IntraCare
Specialist Network · TX & AZ

Find a tiered specialist or facility near you

Search physician specialists by specialty, or post-acute facilities (skilled nursing & inpatient rehab) by facility type. Every result is graded on public CMS data — ownership, quality ratings, penalties, staffing, and proximity — with a fully transparent rating breakdown.

Physician specialist directory
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Search to see tiered specialists

Enter a Texas or Arizona ZIP code. Search tiered physician specialists by specialty, or post-acute facilities (SNF & IRF) by facility type — each with a full rating breakdown.

How ratings are calculated

Ratings are built entirely from public, verifiable data — never from claims, utilization, or any proprietary source. A specialist's score is the sum of weighted components below. Tier reflects both score and policy rules.

Rating components & weights

  • Ownership type (heavy). Independent physician-owned practices are favored; hospital-employed, private-equity/corporate, and telehealth platforms are policy-restricted (hard-capped, cannot reach Tier 1–2).
  • OIG exclusion (hard stop). Any specialist on the HHS-OIG List of Excluded Individuals/Entities is removed from the directory.
  • NPI tenure (moderate). Years since NPI enumeration — a proxy for established practice, not a quality measure.
  • Credential (moderate). MD/DO designation from NPPES.
  • Proximity (minor). Approximate ZIP-centroid distance to the nearest IntraCare clinic in the same state.
  • Medicare charge-efficiency (moderate). Volume-weighted allowed amount per procedure vs. same-state peer median, winsorized. A cost proxy, not a quality measure.
  • MIPS quality (moderate). CMS QPP MIPS PY2023 quality score percentile vs. same-state peers in the same specialty within this directory, where reported.
  • ASC location (minor). Surgical specialists whose practice address matches a CMS-certified ambulatory surgery center.
  • TMB disciplinary review. Recent Texas Medical Board disciplinary actions (from official TMB bulletins) are matched by name + city and retained in the internal data for IntraCare manual review and verification via the TMB Search Board Action tool. Because these are name+city matches (not identity-verified to the NPI), they are not displayed on public cards to avoid reputational risk to a potential namesake.
  • Industry payments (transparency flag). CMS Open Payments 2024 general (non-research) payments, from a partial dataset (~50% of records processed due to file-size limits). The shown total is a confirmed minimum — actual payments may be higher. Shown as an amber badge for payments over $10k as a conflict-of-interest transparency flag. It does not affect the score or tier while the dataset is partial, because a specialist in the unprocessed half could be equally conflicted yet unflagged. Not a quality measure — payments can include legitimate consulting, royalties, or meals.

Tiers

  • Tier 1 · Preferred Physician-owned, MD/DO, established tenure, clean record, near a clinic.
  • Tier 2 · Candidate Private/unknown ownership, MD/DO, clean record.
  • Tier 3 · Review Meets minimum thresholds for consideration.
  • Policy-restricted Hospital / PE / telehealth — shown for transparency, capped below Tier 1–2.

Facility ratings — Skilled Nursing (SNF) & Inpatient Rehab (IRF)

A separate “Facilities” tab searches post-acute facilities by ZIP + radius + facility type. SNFs are graded and tiered; IRFs are quality-indexed against the national benchmark.

  • SNF score (100 pt, CMS Five-Star–led). The composite favors the domains your network targets for post-acute referral: overall Five-Star rating, short-stay quality, health inspections, staffing, low RN turnover, zero or minor fines/penalties, ownership type, proximity, tenure, and capacity. Five-star SNFs with five-star short-stay quality and zero fines reach Tier 1 · Preferred; four-star facilities with acceptable records reach Tier 2. SNFs with an abuse icon, Special Focus status, or severe fines (>$100k) are policy-restricted.
  • IRF — quality-indexed roster. IRF provider-level quality is integrated from the CMS IRF Quality Reporting Program Provider Data file (Jun 2026). Each IRF is scored on a 0–100 quality index built from its comparison to the national benchmark across up to five available reported outcome measures (potentially preventable readmissions post-discharge and within-stay, NHSN infections, and discharge-to-community) — the denominator varies by facility because not every IRF reports every measure. 50 = at benchmark; at or above 65 = above benchmark; below 45 = below benchmark. The IRF roster is not hard-tiered like SNFs; the quality index, per-measure comparison, and count of measures above/below benchmark are shown on each card. Hospital-owned IRFs are not penalized — hospital-based inpatient rehab is clinically appropriate.
  • Ownership signal. SNF ownership type (for-profit / non-profit / government) and large-chain status (≥10 facilities) are reflected in the score. SNF ownership concentration (PE/REIT detail) is not yet integrated and can be added.
  • Score is capped at 100. The facility composite is clamped to a 0–100 scale; the per-component breakdown provides the nuance for comparing facilities within a tier.
  • Proximity. Approximate distance from the searched ZIP centroid to the facility. SNFs with a CMS-reported latitude/longitude use that; IRFs are ZIP-centroid geocoded. The card shows distance from the searched ZIP; the score also factors nearest-clinic proximity.

Data sources

  • • NPPES NPI Registry (CMS) — provider identity, specialty, ownership, location
  • • HHS-OIG List of Excluded Individuals/Entities — exclusion status
  • • CMS Medicare Part B by Provider & Service (PY2023) — charge-efficiency proxy and facility-vs-office service share
  • • CMS Provider of Services (POS) file — certified ambulatory surgery center (ASC) addresses
  • • CMS QPP MIPS Clinician Public Reporting (PY2023) — quality & cost category scores
  • • Texas Medical Board newsroom — recent disciplinary actions (name + city match)

Facility data sources

  • • CMS Nursing Home Five-Star Provider Information (Jul 2026) — SNF ratings, quality, penalties, ownership, beds, staffing
  • • CMS Inpatient Rehabilitation Facility General Information (Jun 2026) — IRF roster, ownership, certification
  • • CMS IRF Quality Reporting Program — Provider Data (Jun 2026) — IRF outcome measures vs. national benchmark

Data as of August 24, 2026. Coverage: DFW metroplex (Texas) and Phoenix East Valley (Arizona). Charge-efficiency and MIPS quality are available only for specialists with reported Medicare data.

Important limitations

  • • This is a network-fit directory, not a quality or performance ranking.
  • • For non-sole-proprietor providers, ownership is often "unknown" — NPI data cannot always distinguish a private group from a hospital-employed physician.
  • • Charge-efficiency is a cost proxy based on Medicare allowed amounts relative to same-state peers for the same procedures — not a quality measure. Low-volume specialists are noted. Available only where Part B data exists.
  • • MIPS quality reflects PY2023 self-reported/attested quality scores and is missing for many specialists; the percentile is within this directory's same-state/specialty cohort, not all clinicians statewide. Absence is not a negative signal.
  • • TMB disciplinary coverage is limited to recent board-meeting actions matched by name + city; a flag is shown only when the disciplined city matches the specialist's own practice city. It is not comprehensive — verify any flagged specialist via the TMB "Search Board Action" tool before acting.
  • • "ASC location" means the practice address matches a CMS-certified ambulatory surgery center and the specialist is in a surgical specialty with facility-based services; it does not guarantee all cases are done there or exclude hospital use.
  • • Distances are approximate ZIP-centroid estimates, not driving distance.
  • • NPI tenure is not clinical experience; taxonomy is not board certification.
  • • Inclusion does not constitute a medical referral or endorsement.