Updated 2026-07-31
An excluded individual or entity cannot be paid by federal healthcare programs — and the bar reaches further: items or services furnished, ordered, or prescribed by an excluded person are non-payable regardless of who submits the claim. Organizations therefore screen the OIG List of Excluded Individuals and Entities (LEIE), the SAM.gov exclusions system, and their state Medicaid lists. PECOS Lookup checks any NPI against the loaded LEIE and state lists in one pass, reporting exact-NPI matches as review signals with each list's vintage, never as verdicts.
List data carries exclusion types, dates, and reinstatement fields that need human reading — and identity must be confirmed before any action. This site therefore reports an exact-NPI match as a review signal with the row's details and the list's vintage, and it never renders the word excluded as a conclusion. Remember the payment bar's reach when acting on one: items ordered or prescribed by an excluded person are non-payable no matter who bills them, and OIG's guidance extends to employing or contracting with excluded persons.
Some list rows carry no NPI at all, so name-based review at the official source remains part of diligent screening. Verify any match directly at oig.hhs.gov or the issuing state before acting on it.
Exclusion lists change continuously as actions and reinstatements post, so compliance programs screen on a recurring schedule rather than once. Many state Medicaid programs set their own recurring-screening expectations — confirm the rule that applies to your state and program.
Every result here carries the loaded list's vintage and the time it was checked, so a recurring screen can show exactly which publication each answer came from.
Enter the 10-digit NPI in the lookup on the home page: the result shows LEIE and state-list review signals alongside the enrollment, revalidation, and opt-out signals — see how to check PECOS enrollment for the enrollment side. For one-off consumer questions, the official LEIE search at oig.hhs.gov is authoritative.
An NPI not found in the loaded lists is not proof of anything on its own — absence is never a negative finding, rows without NPIs cannot match by NPI, and public files lag their sources. Treat a clean pass as one screen in a recurring process, not a clearance.
No. It is an exact-identifier match against a public list as of the list's vintage — a strong reason to verify directly at oig.hhs.gov, confirm identity, and check reinstatement fields before any decision.
When the deployment has SAM.gov API access configured, yes. When it is not configured, the result does not cover SAM.gov — check sam.gov directly in that case. The SAM.gov site remains the authoritative source for its records either way.
Screen any NPI against the loaded LEIE and state Medicaid lists free — exact-NPI review signals with each list's vintage