5 unique pairs of the state and license number: AA-9999999999999999999999999 Yes IF

DE# 6
Covered Recipient Type = "1" (Physician)

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.
≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

The pairing includes the 2-letter state abbreviation, followed by a hyphen, followed by the state license number
Yes, for the State
AND
No, for the License #
PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_1 PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_2 PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_3 PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_4 PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
Associated Drug, Device, Biological, or Medical Supply Information
DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters
26 Related Product Indicator Identifies whether the payment or other transfer of value is related to one or more product(s) (drugs, devices, biologicals, or medical supplies). If the payment was not made in relation to a product, select "No". If the payment was related to one or more product, select "Yes". Boolean "Y" = Yes;
"N" = No
Yes 1 Char Validates that only character "Y" or "N" is provided Yes RELATED_PRODUCT_INDICATOR If reporting multiple products, the information in DE# 27-31 must be reported for one product before moving on to the next product in the record (i.e., report all information for one product, then all information for the next product, etc.) No, only values given in Format Column E are allowed.
27 Covered or Non‐covered Product Indicator For each product listed in relation to the payment or other transfer of value, indicate if the product is a covered or non‐covered product per the covered product definition in the Open Payments final rule. Do not report this element if the payment is not related to any products. Enumeration "1" for covered
"2" for non‐covered
Yes IF

Related Product Indicator (DE #26) is "Yes"

IF DE# 26 = "N", this field must be blank.
1 Char Allowed values limited to "1" or "2" Yes COVERED_OR_NONCOVERED_INDICATOR_1
COVERED_OR_NONCOVERED_INDICATOR_2
COVERED_OR_NONCOVERED_INDICATOR_3
COVERED_OR_NONCOVERED_INDICATOR_4
COVERED_OR_NONCOVERED_INDICATOR_5
No notes No, only values given in Format Column E are allowed.
28 Indicate Drug, Device, Biological, or Medical Supply For each product listed in relation to the payment or other transfer of value, indicate if the product is a drug, device, biological, or medical supply. Do not report this element if the payment is not related to any products. Enumeration "1" for drug
"2" for device
"3" for biological
"4" for medical supply
Yes IF

Related Product Indicator (DE #26) is "Yes" and Covered or Non‐covered Product Indicator (DE #27) is "Covered"

OR

Related Product Indicator (DE #26) is "Yes", Covered or Non‐covered Product Indicator (DE #27) is "Non-covered", and an Associated Drug or Biological NDC (DE#31) has been provided. In this case, this field must be "1" or "3".

IF DE# 26 = "N", this field must be blank.
1 Char Allowed values limited to "1", "2", "3", or "4" Yes INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_1
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_2
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_3
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_4
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_5
No notes No, only values given in Format Column E are allowed.
29 Product Category or Therapeutic Area Provide the product category or therapeutic area for the covered drug, device, biological, or medical supply listed in relation to the payment or other transfer of value. Do not report this element if the payment or other transfer of value is not related to any products. Text Free form text Yes IF

Related Product Indicator (DE #26) is "Yes" and Covered or Non‐covered Product Indicator (DE #27) is "Covered"

IF DE# 26 = "N", this field must be blank.
< 100 Char Validated against data type, format, and field size (columns D, E, G)

The values in this field may not consist of only zeroes
Yes PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_1
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_2
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_3
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_4
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_5
No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.

30 Marketed Name of Drug, Device, Biological, or Medical Supply The marketed name of the drug, device, biological, or medical supply. May report the marketed name of up to five products (drugs, devices, biologicals, or medical supplies) associated with the payment or other transfer of value.

If the drug or biological associated with this payment or other transfer of value does not have a marketed name, report the drug or biological name as it is registered on www.clinicaltrials.gov.

If the device or medical supply associated with this payment does not have a marketed name, this field may be left blank. Do not report this element if the payment is not related to any products.
Text Free form text Yes IF

Related Product Indicator (DE #26) is "Yes" and Covered or Non‐covered Product Indicator (DE #27) is "Covered" and Indicate Drug, Device, Biological, or Medical Supply (DE#28) is "1" or "3"

OR

Related Product Indicator (DE #26) is "Yes", Covered or Non‐covered Product Indicator (DE #27) is "Non-covered", Indicate Drug, Device, Biological, or Medical Supply (DE#28) is "1" or "3" and an Associated Drug or Biological NDC (DE#31) has been provided

IF DE# 26 = "N", this field must be blank.
< 100 Char Validated against data type, format, and field size (columns D, E, G)

The values in this field may not consist of only zeroes
Yes NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_1
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_2
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_3
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_4
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_5
No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
31 Associated Drug or Biological NDC For each covered drug or covered biological listed in relation to the payment or other transfer of value, provide the associated National Drug Code (NDC) (if applicable). Up to 5 NDCs can be provided.

NDCs are required for all drugs and biologicals that have NDCs. If the reported drug or biological does not have an NDC this field may be left blank. Report this element for drugs and biologicals only. Do not report this element if the payment or other transfer of value is not related to any products.
Text 10-digit numeric code with three segments divided by dashes, grouped in one of three ways:
9999-9999-99
99999-999-99
99999-9999-9
Yes IF

Related Product Indicator (DE #26) is "Yes" and Covered or Non‐covered Product Indicator (DE #27) is "Covered" and when the reported drug or biological has an NDC

IF DE# 26 = "N" or if DE# 28 = "2" or "4", this field must be blank.
12 Char (including dashes) Validated against format and field size (columns E and G)

If a drug or biological named in the record (DE#30) has an NDC, the NDC must be reported with the same record. The order of NDCs provided must match the order of named drugs or biologicals in DE#30. If no NDC exists for a named drug or biological in DE#30, leave the corresponding NDC field blank for that drug or biological.

The numeric values in this field may not consist of only zeroes
Yes ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_1
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_2
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_3
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_4
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_5
No notes Minus sign/hyphen (-)
Transfer of Value (Payment) Information










DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters
32 Applicable Manufacturer or Applicable GPO Making Payment Name Textual proper name of either the Applicable Manufacturer or Applicable GPO making the payment or other transfer of value being reported in this record.


Text
Free form text Yes
≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Matches Applicable AM/Applicable GPO names specified at registration for associated Registration IDs

If DE# 3 (Consolidated Report Indicator) = “N”, the value provided for this data element must be the same as the value provided for DE# 1 (Applicable Manufacturer or Applicable GPO Name).
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_MAKING_PAYMENT_NAME Published as "Making Payment Applicable Manufacturer or Applicable GPO Name" All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
33 Applicable Manufacturer or Applicable GPO Making Payment Registration ID
Open Payments system-generated identifier for this Applicable Manufacturer or Applicable GPO issued during the registration process.

Numeric System generated Yes System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

Matches Registration ID(s) on file

If DE# 3 (Consolidated Report Indicator) = “N”, the value provided for this data element must be the same as the value provided for DE# 2 (Applicable Manufacturer or Applicable GPO Registration ID).
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_MAKING_PAYMENT_REGISTRATION_ID Published as "Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_ID" System generated value only.
33A Home System Payment ID The identifier associated with the payment transaction in the applicable manufacturer or applicable GPO home system Text Text No ≤ 50 Char Validated against data type, format, and field size (columns D, E, G) No HOME_SYSTEM_PAYMENT_ID No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
34 Resubmitted Payment Record ID This data element will be blank for initial file submissions.

For resubmission files - this data element will either be blank (indicating an omitted record is being submitted in the Resubmission file) or contain the original payment/transfer of value record ID (indicating which record is to be corrected). The original payment/transfer of value record ID is provided by the CMS Open Payments System.
Numeric System generated Yes IF

DE# 4 Resubmission File Indicator = "Y", "R" or "D"

System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

If reported, matches Initial Payment Record ID for given Original File Submission ID
No RESUBMITTED_PAYMENT_RECORD_ID No notes System generated value only.
35 Total Amount of Payment Amount of payment to recipient, in US dollars. Convert to US dollar currency, if necessary.

The “Total Amount of Payment” should be tied to a singular transaction or purchased service (items listed in “Nature of Payment” DE#39).

Fixed point Currency (US dollars) 9999999999.99 Yes ≤ 13 Char (including decimal point) Validated against data type, format, and field size (columns D, E, G)

Must have 2 digits after decimal

The value in this field cannot be 0.00. The value entered must be greater than zero dollars
Yes TOTAL_AMOUNT_OF_PAYMENT No notes No, only values given in Format Column E are allowed.
36 Date of Payment If reporting a singular payment, report the actual date the payment was issued.

If reporting EITHER a series of payments OR an aggregated set of payments, record the date of the first payment to the covered recipient in this reporting year.
Date YYYYMMDD Yes 8 Char Validated against data type, format, and field size (columns D, E, G)

Is within correct reporting year
Yes DATE_OF_PAYMENT No notes No, only values given in Format Column E are allowed.
37 Number of Payments Included in Total Amount The number of discrete payments being reported in the "Total Amount of Payment" data element (#35).

Report 1 in this data element if this is a singular payment to the covered recipient.

