Physician Resources

Government, professional, and public health resources for physicians practicing in Erie County and Western New York.

CAQH ProView A single online credentialing profile that most commercial insurers use to verify a physician’s qualifications.
NPI Registry A free public search tool to look up any provider’s NPI and basic practice information.
NPPES Where physicians apply for or update their National Provider Identifier (NPI).
NYS Office of the Professions – Medicine The state licensing authority for physicians, covering license renewal, mandated training, and practice requirements.
NYS Office of the Medicaid Inspector General (OMIG) Oversees Medicaid provider compliance programs, audits, and exclusion lists.
NYS Physician Profile Public lookup for a physician’s license status, education, and disciplinary history in New York State.
Office of Professional Medical Conduct Investigates and handles complaints of professional misconduct against licensed physicians; access through the NYSDOH website.
PECOS The federal system used to enroll in Medicare, update enrollment information, and complete required revalidations.

CMS.gov The federal Centers for Medicare & Medicaid Services website, covering Medicare and Medicaid policy, rules, and provider resources.
eMedNY New York State’s Medicaid billing and provider enrollment system, with manuals, fee schedules, and forms.
eMedNY Provider Portal The login portal where enrolled physicians manage their NY Medicaid provider account.
NGS Medicare New York’s Medicare Administrative Contractor, responsible for processing Medicare Part A and B claims and publishing local coverage policy.
NYSDOH Medicaid Provider Information The state health department’s central hub for Medicaid program policy, updates, and provider guidance.

DEA Diversion Control Division The federal site for DEA registration, renewal, and controlled substance prescribing requirements.
Health Commerce System (HCS) The account required to access the PMP registry. For help creating or troubleshooting an account, call the support line at 866-529-1890.
NYS Prescription Monitoring Program (I-STOP) The state registry physicians must consult before prescribing Schedule II, III, or IV controlled substances.
NYSIIS (NY State Immunization Information System) The statewide immunization registry physicians use to record and look up patient vaccination histories.

NY Attorney General Health Care Bureau Assists physicians and patients in resolving disputes with health insurers.
NYS Department of Financial Services Handles insurance company complaints, prompt-pay violations, and external appeals for denied claims.
NYS Workers’ Compensation Board Manages provider authorization, treatment guidelines, and billing for workers’ compensation claims.
NY State of Health New York’s official health insurance marketplace, useful when discussing patient coverage options or referrals.

MLMIC A leading medical liability insurance carrier for New York physicians, offering coverage and risk management resources.
NYS Excess Medical Malpractice Program State-funded program providing an additional layer of liability coverage above a physician’s primary policy limits, for those with a New York hospital affiliation who meet eligibility requirements. This directory lists the state-licensed carriers whose primary policies establish eligibility.

American Medical Association The national professional association for physicians, covering advocacy, education, and practice resources.
ABMS Specialty and Subspecialty Certificates The American Board of Medical Specialties directory of recognized specialties and subspecialties, listing the member board responsible for certification in each field.
Committee for Physician Health Offers confidential, non-disciplinary assistance to physicians and medical students facing substance use or psychiatric concerns. Confidential help line: (800) 338-1833.
Medical Society of the State of New York (MSSNY) The statewide professional organization representing New York physicians on advocacy, education, and practice issues.
MSSNY County Societies Resources and contact information for local county medical societies across the state.

Centers for Disease Control and Prevention (CDC) The federal public health agency providing disease surveillance data, clinical guidance, and prevention resources.
Health Resources & Services Administration (HRSA) A federal agency supporting healthcare access for underserved populations, including workforce and funding programs.
National Institutes of Health (NIH) The federal medical research agency, offering clinical research findings and health information.
National Practitioner Data Bank A federal repository of malpractice payments and adverse licensure actions used in credentialing checks.
NYS Department of Health New York State’s primary public health agency, covering regulations, data, and provider guidance.
U.S. Department of Health & Human Services (HHS) The federal cabinet department overseeing national health policy and public health programs.
U.S. Food & Drug Administration (FDA) Regulates the safety of drugs, medical devices, and other products physicians prescribe or use in practice.

Cattaraugus County Health Department Provides public health, environmental health, and preventive care services for Cattaraugus County.
Chautauqua County Health Department Chautauqua County’s public health agency, offering clinics, disease prevention, and community health programs.
Erie County Department of Health Provides public health services, disease surveillance, and community health programs for Erie County residents.
Niagara County Department of Health Provides environmental health, nursing, and disease prevention services for Niagara County residents.
Orleans & Genesee County Health Department (GO Health) The joint public health department serving both Orleans and Genesee counties.
Wyoming County Health Department Provides public health nursing, environmental health, and disease prevention services for Wyoming County.