CMS recorded 209 deactivations in the Physicians segment during the week of August 10–16, 2026. Hipa.ai’s name cache retrieved names for 206 records, or about 98.6% of the total. California led the states with 21 deactivations, followed by Florida with 19 and New York with 17. The weekly file included 177 individuals and 29 organizations.
California Leads State Counts
California accounted for 21 deactivations, or 10% of the national total. Florida followed with 19 deactivations and 9%, while New York recorded 17 and 8%. Pennsylvania and Texas each posted 14 deactivations, or 7%. North Carolina had 8, followed by Illinois and Arizona with 7 each. Minnesota and Tennessee recorded 6 apiece.
The remaining states in the leading group—New Jersey, Oregon, Michigan and Georgia—each recorded 5 deactivations, while Nebraska had 4. The distribution is geographically broad, but the largest counts are concentrated in populous states with extensive physician and organization registries. Repeated records connected to organizations also show that the total reflects administrative entities as well as individual physicians. Miami and Houston were the most frequent cities in the city-level data, with 4 deactivations each.
Primary Care Tops Taxonomies
Family Medicine was the leading retired taxonomy among named providers, with 34 records, representing 17% of the named-provider total. Internal Medicine followed with 23 records, or 11%, and Anesthesiology with 16 records, or 8%. Psychiatry accounted for 11 records and 5%, while Pediatrics contributed 10 and 5%.
General Practice and Obstetrics & Gynecology each appeared 9 times, or 4%. Gastroenterology and Cardiovascular Disease each recorded 7, or 3%, while Emergency Medicine accounted for 6, also 3%. The mix spans primary care, hospital-based specialties and procedural fields rather than pointing to a single type of workforce change. Family Medicine and Internal Medicine together formed the largest portion of the listed taxonomy categories.
Registry Status Needs Context
Three records were scrubbed by CMS: the federal count is 209, while the named subset captured in Hipa.ai’s cache is 206. CMS generally removes names, addresses and taxonomy information from most deactivated records after the status change.
An NPI deactivation is an administrative registry action, not by itself evidence of a license action, malpractice or a provider leaving practice. Records can be retired during registry maintenance, organizational changes or workforce churn, and a provider may re-register under a new NPI after changing practices or consolidating multiple NPIs. The weekly data therefore describes changes in registry status, not a direct count of physicians exiting patient care.