Report the actual number of payments made to the covered recipient in this reporting year if the amount of payment reported is EITHER a series of payments OR an aggregation of a set of payments.
Numeric Integer Yes 3 Char Validated against data type, format, and field size (columns D, E, G) Yes NUMBER_OF_PAYMENTS_INCLUDED_IN_TOTAL_AMOUNT No notes No, only values given in Format Column E are allowed.
38 Form of Payment or Transfer of Value The method of payment used to pay the covered recipient or to make the transfer of value. Enumeration "1" = Cash or cash equivalent;
"2" = In‐kind items and services;
"3" = Stock;
"4" = Stock option;
"5" = Any other ownership interest;
"6" = Dividend, profit or other return on investment
Yes 1 Char Allowed values limited to "1", "2", "3","4", "5", or "6" Yes FORM_OF_PAYMENT_OR_TRANSFER_OF_VALUE No notes No, only values given in Format Column E are allowed.
39 Nature of Payment or Transfer of Value The nature of payment used to pay the covered recipient or to make the transfer of value. Enumeration "1" = Consulting Fee;
"2" = Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program;
"3" = Honoraria;
"4" = Gift;
"5" = Entertainment;
"6" = Food and Beverage;
"7" = Travel and Lodging;
"8" = Education;
"9" = Charitable Contribution;
"10" = Royalty or License;
"11" = Current or prospective ownership or investment interest;
"12" = Compensation for serving as faculty or as a speaker for a non-accredited and noncertified continuing education program;
"13" = Compensation for serving as faculty or as a speaker for an accredited or certified continuing education program;
"14" = Grant;
"15" = Space rental or facility fees (teaching hospital only);




Yes ≤ 2 Char Limited to numeric characters 1 through 15 Yes NATURE_OF_PAYMENT_OR_TRANSFER_OF_VALUE No notes No, only values given in Format Column E are allowed.
40 City of Travel For "Travel and Lodging" payments, destination city where covered recipient traveled. Text Free form text Yes IF

DE# 39 Nature of Payment = "7" Travel and Lodging

If DE# 39 Nature of Payment is any other value, this field must be blank.
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes CITY_OF_TRAVEL No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
41 State of Travel For "Travel and Lodging" payments, destination state where covered recipient traveled. Enumeration 2 character U.S. state or territory alpha abbreviation Yes IF
DE# 39 Nature of Payment = "7" Travel and Lodging
AND
DE# 42 Country of Travel = "US" or "United States"

For all other conditions, this field must be blank.
2 Char Limited to list of state abbreviations and territories per US Postal Service Yes STATE_OF_TRAVEL No notes No, only values given in Format Column E are allowed.
42 Country of Travel For "Travel and Lodging" payments, destination country where covered recipient traveled. Text Free form text Yes IF

DE# 39 Nature of Payment = "7" Travel and Lodging

If DE# 39 Nature of Payment is any other value, this field must be blank.
13 Char
* For US only, you can enter US or United States
Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes COUNTRY_OF_TRAVEL No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
General Record Information
DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters
43 Physician Ownership Indicator If Recipient type = "Physician", does the physician hold ownership or investment interest in the applicable manufacturer?

This indicator is limited to physician's ownership, not physician's family members' ownership.
Boolean "Y" = Yes;
"N" = No
Yes IF

DE# 6 Covered Recipient Type = "1" (Physician)

IF DE# 6 Covered Recipient Type = "2" (Teaching Hospital), this field must be blank.

1 Char Validates that only character "Y" or "N" is provided Yes PHYSICIAN_OWNERSHIP_INDICATOR No notes No, only values given in Format Column E are allowed.
44 Third Party Payment Recipient Indicator Indicates if a payment or transfer of value was paid to a third-party entity or individual at the request of, or on behalf of, a covered recipient (physician or teaching hospital). Enumeration "1" = "Entity"
"2" = "Individual"
"3" = "No Third Party Payment"
Yes 1 Char Limited to numeric characters "1," "2," or "3"
Yes THIRD_PARTY_PAYMENT_RECIPIENT_INDICATOR No notes No, only values given in Format Column E are allowed.
45 Name of Third Party Entity Receiving Payment or Transfer of Value The name of the entity that received the payment or other transfer of value. Text Free form text Yes IF

DE# 44, Third Party Payment Recipient Indicator = "1" (Entity)

IF DE# 44 is any other value, this field must be blank.
≤ 50 Char Validated against data type, format, and field size (columns D, E, G) Yes NAME_OF_THIRD_PARTY_ENTITY_RECEIVING_PAYMENT_OR_TRANSFER_OF_VALUE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
46 Charity Indicator Indicates the third party entity that received the payment or other transfer of value is a charity. Boolean "Y" = Yes;
"N" = No
No 1 Char Validates that only character "Y" or "N" is provided

If reported, Third Party Payment Recipient Indicator = 1 (Entity)
Yes CHARITY_INDICATOR No notes No, only values given in Format Column E are allowed.
47 Third Party Equals Covered Recipient Indicator Indicator showing that the "Third Party" who received the payment or other transfer of value is a Covered Recipient.
Boolean "Y" = Yes;
"N" = No
Yes IF

DE# 44, Third Party Payment Recipient Indicator = "1" (Entity) or "2" (Individual)

IF DE# 44 is any other value, this field must be blank.
1 Char Validates that only character "Y" or "N" is provided Yes THIRD_PARTY_EQUALS_COVERED_RECIPIENT_INDICATOR No notes No, only values given in Format Column E are allowed.
48 Contextual Information Any free text which the reporting entity deems helpful or appropriate regarding this payment or other transfer of value. Text Free form text Yes IF
DE#49, Delay in Publication of Research Payment Indicator = “1” or “2”
≤ 500 Char Validated against data type, format, and field size (columns D, E, G) Yes CONTEXTUAL_INFORMATION No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.
49 Delay in Publication of Research Payment Indicator Indicator showing if an Applicable Manufacturer/Applicable GPO is requesting a delay in publication of a payment or other transfer of value when the payment or transfer of value is made in connection with: (1) research on or development of a new product (drug, device, biological, or medical supply) or (2) clinical investigation regarding a new product (drug, device, biological, or medical supply).

If the Delay in Publication of Research Payment Indicator equals “1” or “2”, indicate the name of the related research study in DE#48, "Contextual information."

Applicable Manufacturers/GPOs not requesting a delay in publication of a payment or other transfer of value should select (3), not requesting a delay in publication, to indicate that no delay is requested.

CMS will display payments or other transfers of value no later than four years after the initial request for delay in publication of the payment or transfer of value.

Enumeration "1" = R&D on New Product
"2" = Clinical Investigation on New Product
"3" = No Delay Requested
Yes 1 Char Limited to numeric characters "1," "2," or "3"

Validated against CMS-approved data sources
Yes DELAY_IN_PUBLICATION_OF_RESEARCH_PAYMENT_INDICATOR Delay in publication must be re-requested annually and can only be requested for a total of four years. This can be done by resubmitting the record and requesting a delay in publication again.

To determine if a record that has been delayed in publication requires renewal to remain delayed, go to the Review Records page and select the payment category to view. Use the filter tools on the next page to search for records with a "Delay in Publication" status of "Renew"
No, only values given in Format Column E are allowed.
End of worksheet











Sheet 2: Research Payments

Submission File Information (this section contains data elements which are reported once per submission file; in CSV format, the same data values for these elements must be repeated for each record)













































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters













































1 Applicable Manufacturer or Applicable GPO Name Textual proper name of either the Submitting Applicable Manufacturer or Submitting Applicable Group Purchasing Organization (GPO).

If this submission file contains records of payment(s) and/or other transfer(s) of value made by only one Applicable Manufacturer/Applicable GPO, enter that Applicable Manufacturer’s/Applicable GPO’s name in this data field for all records in the submission file.

If this submission file contains records of payment(s) and/or other transfer(s) of value from multiple Applicable Manufacturers/Applicable GPOs, enter the name of the Applicable Manufacturer/Applicable GPO submitting the consolidated report in this field. The name of the Applicable Manufacturer/Applicable GPO that made the payment for each record is entered in the “Applicable Manufacturer or Applicable GPO Making Payment Name” (DE#33) field of that record.

Text Free form text Yes ≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Match the name on file for associated Registration ID
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_NAME Published as "Submitting Applicable Manufacturer or Applicable GPO Name" All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































2 Applicable Manufacturer or Applicable GPO Registration ID Open Payments system-generated identifier used to identify the Applicable Manufacturer or GPO (populated only with CMS-provided identifier).

If this submission file contains records of payment(s) and/or other transfers of value made by only one Applicable Manufacturer/Applicable GPO, enter that Applicable Manufacturer’s/Applicable GPO’s Registration ID in this data field for all records in the submission file.

If this submission file contains records of payment(s) and/or other transfer(s) of value from multiple Applicable Manufacturers/Applicable GPOs, enter the Record ID of the Applicable Manufacturer/Applicable GPO submitting the consolidated report. The Record ID of the Applicable Manufacturer/Applicable GPO that made the payment for each record is entered in the “Applicable Manufacturer or Applicable GPO Making Payment Registration ID” (DE#34) field of that record.
Numeric System generated Yes System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

Match the Registration ID on file
No APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_ID No notes System generated value only.













































3 Consolidated Report Indicator Indicator showing if this submission file constitutes a Consolidated Report. Boolean "Y" = Yes;
"N" = No
Yes 1 Char Validates that only character "Y" or "N" is provided No CONSOLIDATED_REPORT_INDICATOR For more information on Consolidated Reporting, consult the Quick Reference Guide on Consolidated Reporting, located on the CMS Open Payments website No, only values given in Format Column E are allowed.













































4 Resubmission File Indicator Indicator showing if this submission file contains payment(s) and/or other transfer(s) of value that are all new records, amended or corrected versions of previously submitted records, previously submitted records for which a delay in publication has been requested that you now wish to update, or previously submitted records that you now wish to delete.

Enumeration
"N" = New Submission
"Y" = Resubmission
"R" = Renew Delay in Publication
"D" = Delete
Yes 1 Char Validates that only character "N","Y","R", or "D" is provided

If "R" is provided, only DE# 2, 3, 4, 34, 35, 36A, and 40 are required for the record. All other fields are optional.

If "D" is provided, only DE# 2, 3, 4, 34, 35, and 36A are required for the record. All other fields are optional.

