CMS recorded 150 deactivations in the Physicians segment during the week of Aug. 17-23, 2026. Names were retrievable for 149 providers, or 149 of the 150 records, with Florida leading the states at 17 deactivations. The file includes 122 individuals and 27 organizations, showing that the week’s activity involved both individual clinicians and practice-level records.
Florida Leads State Activity
Florida accounted for 17 deactivations, followed by New York with 14 deactivations and California with 12 deactivations. Pennsylvania recorded 8 deactivations, while Arizona had 7. Colorado, Maryland and Texas each posted 6 deactivations. New Jersey followed with 5, while South Carolina, North Carolina, Indiana, Puerto Rico, Michigan and Oregon each recorded 4 deactivations.
The geographic pattern is concentrated in large and established healthcare markets, but the records also extend across a broad range of states and territories. Florida, New York and California together account for 43 deactivations, a distribution consistent with the volume of medical practices, health systems and individual clinicians operating in those markets. The state counts describe registry activity, not the number of physicians leaving practice or changes in patient access.
CMS scrubbed identifying information from one deactivated record; the total count comes from CMS, while the 149 named records are the subset captured by Hipa.ai’s public-source name cache before deactivation.
Primary Care Tops Taxonomies
Among the named providers, Family Medicine was the leading retired taxonomy, with 28 records, or 19% of the named-provider total. Internal Medicine followed with 13 records, Pediatrics with 12, and Psychiatry with 10. Emergency Medicine accounted for 7 records, while General Practice accounted for 6. Obstetrics & Gynecology and Surgery each had 5 records; Dermatology and Ophthalmology each had 4.
The mix places broad primary-care specialties at the center of the week’s activity, while also showing deactivations across emergency care, behavioral health, women’s health, surgery and outpatient specialties. The taxonomy counts should be read as classifications attached to retired NPI records, rather than a direct measure of specialty-specific workforce losses.
Registry Status Has Multiple Causes
An NPI deactivation is an administrative change in the federal registry. It can reflect routine maintenance, retirement, a practice restructuring or consolidation, or a provider obtaining a new NPI. Multiple NPIs may also be associated with different locations or organizational identities, so this weekly snapshot measures registry churn rather than confirmed departures from patient care.
