How To Check Your Physician’s Healthcare Provider Credentials

This article focuses on the verification of credentials and can help you locate information about your doctor's training.

You can find information about your doctor's qualifications, training, and experience at the following locations: the doctor's office, the local hospital, the HMO where the doctor is a member, and the local medical society that the doctor belongs to. 

Although information about certain disciplinary actions is available from several state licensing boards, it can be difficult to obtain this information. There are also many online resources that offer credential verification information and lists of all the websites of medical licensing boards.

Healthcare Provider Credentials

Image Source: Google

Although most states have their own websites that offer searchable credential verification databases, the information provided varies from one state to the next. 

Some sites give summary information, others offer extensive documentation, and some simply mention whether disciplinary action was taken. A few boards provide information about whether criminal convictions or malpractice suits are available.

Healthcare provider credentialing was created to combat fraud and abuse in healthcare and healthcare insurance. It collects information about criminal convictions, licensure actions, civil judgments, exclusions, and decisions. However, this information is only available for federal, state, and other health plan agencies.

There are many ways to check a doctor's background and credentials, depending on the needs of the patient. You can even search online for more information about healthcare provider credentialing.