All records in a file must have the same value in this field.
No RESUBMISSION_FILE_INDICATOR No notes No, only values given in Format Column E are allowed.













































5 Original File Submission ID This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID, data element 34A. N/A













































Submission Record Information (all sections from here to end of template contain data elements that are reported once per payment/transfer of value)













































Recipient Demographic Information













































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters













































6 Covered Recipient Type Indicator showing if the recipient of the payment or other transfer of value is a covered physician, a covered teaching hospital, a non-covered entity, or a non-covered individual.


Enumeration "1" = Covered Recipient Physician
or
"2" = Covered Recipient Teaching Hospital
or
"3" = Non-covered Recipient Entity
or
"4" = Non-covered Recipient Individual
Yes 1 Char Validates that only 1, 2, 3, or 4 is provided Yes COVERED_RECIPIENT_TYPE No notes No, only values given in Format Column E are allowed.













































7 Non-covered Recipient Entity Name The name of the Non-covered Recipient Entity receiving the payment or other transfer of value. Text Free form text Yes IF

DE# 6 Covered Recipient Type =
"3" (Non-covered Recipient Entity)

IF DE# 6 is any other value, this field must be blank.
≤ 100 Char Validated against data type, format, and field size (columns D, E, G) Yes NON_COVERED_RECIPIENT_ENTITY_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet













































8 Covered Recipient Teaching Hospital Name The "doing business as" name of Teaching Hospital receiving the payment or other transfer of value.

A standardized list of covered teaching hospital names and information is provided on the CMS Open Payments website.
Text Text of Standardized Selection from approved list of Teaching Hospitals Yes IF

DE# 6
Covered Recipient Type = "2" (Covered Recipient Teaching Hospital)

IF DE# 6 is any other value, this field must be blank.
≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

A standardized list of covered Teaching Hospital names and information is provided on the CMS Open Payments website. Hospital name submitted is matched against this list. Use the "Hospital Name" value in the list for the correct name. (Records for program year 2013 only must use the "PECOS Legal Name" instead)

Value must match the hospital name associated with the TIN (DE #8) as per the Teaching Hospital List
Yes COVERED_RECIPIENT_TEACHING_HOSPITAL_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































9 Covered Recipient Teaching Hospital Tax ID Number (TIN) Tax Identification Number (TIN) of Teaching Hospital receiving the payment or other transfer of value.
Numeric 999999999 Yes IF

DE# 6
Covered Recipient Type = "2" (Covered Recipient Teaching Hospital)

IF DE# 6 is any other value, this field must be blank.
9 Char Validated against data type, format, and field size (columns D, E, G)

A standardized list of covered Teaching Hospital names and information is provided on the CMS Open Payments website.

Value must match the TIN associated with the teaching hospital name (DE #8) as per the Teaching Hospital List
No COVERED_RECIPIENT_TEACHING_HOSPITAL_TAX_ID_NUMBER No notes No, only numeric values are allowed.













































10 Covered Recipient Physician First Name Textual first name of the physician (covered recipient) receiving the payment or other transfer of value.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text Yes IF

DE# 6
Covered Recipient Type = "1" (Covered Recipient Physician)

IF DE# 6 is any other value, this field must be blank.
≤ 20 Char Validated against CMS-approved data sources Yes COVERED_RECIPIENT_PHYSICIAN_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































11 Covered Recipient Physician Middle Name Textual middle initial or middle name of the physician (covered recipient) receiving the payment or other transfer of value.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text No

IF DE# 6 Covered Recipient Type = "2" (Covered Recipient Teaching Hospital), "3" (Non-covered Recipient Entity), or "4" (Non-covered Recipient Individual), this field must be blank.
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes COVERED_RECIPIENT_PHYSICIAN_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































12 Covered Recipient Physician Last Name Textual last name of the physician (covered recipient) receiving the payment or other transfer of value.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text Yes IF

DE# 6
Covered Recipient Type = "1" (Covered Recipient Physician)

IF DE# 6 is any other value, this field must be blank.
≤ 35 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
Yes COVERED_RECIPIENT_PHYSICIAN_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































13 Covered Recipient Physician Name Suffix Name suffix of the physician (covered recipient) receiving the payment or other transfer of value chosen from a constrained list of values (Examples: Jr., Sr., III).

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text No

IF DE# 6 Covered Recipient Type = "2" (Covered Recipient Teaching Hospital), "3" (Non-covered Recipient Entity), or "4" (Non-covered Recipient Individual), this field must be blank.
≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes COVERED_RECIPIENT_PHYSICIAN_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































14 Recipient Business Street Address Line 1 The first line of the primary business street address of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value. Text Two line address format;
First line contains building number, street name, street identifier
Yes IF

DE# 6 Covered Recipient Type =
"1" (Covered Recipient Physician), OR
"2" (Covered Recipient Teaching Hospital), OR
"3" (Non-covered Recipient Entity)

IF DE# 6 is any other value, this field must be blank.
≤ 55 Char Validated against data type, format, and field size (columns D, E, G)

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address Line 1 from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































15 Recipient Business Street Address Line 2 The second line of the primary business street address of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value. Text Two line address format;
Second line contains suite number, apartment number, post office box number, or other qualifying information
No ≤ 55 Char Validated against data type, format, and field size (columns D, E, G)

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address Line 2 from the CMS-provided Teaching Hospital List should be used for this data element
Yes RECIPIENT_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































16 Recipient City The primary business address city of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value. Text Free form text Yes IF

DE# 6 Covered Recipient Type =
"1" (Covered Recipient Physician), OR "2" (Covered Recipient Teaching Hospital), OR "3" (Non-covered Recipient Entity)

IF DE# 6 is any other value, this field must be blank.

≤ 40 Char Validated against data type, format, and field size (columns D, E, G)

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address City from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































17 Recipient State The state or territory abbreviation of the primary business address of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value if the primary business address is in the United States. Enumeration 2 character U.S. state or territory alpha abbreviation Yes IF

Recipient Country DE# 19 = "US" or "United States"

IF DE# 19 is any other value, this field must be blank.
2 Char Validated against data type, format, and field size (columns D, E, G)

Limited to list of state abbreviations and territories per US Postal Service

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address State from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_STATE No notes No, only values given in Format Column E are allowed.













































18 Recipient Zip Code The 5- or 9-digit zip code for the primary business location of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value if the primary practice address is in the United States. Numeric 9 digit numeric zip code Yes IF

Recipient Country DE# 19 = "US" or "United States"

IF DE# 19 is any other value, this field must be blank.
≤ 9 Char Validated against data type, format, and field size (columns D, E, G)

Either exactly 5 or exactly 9 numeric digits

If the Covered Recipient Type (DE#6) has a value of "2" (Teaching Hospital), NPPES Address Zip code from the CMS-provided Teaching Hospital list should be used for this data element
Yes RECIPIENT_ZIP_CODE No notes No, only numeric values are allowed.













































19 Recipient Country The business address country of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value. Text Free form text Yes IF

DE# 6 Covered Recipient Type=

"1" (Covered Recipient Physician), OR "2" (Covered Recipient Teaching Hospital), OR "3" (Non-covered Recipient Entity)

IF DE# 6 is any other value, this field must be blank.
2 Char
* For US only, you can enter US or United States
Validated against data type, format, and field size (columns D, E, G)

Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes RECIPIENT_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































20 Recipient Province The business address province of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value if the primary practice address is outside the United States and if applicable.
Text Free form text No

≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes RECIPIENT_PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































21 Recipient Postal Code The international postal code for the primary business location of the physician or teaching hospital or non-covered recipient entity receiving the payment or other transfer of value if the primary business address is outside the United States. Text Alphanumeric Yes IF

Recipient Country DE# 19 is outside the United States AND DE# 6 = "1", OR "2", OR "3"

For all other conditions, this field must be blank.
≤ 20 Char Validated against data type, format, and field size (columns D, E, G)

Proper length and format validated for each country
Yes RECIPIENT_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































22 Recipient Email Address The primary email address for physician or teaching hospital or non-covered recipient entity to be used for communication purposes. Text Email Address No ≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Proper email format enforced
No RECIPIENT_EMAIL_ADDRESS No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































23 Covered Recipient Physician NPI
Individual NPI for Physician (not the NPI of any group the physician belongs to). Required, if physician has an NPI. Numeric Numeric digits only Yes IF

the Covered Recipient Physician has an NPI

IF DE# 6 Covered Recipient Type = "2" (Covered Recipient Teaching Hospital), "3" (Non-covered Recipient Entity), or "4" (Non-covered Recipient Individual), this field must be blank.
10 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
No COVERED_RECIPIENT_PHYSICIAN_NPI No notes No, only numeric values are allowed.













































24 Covered Recipient Physician Primary Type Primary type of medicine practiced by the covered recipient physician. Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)
Yes IF

DE# 6
Covered Recipient Type = "1" (Covered Recipient Physician)

IF DE# 6 is any other value, this field must be blank.
1 Char Limited to numeric characters 1 through 6 Yes COVERED_RECIPIENT_PHYSICIAN_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.













































25 Covered Recipient Physician Specialty Taxonomy code for the physician's specialty, chosen from the standardized "provider taxonomy" code list. Text Text from Standardized Selection Yes IF

DE# 6
Covered Recipient Type = "1" (Covered Recipient Physician)

IF DE# 6 is any other value, this field must be blank.
10 Char Validated against data type, format, and field size (columns D, E, G) Yes COVERED_RECIPIENT_PHYSICIAN_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































26 Covered Recipient Physician License State and License Number Paired state and official state license number of the covered recipient physician. May include up to 5 "Physician License State and License Number" pairs, if the physician is licensed in multiple states. Text Maximum of 5 unique pairs of the state and license number:
AA-9999999999999999999999999
Yes IF

DE# 6
Covered Recipient Type = "1" (Covered Recipient Physician)

IF DE# 6 is any other value, this field must be blank.
≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

