25 Authorized agents - Query demographics

25 Authorized agents - Query demographics.docx

Survey of Eligible Users of the National Practitioner Databank

25 Authorized agents - Query demographics

OMB: 0915-0366

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OMB Number: 0915-0366; Expiration date: XX/XX/202X


Entities Survey: Module 25

Number of questions: 4


Authorized Agents: Query Related Demographics


Q 25.1. For how many organizations did your agency provide NPDB querying services between January 2018 and December 2020?


Type a number: ________

Do not know (please explain) _________


Q 25.2. What is the average number of NPDB queries that your organization made per month between January 2018 and December 2020?


Please enter a number: _______


Q 25.3. For how many practitioners do you typically query per month?


Type a number: ___


Q 25.4. For what types of organizations did your organization provide querying services between January 2018 and December 2020? (Please select all that apply.)


Hospital or Hospital System

Health Plan

Other Health Care Entities (e.g., Group Practice, Community Health Center, Clinic, Urgent Care or Ambulatory Health Care Facility or another health care organization that is not a hospital)

Professional Society

State Licensing Board or State Certification Authority

Federal Licensing Agency

Federal or State Prosecutor (including Attorney General)

Other State Agency

Other Federal Agency

Other (Please Explain)__________


Piping Logic:


Survey will be directed to Module 26 next.



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