{
  "_source_nppes": "U.S. Centers for Medicare & Medicaid Services NPI Registry (NPPES) — public API",
  "_source_population": "U.S. Census Bureau Population Estimates Program, 2024 Vintage (V2024)",
  "_specialty": "Orthopaedic Surgery",
  "_specialty_slug": "orthopedic-surgeon-supply-by-state-2026",
  "_release_date": "2026-05-06",
  "_taxonomies": [
    "207X00000X"
  ],
  "_underserved_threshold_per_100k": 5,
  "_underserved_definition": "States below the stated threshold of 5 orthopedic surgeons per 100,000 residents in the active NPPES dataset. Stated baseline cutoff aligned with American Academy of Orthopaedic Surgeons (AAOS) workforce literature, which has flagged the lower bound of orthopedic-surgeon supply at roughly 5 per 100,000 residents in rural and under-resourced states; bottom-quartile states fall below this mark. Stated explicitly here; not a clinical or regulatory definition.",
  "_summary": {
    "total_active_providers": 30447,
    "national_per_100k": 8.95,
    "jurisdictions": 51,
    "underserved_count": 0,
    "underserved_population": 0,
    "highest_density": {
      "code": "WY",
      "name": "Wyoming",
      "per_100k": 17.36,
      "count": 102
    },
    "lowest_density": {
      "code": "TX",
      "name": "Texas",
      "per_100k": 6.52,
      "count": 2040
    }
  },
  "rows": [
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      "code": "AK",
      "name": "Alaska",
      "count": 110,
      "pop": 740133,
      "per_100k": 14.862193686810343,
      "rank_density": 2,
      "rank_count": 46,
      "quartile": 1,
      "underserved": false
    },
    {
      "code": "AL",
      "name": "Alabama",
      "count": 436,
      "pop": 5157699,
      "per_100k": 8.45338202171162,
      "rank_density": 40,
      "rank_count": 25,
      "quartile": 4,
      "underserved": false
    },
    {
      "code": "AR",
      "name": "Arkansas",
      "count": 246,
      "pop": 3088354,
      "per_100k": 7.9654081105987204,
      "rank_density": 45,
      "rank_count": 33,
      "quartile": 4,
      "underserved": false
    },
    {
      "code": "AZ",
      "name": "Arizona",
      "count": 649,
      "pop": 7582384,
      "per_100k": 8.559313271393272,
      "rank_density": 38,
      "rank_count": 18,
      "quartile": 3,
      "underserved": false
    },
    {
      "code": "CA",
      "name": "California",
      "count": 2802,
      "pop": 39431263,
      "per_100k": 7.106036649143093,
      "rank_density": 50,
      "rank_count": 1,
      "quartile": 4,
      "underserved": false
    },
    {
      "code": "CO",
      "name": "Colorado",
      "count": 671,
      "pop": 5957493,
      "per_100k": 11.263126956254922,
      "rank_density": 12,
      "rank_count": 17,
      "quartile": 1,
      "underserved": false
    },
    {
      "code": "CT",
      "name": "Connecticut",
      "count": 454,
      "pop": 3675069,
      "per_100k": 12.353509553153968,
      "rank_density": 8,
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      "quartile": 1,
      "underserved": false
    },
    {
      "code": "DC",
      "name": "District of Columbia",
      "count": 77,
      "pop": 702250,
      "per_100k": 10.964756140975437,
      "rank_density": 14,
      "rank_count": 49,
      "quartile": 2,
      "underserved": false
    },
    {
      "code": "DE",
      "name": "Delaware",
      "count": 106,
      "pop": 1051917,
      "per_100k": 10.07684066328427,
      "rank_density": 20,
      "rank_count": 47,
      "quartile": 2,
      "underserved": false
    },
    {
      "code": "FL",
      "name": "Florida",
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      "pop": 23372215,
      "per_100k": 7.8169741293240715,
      "rank_density": 47,
      "rank_count": 3,
      "quartile": 4,
      "underserved": false
    },
    {
      "code": "GA",
      "name": "Georgia",
      "count": 915,
      "pop": 11180878,
      "per_100k": 8.183614918255971,
      "rank_density": 44,
      "rank_count": 10,
      "quartile": 4,
      "underserved": false
    },
    {
      "code": "HI",
      "name": "Hawaii",
      "count": 123,
      "pop": 1446146,
      "per_100k": 8.505365295067026,
      "rank_density": 39,
      "rank_count": 45,
      "quartile": 3,
      "underserved": false
    },
    {
      "code": "IA",
      "name": "Iowa",
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      "pop": 3241488,
      "per_100k": 9.440108986983756,
      "rank_density": 24,
      "rank_count": 31,
      "quartile": 2,
      "underserved": false
    },
    {
      "code": "ID",
      "name": "Idaho",
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      "rank_density": 23,
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      "quartile": 2,
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    },
    {
      "code": "IL",
      "name": "Illinois",
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      "pop": 12710158,
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      "rank_density": 28,
      "rank_count": 6,
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      "underserved": false
    },
    {
      "code": "IN",
      "name": "Indiana",
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      "pop": 6924275,
      "per_100k": 9.15619324766853,
      "rank_density": 29,
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      "quartile": 3,
      "underserved": false
    },
    {
      "code": "KS",
      "name": "Kansas",
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      "pop": 2970606,
      "per_100k": 9.089054556545028,
      "rank_density": 31,
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      "quartile": 3,
      "underserved": false
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    {
      "code": "KY",
      "name": "Kentucky",
      "count": 409,
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      "per_100k": 8.91383697747262,
      "rank_density": 33,
      "rank_count": 26,
      "quartile": 3,
      "underserved": false
    },
    {
      "code": "LA",
      "name": "Louisiana",
      "count": 406,
      "pop": 4597740,
      "per_100k": 8.830425382905515,
      "rank_density": 34,
      "rank_count": 27,
      "quartile": 3,
      "underserved": false
    },
    {
      "code": "MA",
      "name": "Massachusetts",
      "count": 839,
      "pop": 7136171,
      "per_100k": 11.757005262345873,
      "rank_density": 10,
      "rank_count": 11,
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    },
    {
      "code": "MD",
      "name": "Maryland",
      "count": 572,
      "pop": 6263220,
      "per_100k": 9.132682549870514,
      "rank_density": 30,
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      "quartile": 3,
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    },
    {
      "code": "ME",
      "name": "Maine",