Proper length and format validated for each state

The pairing includes the 2 letter state abbreviation, followed by a hyphen, followed by the state license number
Yes, for the State
AND
No, for the License #
COVERED_RECIPIENT_PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_1 COVERED_RECIPIENT_PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_2 COVERED_RECIPIENT_PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_3 COVERED_RECIPIENT_PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_4 COVERED_RECIPIENT_PHYSICIAN_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.












































Char 100
Associated Drug, Device, Biological, or Medical Supply Information













































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters













































27 Related Product Indicator An indicator for whether the payment or other transfer of value is related to one or more product(s) (drugs, devices, biologicals, or medical supplies). If the payment was not made in relation to a product, select "No". If the payment was related to one or more product, select "Yes". Boolean "Y" = Yes;
"N" = No
Yes 1 Char Validates that only character "Y" or "N" is provided Yes RELATED_PRODUCT_INDICATOR If reporting multiple products, the information in DE# 28-32 must be reported for one product before moving on to the next product in the record (i.e., report all information for one product, then all information for the next product, etc.) No, only values given in Format Column E are allowed.













































28 Covered or Non‐covered Product Indicator For each product listed in relation to the payment or other transfer of value, indicate if the product is a covered or non‐covered product per the covered product definition in the Open Payments final rule. Do not report this element if the payment is not related to any products. Enumeration "1" for covered "2" for non‐covered Yes IF

Related Product Indicator (DE #27) is "Yes"

IF DE# 27 = "N", this field must be blank.
1 Char Allowed values limited to "1" or "2" Yes COVERED_OR_NONCOVERED_INDICATOR_1
COVERED_OR_NONCOVERED_INDICATOR_2
COVERED_OR_NONCOVERED_INDICATOR_3
COVERED_OR_NONCOVERED_INDICATOR_4
COVERED_OR_NONCOVERED_INDICATOR_5
No notes No, only values given in Format Column E are allowed.













































29 Indicate Drug, Device, Biological, or Medical Supply For each product listed in relation to the payment or other transfer of value, indicate if the product is a drug, device, biological or medical supply. Do not report this element if the payment is not related to any products. Enumeration "1" for drug
"2" for device
"3" for biological
"4" for medical supply
Yes IF

Related Product Indicator (DE #27) is "Yes" and Covered or Non‐covered Product Indicator (DE #28) is "Covered"

OR

Related Product Indicator (DE #27) is "Yes", Covered or Non‐covered Product Indicator (DE #28) is "Non-covered", and an Associated Drug or Biological NDC (DE#32) has been provided. In this case, this field must be "1" or "3."

IF DE# 27 = "N", this field must be blank.
1 Char Allowed values limited to "1", "2", "3", or "4" Yes INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_1
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_2
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_3
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_4
INDICATE_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_5
No notes No, only values given in Format Column E are allowed.













































30 Product Category or Therapeutic Area Provide the product category or therapeutic area for the covered drug, device, biological, or medical supply listed in relation to the payment or other transfer of value. Do not report this element if the payment or other transfer of value is not related to any products. Text Free form text Yes IF

Related Product Indicator (DE #27) is "Yes" and Covered or Non‐covered Product Indicator (DE #28) is "Covered"

IF DE# 27 = "N", this field must be blank.
< 100 Char Validated against data type, format, and field size (columns D, E, G)

The values in this field may not consist of only zeroes
Yes PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_1
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_2
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_3
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_4
PRODUCT_CATEGORY_OR_THERAPEUTIC_AREA_5
No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.















































31 Marketed Name of Drug, Device, Biological, or Medical Supply The marketed name of the drug, device, biological or medical supply. May report the marketed name of up to five products (drugs, devices, biologicals, or medical supplies) associated with the payment or other transfer of value.

If the drug or biological associated with this payment or other transfer of value does not have a marketed name, report the drug or biological name as it is registered on www.clinicaltrials.gov.

If the device or medical supply associated with this payment does not have a marketed name, this field may be left blank. Do not report this element if the payment is not related to any products.
Text Free form text Yes IF

Related Product Indicator (DE #27) is "Yes" and Covered or Non‐covered Product Indicator (DE #28) is "Covered" and Indicate Drug, Device, Biological, or Medical Supply (DE#29) is "1" or "3"

OR

Related Product Indicator (DE #27) is "Yes", Covered or Non‐covered Product Indicator (DE #28) is "Non-covered", Indicate Drug, Device, Biological, or Medical Supply (DE#29) is "1" or "3" and an Associated Drug or Biological NDC (DE#32) has been provided

IF DE# 27 = "N", this field must be blank.
< 100 Char Validated against data type, format, and field size (columns D, E, G)

The values in this field may not consist of only zeroes
Yes NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_1
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_2
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_3
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_4
NAME_OF_DRUG_OR_BIOLOGICAL_OR_DEVICE_OR_MEDICAL_SUPPLY_5
No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.















































32 Associated Drug or Biological NDC For each covered drug or covered biological listed in relation to the payment or other transfer of value, provide the associated National Drug Code (NDC) (if applicable). Up to 5 NDCs can be provided.

NDCs are required for all drugs and biologicals that have NDCs. If the reported drug or biological does not have an NDC this field may be left blank.
Report this element for drugs and biologicals only. Do not report this element if the payment or other transfer of value is not related to any products.
Text 10-digit numeric code with three segments divided by dashes, grouped in one of three ways:
9999-9999-99
99999-999-99
99999-9999-9
Yes IF

Related Product Indicator (DE #27) is "Yes" and Covered or Non‐covered Product Indicator (DE #28) is "Covered" and when the reported drug or biological has an NDC

IF DE# 27 = "N" or if DE# 29 = "2" or "4", this field must be blank.
12 Char (including dashes) Validated against format and field size (columns E and G)

If a drug or biological named in the record (DE#31) has an NDC, the NDC must be reported with the same record. The order of NDCs provided must match the order of named drugs or biologicals in DE#31. If no NDC exists for a named drug or biological in DE#31, leave the corresponding NDC field blank for that drug or biological.

The numeric values in this field may not consist of only zeroes
Yes ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_1
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_2
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_3
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_4
ASSOCIATED_DRUG_OR_BIOLOGICAL_NDC_5
No notes Minus sign/hyphen (-)













































Transfer of Value (Research Payment) Information













































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters













































33 Applicable Manufacturer or Applicable GPO Making Payment Name Textual proper name of either the Applicable Manufacturer or Applicable GPO making the payment or transfer of value being reported in this record.
Text Free form text Yes
≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

If DE# 3 (Consolidated Report Indicator) = “N”, the value provided for this data element must be the same as the value provided for DE# 1 (Applicable Manufacturer or Applicable GPO Name).
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_MAKING_PAYMENT_NAME Published as "Making Payment Applicable Manufacturer or Applicable GPO Name" All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































34 Applicable Manufacturer or Applicable GPO
Making Payment Registration ID
Open Payments system-generated identifier for this Applicable Manufacturer or Applicable GPO issued during the registration process.

Numeric System generated Yes System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

If DE# 3 (Consolidated Report Indicator) = “N”, the value provided for this data element must be the same as the value provided for DE# 2 (Applicable Manufacturer or Applicable GPO Registration ID).
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_MAKING_PAYMENT_REGISTRATION_ID Published as Published as "Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_ID" System generated value only.













































34A Home System Payment ID The identifier associated with the payment transaction in the Applicable Manufacturer or Applicable GPO home system. Text Text No ≤ 50 Char Validated against data type, format, and field size (columns D, E, G) No HOME_SYSTEM_PAYMENT_ID No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































35 Resubmitted Payment Record ID This data element will be blank for initial file submissions.

For resubmission files - this data element will either be blank (indicating an omitted record is being submitted in the Resubmission file) or will contain the original payment/transfer of value record ID (indicating which record is to be corrected). The original payment/transfer of value record ID is provided by the Open Payments system.
Numeric System generated Yes IF


DE# 4 Resubmission File Indicator = "Y", "R" or "D"
System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G) No RESUBMITTED_PAYMENT_RECORD_ID No notes System generated value only.













































36 Total Amount of Research Payment (U.S. Dollars) Amount of payment to recipient, in US dollars. Convert to US dollar currency, if necessary.
Fixed Point Currency (US dollars) 9999999999.99 Yes 12 Char Validated against data type, format, and field size (columns D, E, G)

The value in this field cannot be 0.00. The value entered must be greater than zero dollars
Yes TOTAL_AMOUNT_OF_RESEARCH_PAYMENT_U_S_DOLLARS No notes No, only values given in Format Column E are allowed.













































36A Date of Payment If reporting a singular payment, report the actual date the payment was issued.

If reporting EITHER a series of payments OR an aggregated set of payments, record the date of the first payment to the covered recipient in this reporting year.
Date YYYYMMDD Yes 8 Char Validated against data type, format, and field size (columns D, E, G)

Is within correct reporting year
Yes DATE_OF_PAYMENT No notes No, only values given in Format Column E are allowed.













































37 Form of Payment or Transfer of Value The method of payment used to pay the covered recipient or to make the transfer of value. Enumeration "1" = Cash or cash equivalent;
"2" = In‐kind items and services;
"3" = Stock;
"4" = Stock option;
"5" = Any other ownership interest;
"6" = Dividend, profit or other return on investment
Yes 1 Char Limited to numeric characters 1 through 6 Yes FORM_OF_PAYMENT_OR_TRANSFER_OF_VALUE No notes No, only values given in Format Column E are allowed.













































38 Expenditure Category Contextual category for this research payment or transfer of value. There can be multiple contextual categories for this research reported. For every Expenditure Category reported, an Expenditure Category percentage must also be reported.

