Provider Signals™OIG LEIE Lookup — Check Exclusion Status Free
Search the OIG exclusion list by NPI, provider name, or organization. See exclusion type, date, specialty, and location.
Try: NPI 1760461826 · Smith · Home health agency
What is the OIG LEIE?
The List of Excluded Individuals and Entities (LEIE) is maintained by the HHS Office of Inspector General. It identifies individuals and organizations excluded from participating in Medicare, Medicaid, and all other federal healthcare programs.
Exclusions apply to all federal healthcare programs — Medicare, Medicaid, CHIP, and others. A provider excluded from one is excluded from all.
The OIG refreshes the LEIE monthly. CMS and OIG regulations require organizations to check the LEIE at least monthly — before hire and every month thereafter.
83,000+ exclusion records as of May 2026 — 96% individuals, 4% organizations — spanning 1977 to present.
Billing for an excluded provider risks civil monetary penalties up to $10,000 per claim plus three times the amount billed. Ignorance is not a defense.
Who needs to check the LEIE?
Credentialing & HR
Screen every new hire, contractor, and vendor before they touch a federal claim. A single missed exclusion can trigger an OIG investigation and repayment demand.
Billing & RCM companies
You're liable when you submit the claim. Check every provider on your roster against the LEIE before each billing cycle — monthly is the regulatory minimum.
Health plans & managed care
Network participation agreements require contracted providers to be exclusion-free. Audit your provider directory monthly and remove exclusions before the next claims cycle.
Compliance officers
OIG guidelines hold organizations responsible for proactive screening. Document your monthly LEIE checks to demonstrate due diligence in any audit or investigation.
Healthcare staffing
Placed clinicians working at federal program sites must be exclusion-free. Screen at placement and maintain a monthly cadence for active assignments.
Health tech & EHR vendors
Embedding exclusion screening into your platform adds a compliance layer customers need. Surface LEIE status at the point of care or within credentialing workflows.
Why do providers get excluded?
The four most common OIG exclusion authorities — together they cover over 97% of all LEIE records.
License revoked or suspended
The most common reason — 40% of all exclusions. Applies when a state licensing board revokes or suspends a healthcare license for reasons related to professional competence or conduct.
Medicare/Medicaid fraud conviction
31% of exclusions. Mandatory exclusion following criminal conviction for fraud, theft, or embezzlement related to a federal healthcare program.
Patient abuse or neglect
10% of exclusions. Mandatory exclusion after conviction for abuse, neglect, or mistreatment of patients in connection with delivery of healthcare.
Felony healthcare fraud conviction
7% of exclusions. Mandatory minimum five-year exclusion following felony conviction related to healthcare fraud, not limited to federal programs.
Informational only. This tool reflects OIG LEIE data updated monthly from HHS.gov. A negative result (not found) does not guarantee a provider is eligible to participate in federal programs — always perform primary-source verification at exclusions.oig.hhs.gov and check state Medicaid exclusion lists separately. This is not legal or compliance advice.
Common questions about the OIG LEIE
What is the OIG LEIE and who maintains it?
The LEIE (List of Excluded Individuals and Entities) is maintained by the HHS Office of Inspector General. It lists providers and organizations that have been excluded from participating in Medicare, Medicaid, and other federal healthcare programs — typically due to fraud, license revocation, or patient abuse convictions.
How do I check if a provider is on the OIG exclusion list?
Enter the provider's 10-digit NPI number in the search box above for the most precise match. If you don't have the NPI, search by last name (individuals) or organization name (entities). A search returning no results means no active exclusion was found — but always verify at OIG.HHS.gov for official compliance documentation.
What happens if I bill Medicare for an excluded provider?
Organizations that bill Medicare or Medicaid for items or services provided by an excluded individual can face civil monetary penalties of up to $10,000 per claim, plus three times the amount claimed. The OIG does not accept "we didn't know" as a defense — the responsibility for monthly screening lies with the organization.
How often is the LEIE updated?
The OIG updates the LEIE monthly, typically in the first week of each month. This means a provider excluded on the 15th of a given month will appear in the following month's file. Regulations require organizations to screen at hire and monthly thereafter — checking once a year is not compliant.
Can an excluded provider be reinstated?
Yes. After serving their exclusion period, a provider may apply to the OIG for reinstatement. If granted, they are removed from the LEIE. Reinstatement is not automatic — the provider must apply and receive written confirmation from the OIG. This lookup reflects current exclusion status only; a reinstated provider will not appear.
Don't check manually. Monitor automatically.
Provider Signals screens your entire roster against the OIG LEIE every month — and alerts you the day a new exclusion appears, so you act before the next billing cycle.