CMS recorded 142 deactivations in the Physicians segment during the week of August 3 through August 9, 2026. Hipa.ai’s name cache captured 139 named records, or 98% of the total. California led the states with 17 deactivations, giving it the largest single-state share at 12%. The registry included 129 individuals and 10 organizations, showing that the week’s administrative activity involved both practicing entities and business records.
California Leads State Activity
New York followed California with 12 deactivations, while Texas recorded 10 and Pennsylvania recorded 9. New Jersey had 6, Arizona and Florida each had 5, and Maryland, Virginia, South Carolina, Massachusetts, Minnesota and Ohio each had 4. Arkansas and Michigan each posted 3 deactivations. The distribution is broad, but the highest counts are concentrated in large and populous states, with California, New York, Texas and Pennsylvania together accounting for a substantial portion of the week’s activity.
At the city level, New York recorded 4 deactivations, followed by Phoenix and Brooklyn with 3 each. Scranton, Minneapolis, San Antonio, Columbus, Rochester and Berkeley each recorded 2. The spread across metropolitan and smaller markets suggests that the records reflect routine registry turnover across varied practice settings rather than a single localized event.
Primary Care Tops Taxonomy Mix
Family Medicine was the leading retired taxonomy among named providers, with 22 deactivations, or 16%. Internal Medicine followed with 17, or 12%, while Psychiatry accounted for 14, or 10%. Pediatrics posted 8, General Practice 6, and Ophthalmology, Anesthesiology and Emergency Medicine each recorded 5. Otolaryngology had 4, and Thoracic Surgery had 3.
The mix places primary care and behavioral health at the center of the named records, while also covering surgical, hospital-based and specialty fields. These taxonomy counts describe the classifications attached to deactivated NPI records; they do not establish that a clinician left medicine or that services disappeared from a community.
Registry Turnover Has Multiple Causes
CMS reported three more deactivations than the name cache captured: most deactivated records are scrubbed of identifying details, so the 3 scrubbed records remain counted by CMS but are not named in Hipa.ai’s public-source cache. An NPI deactivation is an administrative registry change that can accompany maintenance, retirement, organizational restructuring or a provider’s re-registration under another NPI. The weekly figures therefore measure registry churn, not a direct count of physicians leaving the workforce.