Enumeration Format: 9-999
"1" = Professional Salary Support;
"2" = Medical Research Writing or Publication;
"3" = Patient Care;
"4" = Non-patient Care;
"5" = Overhead;
"6" = Other
No ≤ 5 Char Validated against data type, format, and field size (columns D, E, G)

Category number represented as a single number (per the format column) followed by the 2- or 3-digit percentage of the value of that category for this payment (e.g., 1-90 or 1-100)
Yes EXPENDITURE_CATEGORY No notes No, only values given in Format Column E are allowed.













































Research Related Information













































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters













































39 Pre-clinical Research Indicator
Indicator showing if payment or transfer of value is related to research, which is pre-clinical. Boolean "Y" = Yes;
"N" = No
Yes 1 Char Validates that only character "Y" or "N" is provided Yes PRE_CLINICAL_RESEARCH_INDICATOR No notes No, only values given in Format Column E are allowed.













































40 Delay in Publication of Research Payment Indicator Indicator showing if an Applicable Manufacturer/Applicable GPO is requesting a delay in publication of a payment or other transfer of value when the payment or transfer of value is made in connection with: (1) research on or development of a new product (drug, device, biological, or medical supply) or (2) clinical investigation regarding a new product (drug, device, biological, or medical supply).

Applicable Manufacturers/Applicable GPOs not requesting a delay in publication of a payment or other transfer of value should select (3), not requesting a delay in publication, to indicate that no delay is requested.

CMS will display payments or other transfers of value no later than four years after the initial request for delay in publication of the payment or transfer of value.

Enumeration "1" = R&D on New Product
"2" = Clinical Investigation on New Product
"3" = No Delay Requested
Yes 1 Char Validated against data type, format, and field size (columns D, E, G) Yes DELAY_IN_PUBLICATION_OF_RESEARCH_PAYMENT_INDICATOR Delay in publication must be re-requested annually and can only be requested for a total of four years. This can be done by resubmitting the record and requesting a delay in publication again.

To determine if a record that has been delayed in publication requires renewal to remain delayed, go to the Review Records page and select the payment category to view. Use the filter tools on the next page to search for records with a "Delay in Publication" status of "Renew."
No, only values given in Format Column E are allowed.













































41 Name of Study The textual name of the study for which the Covered Recipient is receiving this payment or transfer of value. Text Free form text Yes IF

DE# 39
Pre-clinical Research Indicator = "N"
≤ 500 Char Validated against data type, format, and field size (columns D, E, G) Yes NAME_OF_STUDY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































42 Context of Research Textual description of research context or research objectives. Text Free form text No ≤ 500 Char Validated against data type, format, and field size (columns D, E, G) Yes CONTEXT_OF_RESEARCH No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































43 ClinicalTrials.Gov Identifier Identifier assigned if research study is registered on ClinicalTrials.gov. Text 11 character alphanumeric, first 3 characters alpha
No 11 Char Validated against data type, format, and field size (columns D, E, G) Yes CLINICALTRIALS_GOV_IDENTIFIER No notes No, only values given in Format Column E are allowed.













































44 Research Information Link Optional link to information relevant to the research study for which this payment or transfer of value is being reported.
Text Web URL No ≤ 2083 Char Validated against data type, format, and field size (columns D, E, G) Yes RESEARCH_INFORMATION_LINK No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































45 Principal Investigator Covered Recipient Physician Indicator Indicator showing if the payment or other transfer of value is associated with a research study that employed at least one Principal Investigator who is a covered recipient physician in addition to the covered recipient who received the payment.

Boolean "Y" = Yes;
"N" = No
Yes 1 Char Validates that only character "Y" or "N" is provided

If there is a covered recipient principal investigator, set this field to "Y" and enter identifying information for at least one covered recipient Principal Investigator in the fields below. Up to five (5) Principal Investigator covered recipient physicians can be entered. The principal investigator(s) entered must be unique individuals. The individual identified as the covered recipient physician cannot be entered as a principal investigator. If the Covered Recipient Type (DE#6) is set to "3" or "4," the Principal Investigator Covered Recipient Physician Indicator must be set to "Y."

If there is not a covered recipient principal investigator, set this field to “N” and do not enter any information in the Principal Investigator fields below

If the covered recipient physician receiving the payment is also the only Principal Investigator, set this field to “N.” You do not need to duplicate that physician’s information.
No PRINCIPAL_INVESTIGATOR_COVERED_RECIPIENT_PHYSICIAN_INDICATOR No notes No, only values given in Format Column E are allowed.













































46 Principal Investigator First Name Textual first name of the Principal Investigator(s) of the research study, if the Principal Investigator is a Covered Recipient Physician.

Text Free form text Yes
IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































47 Principal Investigator Middle Name Textual middle initial or middle name of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician.
Text Free form text No ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































48 Principal Investigator Last Name Textual last name of the Principal investigator of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text Yes
IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
≤ 35 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































49 Principal Investigator Name Suffix Name suffix of the Principal Investigator of the research study, chosen from a constrained list of values (e.g., Jr., Sr., III), if the Principal Investigator is a Covered Recipient Physician.
Text Free form text No ≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































50 Principal Investigator Business Street Address Line 1 The first line of the primary business street address of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician.
Text Two line address format;
First line contains building number, street name, street identifier
Yes
IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































51 Principal Investigator Business Street Address Line 2 The second line of the primary business street address of the Principal investigator of the research study. Text Two line address format;
Second line contains suite number, apartment number, post office box number, or other qualifying information
No ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































52 Principal Investigator City The primary business address city of the Principal Investigator of the research study. Text Free form text Yes IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
≤ 40 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































53 Principal Investigator State The primary business address state or territory abbreviation of the Principal investigator of the research study, if the primary practice address is in the United States. Enumeration 2 character U.S. state or territory alpha abbreviation Yes IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
AND
Principal Investigator Country, DE# 55 is the United States
2 Char Validated against data type, format, and field size (columns D, E, G)

Limited to list of state abbreviations and territories per US Postal Service
Yes PRINCIPAL1_INVESTIGATOR_STATE No notes No, only values given in Format Column E are allowed.













































54 Principal Investigator Zip Code The 5- or 9-digit zip code of the primary business address location of the Principal investigator of the research study, if the primary practice address is in the United States. Numeric 9 digit numeric zip code Yes IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
AND
Principal Investigator Country, DE# 55 is the United States
≤ 9 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_ZIP_CODE No notes No, only numeric values are allowed.













































55 Principal Investigator Country The primary business address country name of the Principal investigator of the research study. Text Free form text Yes IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
2 Char
* For US only, you can enter US or United States
Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes PRINCIPAL1_INVESTIGATOR_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































56 Principal Investigator Province The primary business address province name of the Principal investigator of the research study, if the primary practice address is outside the United States.
Text Free form text No
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































57 Principal Investigator Postal Code The international postal code of the primary business location of the Principal investigator of the research study if the primary practice address is outside the United States. Text Alphanumeric Yes IF
Principal Investigator Country DE# 55 is outside the United States
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































58 Principal Investigator Physician Primary Type Primary type of medicine practiced by the Principal Investigator.
Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)

Yes IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
1 Char Allowed values limited to "1", "2", "3", "4", "5", or "6" Yes PRINCIPAL1_INVESTIGATOR_PHYSICIAN_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.













































59 Principal Investigator NPI Individual NPI for Principal Investigator if Principal Investigator is a Physician (not the NPI of any group the physician belongs to). Required, if applicable.
Numeric Numeric digits only Yes IF

the Physician has an NPI
10 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
No PRINCIPAL1_INVESTIGATOR_NPI No notes No, only numeric values are allowed.













































60 Principal Investigator Specialty Taxonomy code for Principal Investigator's specialty, chosen from "provider taxonomy" code list.
Text Text from Standardized Selection Yes
IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
10 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL1_INVESTIGATOR_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































61 Principal Investigator License State and License Number Paired state and state license number of the Principal Investigator, who is a physician covered recipient. May include up to 5 "Physician License State and License Number" pairs.

Text Maximum of 5 unique pairs of the state and license number:
AA-9999999999999999999999999
Yes
IF
DE# 45, "Principal Investigator Physician Covered Recipient Indicator" = "Y"
≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

Proper length and format validated for each state

The pairing includes the 2 letter state abbreviation, followed by a hyphen, followed by the state license number
Yes, for the State
AND
No, for the License #
PRINCIPAL1_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_1 PRINCIPAL1_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_2 PRINCIPAL1_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_3 PRINCIPAL1_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_4 PRINCIPAL1_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































Multiple Principal Investigators: For DE# 62-125, when indicating multiple Principal Investigators, include the First Name, Last Name, Business Address, Physician Primary Type, NPI (if applicable), Physician Specialty, and License State and License Number for each Principal Investigator added as required in DE# 46-61.













































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters













































62 Principal Investigator First Name Textual first name of the Principal Investigator(s) of the research study; required, if the Principal Investigator is a Covered Recipient Physician.