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      "pop": 1405012,
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      "rank_density": 6,
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      "quartile": 1,
      "underserved": false
    },
    {
      "code": "MI",
      "name": "Michigan",
      "count": 1080,
      "pop": 10140459,
      "per_100k": 10.650405469811574,
      "rank_density": 15,
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      "quartile": 2,
      "underserved": false
    },
    {
      "code": "MN",
      "name": "Minnesota",
      "count": 746,
      "pop": 5793151,
      "per_100k": 12.877275251413264,
      "rank_density": 7,
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      "quartile": 1,
      "underserved": false
    },
    {
      "code": "MO",
      "name": "Missouri",
      "count": 632,
      "pop": 6245466,
      "per_100k": 10.1193409747167,
      "rank_density": 19,
      "rank_count": 20,
      "quartile": 2,
      "underserved": false
    },
    {
      "code": "MS",
      "name": "Mississippi",
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      "pop": 2943045,
      "per_100k": 7.237402078459555,
      "rank_density": 49,
      "rank_count": 35,
      "quartile": 4,
      "underserved": false
    },
    {
      "code": "MT",
      "name": "Montana",
      "count": 131,
      "pop": 1137233,
      "per_100k": 11.519187360901416,
      "rank_density": 11,
      "rank_count": 43,
      "quartile": 1,
      "underserved": false
    },
    {
      "code": "NC",
      "name": "North Carolina",
      "count": 1152,
      "pop": 11046024,
      "per_100k": 10.429091952000103,
      "rank_density": 16,
      "rank_count": 7,
      "quartile": 2,
      "underserved": false
    },
    {
      "code": "ND",
      "name": "North Dakota",
      "count": 77,
      "pop": 796568,
      "per_100k": 9.666469152664932,
      "rank_density": 21,
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      "quartile": 2,
      "underserved": false
    },
    {
      "code": "NE",
      "name": "Nebraska",
      "count": 209,
      "pop": 2005465,
      "per_100k": 10.421523187889093,
      "rank_density": 17,
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      "quartile": 2,
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    },
    {
      "code": "NH",
      "name": "New Hampshire",
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      "pop": 1409032,
      "per_100k": 13.555405413077915,
      "rank_density": 5,
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    },
    {
      "code": "NJ",
      "name": "New Jersey",
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      "pop": 9500851,
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    },
    {
      "code": "NM",
      "name": "New Mexico",
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      "pop": 2130256,
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      "rank_density": 46,
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    },
    {
      "code": "NV",
      "name": "Nevada",
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    },
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      "code": "NY",
      "name": "New York",
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      "pop": 19867248,
      "per_100k": 8.35546020264105,
      "rank_density": 42,
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      "underserved": false
    },
    {
      "code": "OH",
      "name": "Ohio",
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      "pop": 11883304,
      "per_100k": 9.64378257090789,
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    },
    {
      "code": "OK",
      "name": "Oklahoma",
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      "pop": 4095393,
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    },
    {
      "code": "OR",
      "name": "Oregon",
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      "pop": 4272371,
      "per_100k": 9.40929521336045,
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    },
    {
      "code": "PA",
      "name": "Pennsylvania",
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      "pop": 13078751,
      "per_100k": 10.987287700484549,
      "rank_density": 13,
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    },
    {
      "code": "RI",
      "name": "Rhode Island",
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      "pop": 1112308,
      "per_100k": 13.665279760641837,
      "rank_density": 4,
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    },
    {
      "code": "SC",
      "name": "South Carolina",
      "count": 513,
      "pop": 5478831,
      "per_100k": 9.363311261106611,
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    },
    {
      "code": "SD",
      "name": "South Dakota",
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      "pop": 924669,
      "per_100k": 13.95093811947843,
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    },
    {
      "code": "TN",
      "name": "Tennessee",
      "count": 627,
      "pop": 7227750,
      "per_100k": 8.674898827435925,
      "rank_density": 37,
      "rank_count": 21,
      "quartile": 3,
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    },
    {
      "code": "TX",
      "name": "Texas",
      "count": 2040,
      "pop": 31290831,
      "per_100k": 6.51948169737007,
      "rank_density": 51,
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    },
    {
      "code": "UT",
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    },
    {
      "code": "VA",
      "name": "Virginia",
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      "pop": 8811195,
      "per_100k": 8.318962410887513,
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    },
    {
      "code": "VT",
      "name": "Vermont",
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    },
    {
      "code": "WA",
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      "per_100k": 10.291297759035357,
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    },
    {
      "code": "WI",
      "name": "Wisconsin",
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      "pop": 5960975,
      "per_100k": 12.296646102357418,
      "rank_density": 9,
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    },
    {
      "code": "WV",
      "name": "West Virginia",
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      "pop": 1769979,
      "per_100k": 8.361681127290211,
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    },
    {
      "code": "WY",
      "name": "Wyoming",
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      "pop": 587618,
      "per_100k": 17.35821571156772,
      "rank_density": 1,
      "rank_count": 48,
      "quartile": 1,
      "underserved": false
    }
  ]
}