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CMS Care Compare — ASC

CMS Care Compare — ASC Quality Measures (Facility)

U.S. Centers for Medicare and Medicaid Services · Tier-2 · profile-enrichment (renders on matched profiles)

Registered source

Per-facility ASC quality measures (ASC-1 through ASC-12) submitted via the ASC Quality Reporting Program for ~5,611 Medicare-certified ambulatory surgical centers. Identity + NPI + state + per-measure rates and footnotes. **NPI IS PRESENT** (100% coverage) — the only Care Compare dataset that publishes NPI directly on the agency-level table.

What Fonteum uses it for

How this source shows up on Fonteum.

Identity backbone for ASC CCNs (POS QIES coverage incomplete). Deterministic NPI bridge (no NPPES fuzzy match needed) — match-confidence improvement vs other Care Compare datasets. Drives the brand-hub `/care-compare/asc` module. ASC-12 (7-day risk-standardized hospital visit rate) is the headline quality measure.

What this source does NOT mean

ASCs do NOT have a CMS-published overall star rating (unlike NH / HH / Dialysis). Quality is per-measure (ASC-1 through ASC-12); Fonteum does not manufacture composite scores. Suppression for <25 cases applies.

What this dataset answers

Research and data questions this source supports.

  • Build a state-level ambulatory surgical center directory with CMS quality measures (ASC-1 through ASC-12) and full provenance.
  • Surface ASCs with NPI present to link surgical center profiles directly into the NPI identity graph — the only Care Compare file set with 100% NPI coverage.
  • Compare ASC surgical safety measures (ASC-9: appropriate prophylactic antibiotic discontinued) across states for a quality research study.
  • Cross-reference ASC CCNs against OIG LEIE for compliance screening before payer network contracting.
  • Identify ASC ownership concentration by chain for a market structure analysis of the ambulatory surgery sector.

Dataset size: ~5,611 ASCs (May 2026 snapshot)

Fields used

Per-field display contract.

Fields listed below show their configured `display_allowed` flag from the §94 provenance schema. Fields marked write-locked are captured for audit and are not rendered on profile pages.

Renders on profile

17 fields
ccnCCN (normalized from facility_id)
facility_idFacility ID (CMS source field)
facility_nameFacility name
npiNPI (Type 2 organizational, deterministic)
citytownCity
stateState (USPS)
zip_codeZIP code
yearReporting year
asc1_rateASC-1: Patient burn rate
asc2_rateASC-2: Patient fall rate
asc3_rateASC-3: Wrong site / wrong side / wrong patient / wrong procedure / wrong implant
asc4_rateASC-4: All-cause hospital transfer / admission rate
asc9_rateASC-9: Endoscopy / Polyp surveillance — appropriate follow-up
asc11_rateASC-11: Cataract — improvement in patient's visual function
asc12_total_casesASC-12: Total cases
asc12_performance_categoryASC-12: Performance category (Better/Same/Worse than national)
asc12_rshv_rateASC-12: Risk-standardized 7-day hospital visit rate
Limitations

What we can’t infer from this source.

  • Suppression for <25 cases — render `<DataAvailabilityState>` with explicit reason.
  • SDOH measure newly required from 2025 reporting period — limited baseline comparison data for the first 2 years.
  • No CMS-published overall star rating; quality is per-measure.
  • `facility_id` is the source field name for CCN — ingestion normalizes to `ccn` for downstream consistency.
  • Multi-year rows in source dataset; ingestion filters to most recent year and dedupes.
  • Non-state jurisdictions present (PR, GU, VI, MP, AS).
Source metadata

Authority, license, publisher cadence.

Authority

U.S. Centers for Medicare and Medicaid Services

Tier

Tier-2 · profile-enrichment (renders on matched profiles)

Publisher / configured cadence

Declared or configured cadence: Annually by reporting year. Multi-year rows in the dataset; ingestion filters to the most recent year (2024 in the current snapshot). Not evidence of the latest loaded source date.

License

U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · ASC Quality Measures - Facility (4jcv-atw7) · Reporting Year {YYYY} · Snapshot {YYYY-MM-DD}'. License ↗

Attribution requirement

Source: CMS Care Compare · ASC Quality Measures - Facility (4jcv-atw7) · Reporting Year {YYYY} · Last checked {YYYY-MM-DD}

ToS & usage notes

What the source allows.

U.S. government public-domain works. PDC publishes the dataset at data.cms.gov/provider-data/dataset/4jcv-atw7 with explicit redistribution rights.

Sample provenance

What a single field looks like in the graph.

This worked example shows the provenance shape used when a surfaced field has populated source, last-checked, display-rule, and confidence metadata. Individual fields may omit unavailable values.

Field

NPI presence + CCN format (snapshot 2026-05-07)

Sample value

5,611 facilities; reporting year 2024; 100% NPI presence; 100% 10-char CCN conformance

Provenance line

Source: CMS Care Compare · ASC Quality Measures - Facility (4jcv-atw7) · Reporting Year 2024 · Snapshot 2026-05-07 · Display rule: per-facility ASC-1 through ASC-12 + ASC-12 performance category render on /care-compare/asc module + per-facility pages

How to access

Official API, bulk download, and Fonteum endpoints.

Frequently asked

Common questions about CMS Care Compare — ASC.

What is the CMS Care Compare ASC dataset?
The CMS Care Compare Ambulatory Surgical Centers (ASC) dataset contains identity and quality measure data for approximately 5,611 Medicare-certified ambulatory surgical centers. It includes CCN, NPI, facility name, address, ownership type, and performance on the ASC-1 through ASC-12 quality measures (patient safety: infection prevention, safe surgery, and patient experience).
Why is the NPI field significant in the ASC dataset?
The CMS Care Compare ASC dataset has 100% NPI presence — every facility row includes the facility NPI. This makes it the only Care Compare source that allows a direct CCN-to-NPI match without the fuzzy NPPES join required for the nursing home, home health, hospice, and hospital datasets. Fonteum uses this to link ASC facility profiles directly into the NPI identity graph.
What are the ASC quality measures?
CMS measures ambulatory surgical centers on measures ASC-1 through ASC-12, covering: patient burns (ASC-1), patient falls (ASC-2), wrong site/side/patient/procedure (ASC-3), prophylactic antibiotic timing and selection (ASC-4 and ASC-5), appropriate antibiotic discontinuation (ASC-9), hospital transfer rate (ASC-11), and outpatient surgery experience (ASC-12, CAHPS). Each measure is expressed as a percentage with a national benchmark.
Where can I download the CMS ASC data?
CMS publishes the ASC dataset in the CMS Provider Data Catalog. It is updated quarterly aligned to the Medicare ASC Quality Reporting Program schedule. The data is U.S. government public-domain — free to download and redistribute with attribution.
How does an ASC differ from a hospital outpatient department?
An ambulatory surgical center (ASC) is a Medicare-certified facility specializing in same-day surgical and diagnostic procedures in a lower-cost, non-hospital setting. Hospital outpatient departments (HOPDs) perform similar procedures but bill under the hospital's Medicare certification and command higher facility fees. CMS Care Compare covers ASCs separately from hospitals; their quality measures overlap but are not identical.
See also
  • /sources → The generated source-catalog subset — documented datasets Fonteum cites.
  • /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
  • /methodology → Documented sourcing, publisher cadence, observed freshness, and corrections policy.
  • /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.

What’s on file, by the numbers

Platform snapshot · 2026-08-11

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
73fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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