Text Free form text No, unless indicating multiple Principal Investigators ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































63 Principal Investigator Middle Name Textual middle initial or middle name of the Principal Investigator of the research study; required, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































64 Principal Investigator Last Name Textual last name of the Principal investigator of the research study; required, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 35 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































65 Principal Investigator Name Suffix Name suffix of the Principal Investigator of the research study chosen from a constrained list of values (e.g., Jr., Sr., III), if the Principal Investigator is a Covered Recipient Physician.
Text Free form text No, unless indicating multiple Principal Investigators
≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































66 Principal Investigator Business Street Address Line 1 The first line of the primary business street address of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician.
Text Two line address format;
First line contains building number, street name, street identifier
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































67 Principal Investigator Business Street Address Line 2 The second line of the primary business street address of the Principal investigator of the research study. Text Two line address format;
Second line contains suite number, apartment number, post office box number, or other qualifying information
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































68 Principal Investigator City The primary business address city of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
≤ 40 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































69 Principal Investigator State The primary business address state or territory abbreviation of the Principal investigator of the research study, if the primary practice address is in the United States.
Enumeration 2 character U.S. state or territory alpha abbreviation No, unless indicating multiple Principal Investigators
2 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_STATE No notes No, only values given in Format Column E are allowed.













































70 Principal Investigator Zip Code The 5- or 9-digit zip code of the primary business address location of the Principal investigator of the research study, if the primary practice address is in the United States.
Numeric 9 digit numeric zip code No, unless indicating multiple Principal Investigators
≤ 9 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_ZIP_CODE No notes No, only numeric values are allowed.













































71 Principal Investigator Country The primary business address country name of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
2 Char
* For US only, you can enter US or United States
Validated against data type, format, and field size (columns D, E, G)

Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes PRINCIPAL2_INVESTIGATOR_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































72 Principal Investigator Province The primary business address province name of the Principal investigator of the research study, if the primary practice address is outside the United States. Text Free form text No
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































73 Principal Investigator Postal Code The international postal code of the primary business location of the Principal investigator of the research study if the primary practice address is outside the United States.
Text Alphanumeric No, unless indicating multiple Principal Investigators and Principal Investigator Country DE# 71 is outside the United States ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































74 Principal Investigator Physician Primary Type Primary type of medicine practiced by the Principal Investigator.

Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)
No, unless indicating multiple Principal Investigators 1 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_PHYSICIAN_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.













































75 Principal Investigator NPI Individual NPI for Principal Investigator if the Principal Investigator is a Physician (not NPI of any group physician belonging to). Required, if the physician has an NPI.
Numeric Numeric digits only No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) No PRINCIPAL2_INVESTIGATOR_NPI No notes No, only numeric values are allowed.













































76 Principal Investigator Specialty Taxonomy code for Principal Investigator's specialty, chosen from "provider taxonomy" code list.
Text Text from Standardized Selection No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL2_INVESTIGATOR_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































77 Principal Investigator License State and License Number Paired state and state license number of the Principal Investigator, who is a physician covered recipient. May include up to 5 "Physician License State and License Number" pairs.
Text Maximum of 5 unique pairs of the state and license number:
AA-9999999999999999999999999
No, unless indicating multiple Principal Investigators ≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

The pairing includes the 2 letter state abbreviation, followed by a hyphen, followed by the state license number
Yes, for the State
AND
No, for the License #
PRINCIPAL2_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_1 PRINCIPAL2_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_2 PRINCIPAL2_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_3 PRINCIPAL2_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_4 PRINCIPAL2_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































78 Principal Investigator First Name Textual first name of the Principal Investigator(s) of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































79 Principal Investigator Middle Name Textual middle initial or middle name of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































80 Principal Investigator Last Name Textual last name of the Principal investigator of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 35 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































81 Principal Investigator Name Suffix Name suffix of the Principal Investigator of the research study chosen from a constrained list of values (e.g., Jr., Sr., III), if the Principal Investigator is a Covered Recipient Physician.
Text Free form text No, unless indicating multiple Principal Investigators
≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































82 Principal Investigator Business Street Address Line 1 The first line of the primary business street address of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician.

Text Two line address format;
First line contains building number, street name, street identifier
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































83 Principal Investigator Business Street Address Line 2 The second line of the primary business street address of the Principal investigator of the research study. Text Two line address format;
Second line contains suite number, apartment number, post office box number, or other qualifying information
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































84 Principal Investigator City The primary business address city of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
≤ 40 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































85 Principal Investigator State The primary business address state or territory abbreviation of the Principal investigator of the research study, if the primary practice address is in the United States.
Enumeration 2 character U.S. state or territory alpha abbreviation No, unless indicating multiple Principal Investigators
2 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_STATE No notes No, only values given in Format Column E are allowed.













































86 Principal Investigator Zip Code The 5- or 9-digit zip code of the primary business address location of the Principal investigator of the research study, if the primary practice address is in the United States.
Numeric 9 digit numeric zip code No, unless indicating multiple Principal Investigators
≤ 9 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_ZIP_CODE No notes No, only numeric values are allowed.













































87 Principal Investigator Country The primary business address country name of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
2 Char
* For US only, you can enter US or United States
Validated against data type, format, and field size (columns D, E, G)

Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes PRINCIPAL3_INVESTIGATOR_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































88 Principal Investigator Province The primary business address province name of the Principal investigator of the research study, if the primary practice address is outside the United States. Text Free form text No
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































89 Principal Investigator Postal Code The international postal code of the primary business location of the Principal investigator of the research study if the primary practice address is outside the United States.
Text Alphanumeric No, unless indicating multiple Principal Investigators and Principal Investigator Country DE# 87 is outside the United States
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































90 Principal Investigator Physician Primary Type Primary type of medicine practiced by the Principal Investigator.
Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)
No, unless indicating multiple Principal Investigators 1 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_PHYSICIAN_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.













































91 Principal Investigator NPI Individual NPI for Principal Investigator if the Principal Investigator is a Physician (not NPI of any group physician belonging to). Required, if the physician has an NPI.
Numeric Numeric digits only No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) No PRINCIPAL3_INVESTIGATOR_NPI No notes No, only numeric values are allowed.













































92 Principal Investigator Specialty Taxonomy code for Principal Investigator's specialty, chosen from "provider taxonomy" code list.
Text Text from Standardized Selection No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL3_INVESTIGATOR_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































93 Principal Investigator License State and License Number Paired state and state license number of the Principal Investigator, who is a physician covered recipient. May include up to 5 "Physician License State and License Number" pairs.
Text Maximum of 5 unique pairs of the state and license number:
AA-9999999999999999999999999
No, unless indicating multiple Principal Investigators ≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

The pairing includes the 2 letter state abbreviation, followed by a hyphen, followed by the state license number
Yes, for the State
AND
No, for the License #
PRINCIPAL3_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_1 PRINCIPAL3_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_2 PRINCIPAL3_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_3 PRINCIPAL3_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_4 PRINCIPAL3_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































94 Principal Investigator First Name Textual first name of the Principal Investigator(s) of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































95 Principal Investigator Middle Name Textual middle initial or middle name of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































96 Principal Investigator Last Name Textual last name of the Principal investigator of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 35 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































97 Principal Investigator Name Suffix Name suffix of the Principal Investigator of the research study chosen from a constrained list of values (e.g., Jr., Sr., III), if the Principal Investigator is a Covered Recipient Physician.
Text Free form text No, unless indicating multiple Principal Investigators
≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































98 Principal Investigator Business Street Address Line 1 The first line of the primary business street address of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician.
Text Two line address format;
First line contains building number, street name, street identifier
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































99 Principal Investigator Business Street Address Line 2 The second line of the primary business street address of the Principal investigator of the research study. Text Two line address format;
Second line contains suite number, apartment number, post office box number, or other qualifying information
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































100 Principal Investigator City The primary business address city of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
≤ 40 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































101 Principal Investigator State The primary business address state or territory abbreviation of the Principal investigator of the research study, if the primary practice address is in the United States.
Enumeration 2 character U.S. state or territory alpha abbreviation No, unless indicating multiple Principal Investigators
2 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_STATE No notes No, only values given in Format Column E are allowed.













































102 Principal Investigator Zip Code The 5- or 9-digit zip code of the primary business address location of the Principal investigator of the research study, if the primary practice address is in the United States.
Numeric 9 digit numeric zip code No, unless indicating multiple Principal Investigators
≤ 9 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_ZIP_CODE No notes No, only numeric values are allowed.













































103 Principal Investigator Country The primary business address country name of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
2 Char
* For US only, you can enter US or United States
Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes PRINCIPAL4_INVESTIGATOR_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































104 Principal Investigator Province The primary business address province name of the Principal investigator of the research study, if the primary practice address is outside the United States. Text Free form text No
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































105 Principal Investigator Postal Code The international postal code of the primary business location of the Principal investigator of the research study if the primary practice address is outside the United States.
Text Alphanumeric No, unless indicating multiple Principal Investigators and Principal Investigator Country DE# 103 is outside the United States ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































106 Principal Investigator Physician Primary Type Primary type of medicine practiced by the Principal Investigator.
Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)
No, unless indicating multiple Principal Investigators 1 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_PHYSICIAN_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.













































107 Principal Investigator NPI Individual NPI for Principal Investigator if the Principal Investigator is a Physician (not NPI of any group physician belonging to). Required, if the physician has an NPI.
Numeric Numeric digits only No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) No PRINCIPAL4_INVESTIGATOR_NPI No notes No, only numeric values are allowed.













































108 Principal Investigator Specialty Taxonomy code for Principal Investigator's specialty, chosen from "provider taxonomy" code list.
Text Text from Standardized Selection No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL4_INVESTIGATOR_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































109 Principal Investigator License State and License Number Paired state and state license number of the Principal Investigator, who is a physician covered recipient. May include up to 5 "Physician License State and License Number" pairs.
Text Maximum of 5 unique pairs of the state and license number:
AA-9999999999999999999999999
No, unless indicating multiple Principal Investigators ≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

The pairing includes the 2 letter state abbreviation, followed by a hyphen, followed by the state license number
Yes, for the State
AND
No, for the License #
PRINCIPAL4_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_1 PRINCIPAL4_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_2 PRINCIPAL4_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_3 PRINCIPAL4_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_4 PRINCIPAL4_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































110 Principal Investigator First Name Textual first name of the Principal Investigator(s) of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































111 Principal Investigator Middle Name Textual middle initial or middle name of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































112 Principal Investigator Last Name Textual last name of the Principal investigator of the research study, if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 35 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































113 Principal Investigator Name Suffix Name suffix of the Principal Investigator of the research study chosen from a constrained list of values (e.g.,, Jr., Sr., III), if the Principal Investigator is a Covered Recipient Physician. Text Free form text No, unless indicating multiple Principal Investigators
≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































114 Principal Investigator Business Street Address Line 1 The first line of the primary business street address of the Principal Investigator of the research study, if the Principal Investigator is a Covered Recipient Physician.

Text Two line address format;
First line contains building number, street name, street identifier
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































115 Principal Investigator Business Street Address Line 2 The second line of the primary business street address of the Principal investigator of the research study. Text Two line address format;
Second line contains suite number, apartment number, post office box number, or other qualifying information
No, unless indicating multiple Principal Investigators ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































116 Principal Investigator City The primary business address city of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
≤ 40 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































117 Principal Investigator State The primary business address state or territory abbreviation of the Principal investigator of the research study, if the primary practice address is in the United States.
Enumeration 2 character U.S. state or territory alpha abbreviation No, unless indicating multiple Principal Investigators
2 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_STATE No notes No, only values given in Format Column E are allowed.













































118 Principal Investigator Zip Code The 5- or 9-digit zip code of the primary business address location of the Principal investigator of the research study, if the primary practice address is in the United States.
Numeric 9 digit numeric zip code No, unless indicating multiple Principal Investigators
≤ 9 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_ZIP_CODE No notes No, only numeric values are allowed.













































119 Principal Investigator Country The primary business address country name of the Principal investigator of the research study. Text Free form text No, unless indicating multiple Principal Investigators
2 Char
* For US only, you can enter US or United States
Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes PRINCIPAL5_INVESTIGATOR_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































120 Principal Investigator Province The primary business address province name of the Principal investigator of the research study, if the primary practice address is outside the United States.
Text Free form text No ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































121 Principal Investigator Postal Code The international postal code of the primary business location of the Principal investigator of the research study if the primary practice address is outside the United States.
Text Alphanumeric No, unless indicating multiple Principal Investigators and Principal Investigator Country DE# 119 is outside the United States
≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































122 Principal Investigator Physician Primary Type Primary type of medicine practiced by the Principal Investigator.
Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)
No, unless indicating multiple Principal Investigators 1 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_PHYSICIAN_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.













































123 Principal Investigator NPI Individual NPI for Principal Investigator if the Principal Investigator is a Physician (not NPI of any group physician belonging to). Required, if the physician has an NPI.
Numeric Numeric digits only No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) No PRINCIPAL5_INVESTIGATOR_NPI No notes No, only numeric values are allowed.













































124 Principal Investigator Specialty Taxonomy code for Principal Investigator's specialty, chosen from "provider taxonomy" code list.
Text Text from Standardized Selection No, unless indicating multiple Principal Investigators 10 Char Validated against data type, format, and field size (columns D, E, G) Yes PRINCIPAL5_INVESTIGATOR_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































125 Principal Investigator License State and License Number Paired state and state license number of the Principal Investigator, who is a physician covered recipient. May include up to 5 "Physician License State and License Number" pairs.


Alphanumeric Maximum of 5 unique pairs of the state and license number:
AA-9999999999999999999999999
No, unless indicating multiple Principal Investigators ≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

The pairing includes the 2 letter state abbreviation, followed by a hyphen, followed by the state license number
Yes, for the State
AND
No, for the License #
PRINCIPAL5_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_1 PRINCIPAL5_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_2 PRINCIPAL5_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_3 PRINCIPAL5_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_4 PRINCIPAL5_INVESTIGATOR_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.













































End of worksheet

























































Sheet 3: Physician Ownership

Submission File Information (This section contains data elements which are reported once per submission file. The same data values for these elements must be repeated for each record.)























































































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters























































































1 Applicable Manufacturer or Applicable GPO Name Textual proper name of either the Submitting Applicable Manufacturer or Submitting Applicable Group Purchasing Organization (GPO).

If this submission file contains records of payment(s) and/or other transfer(s) of value made by only one Applicable Manufacturer/Applicable GPO, enter that Applicable Manufacturer’s/Applicable GPO’s name in this data field for all records in the submission file.

If this submission file contains records of payment(s) and/or other transfer(s) of value from multiple Applicable Manufacturers/Applicable GPOs, enter the name of the Applicable Manufacturer/Applicable GPO submitting the consolidated report in this field. The name of the Applicable Manufacturer/Applicable GPO that made the payment for each record is entered in the “Applicable Manufacturer or Applicable GPO Making Payment Name” (DE#23) field of that record.
Text Free form text Yes ≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Match the name on file for associated Registration ID
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_NAME Published as "Submitting Applicable Manufacturer or Applicable GPO Name" All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































2 Applicable Manufacturer or Applicable GPO Registration ID Open Payments system-generated identifier used to identify the Applicable Manufacturer or GPO (populated only with CMS-provided identifier).

If this submission file contains records of payment(s) and/or other transfers of value made by only one Applicable Manufacturer/Applicable GPO, enter that Applicable Manufacturer’s/Applicable GPO’s Registration ID in this data field for all records in the submission file.

If this submission file contains records of payment(s) and/or other transfer(s) of value from multiple Applicable Manufacturers/Applicable GPOs, enter the Record ID to be entered of the Applicable Manufacturer/Applicable GPO submitting the consolidated report. The Record ID of the Applicable Manufacturer/Applicable GPO that made the payment for each record is entered in the “Applicable Manufacturer or Applicable GPO Making Payment Registration ID” (DE#24) field of that record.

Numeric System generated Yes System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

Match the Registration ID on file
No APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_ID No notes System generated value only.























































































3 Consolidated Report Indicator Indicator showing if this submission file constitutes a Consolidated Report. Boolean "Y" = Yes;
"N" = No
Yes 1 Char Limited to characters "Y" or "N"
No CONSOLIDATED_REPORT_INDICATOR For more information on Consolidated Reporting, consult the Quick Reference Guide on Consolidated Reporting, located on the CMS Open Payments website No, only values given in Format Column E are allowed.























































































4 Resubmission File Indicator Indicator showing if this submission file contains payment(s) and/or other transfer(s) of value that are all new records, amended or corrected versions of previously submitted records, or previously submitted records that you now wish to delete.
Enumeration "N" = New Submission
"Y" = Resubmission
"D" = Delete
Yes 1 Char Validates that only character "N","Y", or "D" is provided


If "D" is provided, only DE# 2, 3, 4, 24, and 25 are required for the record. All other fields are optional.

All records in a file must have the same value in this field.
No RESUBMISSION_FILE_INDICATOR No notes No, only values given in Format Column E are allowed.























































































5 Original File Submission ID This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. This field is no longer collected by Open Payments and is replaced by Home System Payment ID data element 24A. N/A























































































Submission Record Information (all sections from here to end of the table contain data elements that are reported once per physician ownership/investment record)























































































Physician Demographic Information























































































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters























































































6 Ownership/Investment Physician's First Name Textual first name of the physician with the ownership or investment interest being reported.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text Yes ≤ 20 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources

Applicable GPOs cannot submit general or research payment records for physicians without submitting an ownership/investment interest record about that same physician
Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_FIRST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































7 Ownership/Investment Physician's Middle Name Textual middle initial or middle name of the physician with the ownership or investment interest being reported.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text No ≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_MIDDLE_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































8 Ownership/Investment Physician's Last Name Textual last name of the physician with the ownership or investment interest being reported.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text Yes ≤ 35 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_LAST_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































9 Ownership/Investment Physician's Name Suffix Name suffix of the physician with the ownership or investment interest being reported.

If applicable, report the value for this data element as listed in the National Plan & Provider Enumeration System (NPPES).
Text Free form text No ≤ 5 Char Validated against data type, format, and field size (columns D, E, G) Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_NAME_SUFFIX No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































10 Ownership/Investment Physician's Business Street Address Line 1 The first line of the primary practice street address of the physician with the ownership or investment interest being reported. Text Two line address format:
First line contains building number, street name, street identifier
Yes ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_BUSINESS_STREET_ADDRESS_LINE_1 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































11 Ownership/Investment Physician's Business Street Address Line 2 The second line of the primary practice street address of the physician with the ownership or investment interest being reported. Text Two line address format:
Second line contains suite number, apartment number, post office box number, or other qualifying information
No ≤ 55 Char Validated against data type, format, and field size (columns D, E, G) Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_BUSINESS_STREET_ADDRESS_LINE_2 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































12 Ownership/Investment Physician's City The primary practice city of the physician with the ownership or investment interest being reported. Text Free form text Yes ≤ 40 Char Validated against data type, format, and field size (columns D, E, G) Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_CITY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































13 Ownership/Investment Physician's State The primary practice state or territory abbreviation of the physician with the ownership or investment interest being reported, if the primary practice address is in the United States. Enumeration 2 character U.S. state or territory alpha abbreviation Yes IF

DE# 15 Ownership/Investment Physician's Country = "US" or "United States"

IF DE# 15 is any other value, this field must be blank.
2 Char Validated against data type, format, and field size (columns D, E, G)

Limited to list of state abbreviations and territories
Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_STATE No notes No, only values given in Format Column E are allowed.























































































14 Ownership/Investment Physician's Zip Code The 5- or 9-digit zip code for the primary practice location of the physician with the ownership or investment interest being reported, if the primary practice address is in the United States. Numeric 9 digit numeric zip code Yes IF

DE# 15 Ownership/Investment Physician's Country = "US" or "United States"

IF DE# 15 is any other value, this field must be blank.
≤ 9 Char Validated against data type, format, and field size (columns D, E, G)

Either exactly 5 or exactly 9 numeric digits
Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_ZIP_CODE No notes No, only numeric values are allowed.























































































15 Ownership/Investment Physician' s Country The primary practice/business address country name of the physician with the ownership or investment interest being reported.
Text Free form text Yes 2 Char
* For US only, you can enter US or United States
Validated against data type, format, and field size (columns D, E, G)

Must be exactly 2 char abbreviation of country
* For US only, you can enter US or United States
Yes OWNERSHIP_INVESTMENT_PHYSICIAN__S_COUNTRY No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































16 Ownership/Investment Physician's Province The primary practice/business province name of the physician with the ownership or investment interest being reported, if the primary practice/business address is outside the United States, and if applicable.
Text Free form text No

≤ 20 Char Validated against data type, format, and field size (columns D, E, G) Yes OWNERSHIP_INVESTMENT_PHYSICIAN__PROVINCE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































17 Ownership/Investment Physician's Postal Code The international postal code for the primary practice/business location of the physician with the ownership or investment interest being reported, if the primary practice/business address is outside the United States. Text Alphanumeric Yes IF

DE# 15 Ownership/Investment Physician's Country is outside the United States

IF DE# 15 = "US" or "United States", this field must be blank.
≤ 20 Char Validated against data type, format, and field size (columns D, E, G)

Proper length and format validated for each country
Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_POSTAL_CODE No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































18 Ownership/Investment Physician's Email Address The primary email address of the physician with the ownership or investment interest being reported. Text Email Address No ≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Proper email format enforced
No OWNERSHIP_INVESTMENT_PHYSICIAN_S_EMAIL_ADDRESS No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































19 Ownership/Investment Physician's Primary Type Primary type of medicine practiced by the physician with the ownership or investment interest being reported. Enumeration "1" = Medical Doctor (MD);
"2" = Doctor of Osteopathy (DO);
"3" = Doctor of Dentistry (DDS);
"4" = Doctor of Podiatric Medicine (DPM);
"5" = Doctor of Optometry (OD);
"6" = Chiropractor (DCP)

Yes 1 Char Allowed values limited to "1", "2", "3", "4", "5", or "6" Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_PRIMARY_TYPE No notes No, only values given in Format Column E are allowed.























































































20 Ownership/Investment Physician's NPI Individual NPI for the Physician (not the NPI of any group the physician belongs to)

Text Numeric digits only Yes if Physician has an NPI 10 Char Validated against data type, format, and field size (columns D, E, G)

Validated against CMS-approved data sources
No OWNERSHIP_INVESTMENT_PHYSICIAN_S_OR_TEACHING_HOSPITAL_NPI No notes No, only numeric values are allowed.























































































21 Ownership/Investment Physician's Specialty Taxonomy code for the physician's specialty, chosen from the standardized "provider taxonomy" code list. Text Text from Standardized Selection Yes 10 Char Validated against data type, format, and field size (columns D, E, G) Yes OWNERSHIP_INVESTMENT_PHYSICIAN_S_SPECIALTY Refer to the Open Payments Physician Taxonomy Code list on the CMS Open Payments website for a list of accepted taxonomy codes. None























































































22 Ownership/Investment Physician's License State and License Number Paired state and official state license number of the physician with the ownership or investment interest being reported. May include up to 5 "Physician License State and License Number" pairs, if a physician is licensed in multiple states. Text Maximum of 5 unique pairs of the state and license number:
AA-9999999999999999999999999
Yes ≤ 28 Char Validated against data type, format, and field size (columns D, E, G)

Proper length and format validated for each state

The pairing includes the 2 letter state abbreviation, followed by a hyphen, followed by the state license number
No OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_1 OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_2 OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_3 OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_4 OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_5 No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.






















































































Char(100)
Ownership/Investment Information























































































DE # Data Element Name Definition / Description Data Type Format Required? Field Size Validation Rules Publicly Displayed CSV Field Name Additional Notes Allowed Special Characters























































































23 Applicable Manufacturer or Applicable GPO Reporting Ownership Name Textual proper name of either the Applicable Manufacturer or Applicable GPO reporting the ownership or investment interest being reported in this record.

Text Free form text Yes
≤ 100 Char Validated against data type, format, and field size (columns D, E, G)

Matches Applicable /Applicable GPO names specified at registration for associated Registration IDs

If DE# 3 (Consolidated Report Indicator) = “N”, the value provided for this data element must be the same as the value provided for DE# 1 (Applicable Manufacturer or Applicable GPO Name).
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_REPORTING_OWNERSHIP_NAME No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































24 Applicable Manufacturer or Applicable GPO Reporting Ownership Registration ID Open Payments system-generated identifier for this Applicable Manufacturer or Applicable GPO issued during the registration process.

Numeric System generated Yes System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

Matches Registration ID(s) on file

If DE# 3 (Consolidated Report Indicator) = “N”, the value provided for this data element must be the same as the value provided for DE #2 (Applicable Manufacturer or Applicable GPO Registration ID).
Yes APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPOREPORTING_OWNERSHIP_REGISTRATION_ID Published as "Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_ID" System generated value only.



















































































Number(38,0)


24A Home System Payment ID The identifier associated with the payment transaction in the Applicable Manufacturer or Applicable GPO home system Text Text No ≤ 50 Char Validated against data type, format, and field size (columns D, E, G) No HOME_SYSTEM_PAYMENT_ID No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































25 Resubmitted Ownership Record ID This data element will be blank for initial file submissions.

For resubmission files - this data element will either be blank (indicating an omitted record is being submitted in the Resubmission file) or will contain the original ownership record ID (indicating which record is to be corrected). The original payment/transfer of value record ID is provided by the Open Payments System.
Numeric System generated Yes IF

DE# 4 Resubmission File Indicator = "Y" or "D"


System generated :
≤ 38 digits
Validated against data type, format, and field size (columns D, E, G)

If reported, matches Initial Payment Record ID for given Original File Submission ID
No RESUBMITTED_PAYMENT_RECORD_ID No notes System generated value only.



















































































Number(38,0)


26 Interest Held by Physician or an Immediate Family Member Indicator showing if the ownership or investment interest is held by the physician themselves or by an immediate family member. Enumeration "1" = Physician Covered Recipient;
"2" = Immediate family member
Yes 1 Char Validated against data type, format, and field size (columns D, E, G) Yes INTEREST_HELD_BY_PHYSICIAN_OR_AN_IMMEDIATE_FAMILY_MEMBER No notes No, only values given in Format Column E are allowed.























































































27 Dollar Amount Invested For Ownership interests:

The total dollar value, in US dollars, of the ownership interest gained by the physician (or the physician’s immediate family members) in the Applicable Manufacturer or Applicable GPO during the reporting year only. Value reported should be for the entire calendar year.

For Investment interests:

The total dollar amount, in US dollars, the physician (or the physician’s immediate family members) has invested in the Applicable Manufacturer or Applicable GPO during the reporting year only. Value reported should be for the entire calendar year.

Convert values to US dollar currency if necessary.
Fixed point Currency (US dollars) 9999999999.99 Yes 12 Char Validated against data type, format, and field size (columns D, E, G)

The dollar amount invested cannot be 0.00 if the Value of Interest (DE#28) is also 0.00.
Yes DOLLAR_AMOUNT_INVESTED No notes No, only values given in Format Column E are allowed.























































































28 Value of Interest The current cumulative value, in US dollars, of ownership or investment interest held by the physician (or the physician’s immediate family members) in the Applicable Manufacturer or Applicable GPO as of the most recent feasible valuation date preceding the reporting date. Please note that this amount represents the cumulative current value of all ownership or investment interests held by the physician (or the physician’s immediate family members in the Applicable Manufacturer or Applicable GPO.

Convert values to US dollar currency if necessary.
Fixed point Currency (US dollars) 9999999999.99 Yes 12 Char Validated against data type, format, and field size (columns D, E, G)

The value of interest cannot be 0.00 if the Dollar Amount Invested (DE#27) is also 0.00.
Yes VALUE_OF_INTEREST No notes No, only values given in Format Column E are allowed.























































































29 Terms of Interest Description of any applicable terms of the ownership or investment interest.
Text Free form text Yes 500 Char Validated against data type, format, and field size (columns D, E, G) Yes TERMS_OF_INTEREST No notes All special characters listed in the "Allowed Special Characters" tab of this spreadsheet.























































































End of worksheet



































































































Sheet 4: Allowed Special Characters

ALLOWED SPECIAL CHARACTERS
Special Character Name
+ Plus sign
& Ampersand
' Apostrophe
* Asterisk
@ At sign
\ Backslash
^ Caret
: Colon
, Comma
$ Dollar sign
Space Space character
= Equal
! Exclamation mark
/ Forward slash
` Grave accent
> Greater than
Minus sign/hyphen
( Left parenthesis
{ Left curly brackets
[ Left square brackets
< Less than
% Percent
. Period
# Pound
? Question mark
" Quotation marks
) Right parenthesis
} Right curly brackets
] Right square brackets
; Semi-colon
| Pipe
_ Underscore
~ Tilde
End of worksheet

Sheet 5: Revision Log

REVISION LOG
Version Date Published Description Version Updates
1.0 Dec 2013/Jan 2014 Initial Release Initial Release
1.1 April/May 2014 Updated and corrected throughout April/May 2014 version
1.2 May/June 2014 Updated and corrected throughout May/June 2014 version
1.3 June 2014 Updated and corrected throughout June 2014 version
1.4 October 2014 Physician Ownership: Updated "Terms of Interest" data element, "Publicly Displayed" field from 'No' to 'Yes' October 2014 version
1.5 February 2015 Updated per Program Year 2014 changes. January 2015 version
1.6 March 2015 Updated descriptions for DE 43: Principal Investigator Covered Recipient Physician Indicator and DE 6: Covered Recipient Type in the Research payment spreadsheet March 2015 version
1.7 November 2015 Updated per Program Year 2015 changes. November 2015 version
1.8 January 2016 Updated per Program Year 2016 changes.
1.9 April 2016 Corrected a typo in the "CSV Field Name" column for DE 27 and DE 29 in the General Payments tab and DE 28 and DE 30 in the Research Payments tab.
2.0 August 2016 Updated per Program Year 2016 changes.
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
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