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Source coverage.

The Fonteum source-puller crons fetch the canonical CSV from each upstream source on a published schedule, attest the on-disk archive with a SHA-256 hash, write a row in source_snapshots, and fan out events to subscribers. This page is the published schedule. For live freshness status (last successful pull, snapshot age) see /freshness.

Live sources

All ten federal sources now contribute to source_snapshots + snapshot_attestations on every refresh, and emit the downstream events that drive the webhook registry, the integrity chain, and the freshness dashboard. Six sources run as autonomous Inngest puller crons (Phase 1 + 2 + 4). Three sources (NPPES, Care Compare, CMS HCRIS Hospital Cost Reports) run as operator-triggered scripts under scripts/research/ — the operator workflow registers the snapshot via the post-ingest hook (src/lib/sources/post-ingest-hook.ts) at end-of-script, so the resulting source_snapshots row is indistinguishable from an autonomous puller's.

Phase 1 · liveCMS PECOS PPEF (Provider Enrollment, Chain & Ownership)cms-pecos
Cadence
Weekly (Sunday)
Cron
0 6 * * 0 — Every Sunday at 06:00 UTC
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://data.cms.gov/data-api/v1/dataset/medicare-fee-for-service-public-provider-enrollment/data?format=csv
Projected fields
npi, enrollment_status
Phase 1 · liveOIG LEIE (List of Excluded Individuals/Entities)oig-leie
Cadence
Monthly (1st of month)
Cron
0 6 1 * * — 1st of every month at 06:00 UTC
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://oig.hhs.gov/exclusions/downloadables/UPDATED.csv
Projected fields
npi, exclusion_type, exclusion_date
Phase 1 · liveHRSA HPSA (Health Professional Shortage Areas)hrsa-hpsa
Cadence
Quarterly (1st of Jan / Apr / Jul / Oct)
Cron
0 6 1 1,4,7,10 * — Quarterly: 1st of Jan / Apr / Jul / Oct at 06:00 UTC
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://data.hrsa.gov/DataDownload/DD_Files/BCD_HPSA_FCT_DET_PC.csv
Projected fields
hpsa_id, designation_type, designation_status
Phase 1 · liveBLS OEWS (Occupational Employment & Wage Statistics)bls-oews
Cadence
Annual (mid-May)
Cron
0 6 15 5 * — Annual: May 15 at 06:00 UTC
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://www.bls.gov/oes/special.requests/oesm23nat.zip
Projected fields
soc_code, area, tot_emp, a_mean
Phase 1 · liveBEA Regional Economic Accounts (state GDP)bea-regional
Cadence
Annual (mid-October)
Cron
0 6 15 10 * — Annual: October 15 at 06:00 UTC
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://apps.bea.gov/regional/zip/SAGDP.zip
Projected fields
geo_fips, line_code, year, value
Phase 1 · liveCMS NPPES NPI Registrycms-nppes
Cadence
Quarterly (per specialty, operator-triggered)
Cron
Manual: npx tsx scripts/research/nppes-by-taxonomy-ingest.ts <slug> --refresh — Manual: npx tsx scripts/research/nppes-by-taxonomy-ingest.ts <slug> --refresh
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://npiregistry.cms.hhs.gov/api/?version=2.1
Projected fields
npi, specialty, city, state
Phase 1 · liveCMS Care Compare (per facility type)cms-care-compare
Cadence
Quarterly (per facility type, operator-triggered)
Cron
Manual: npx tsx scripts/research/care-compare-<facility-type>-<date>.ts — Manual: npx tsx scripts/research/care-compare-<facility-type>-<date>.ts
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://data.cms.gov/provider-data/
Projected fields
ccn, facility_type, state
Phase 1 · liveCMS Open Payments (Sunshine Act — General Payments)cms-open-payments
Cadence
Annual (mid-June / late June)
Cron
0 6 30 6 * — Annual: June 30 at 06:00 UTC
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://download.cms.gov/openpayments/PGYR2024_P06302025_06292025.zip
Projected fields
npi, manufacturer_name, payment_amount, payment_nature_code, payment_date, dispute_status
Phase 1 · liveCMS HCRIS Hospital Cost Reports (form CMS-2552-10)cms-hcris-hospital-2552-10
Cadence
Annual (operator-triggered ~November)
Cron
Manual: npx tsx scripts/research/hcris-ingest.ts — Manual: npx tsx scripts/research/hcris-ingest.ts
Methodology
hcris-2552-10/v1
Schema
hcris-2552-10-headline/v1
Download
https://downloads.cms.gov/FILES/HCRIS/HOSP10FY2024.ZIP
Projected fields
ccn, fiscal_year_begin, fiscal_year_end, net_patient_revenue, operating_margin_pct, total_margin_pct
Phase 1 · liveCMS QPP MIPS Individual + Group Scorescms-qpp-mips
Cadence
Annual (operator-triggered ~July, post-performance-year scoring)
Cron
Manual: npx tsx scripts/research/qpp-ingest.ts — Manual: npx tsx scripts/research/qpp-ingest.ts
Methodology
cms-qpp-mips/v1
Schema
cms-qpp-mips-headline/v1
Download
https://data.cms.gov/provider-data/api/1/datastore/sql?resource_id=ef79b9d8-e89e-4233-b3c3-edd557eea8c7&limit=500&offset=0&count=true&results=true&schema=true&keys=true&format=json&rowIds=false
Projected fields
npi, tin, performance_year, final_score, quality_score, cost_score, ia_score, pi_score, payment_adjustment_pct, participation_type
Phase 1 · liveCMS Medicare Provider Utilization & Payment Data (Physician & Other Practitioners by Provider and Service)cms-provider-utilization
Cadence
Annual (mid-June release of prior data year)
Cron
0 6 * * * — 0 6 * * *
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://data.cms.gov/sites/default/files/2024-06/MUP_PHY_R24_P05_V10_D22_Prov_Svc.csv
Projected fields
npi, hcpcs_code, hcpcs_description, place_of_service, service_count, beneficiary_count, beneficiary_unique_count, submitted_charge_amt, allowed_amt, payment_amt, standardized_amt
Phase 1 · liveCMS Medicare Inpatient Hospitals by Provider and Servicecms-inpatient-utilization
Cadence
Annual (mid-June release of prior data year)
Cron
0 6 * * * — 0 6 * * *
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://data.cms.gov/sites/default/files/2024-06/MUP_IHP_R24_P03_V10_D22_FFS_Prov_Svc.csv
Projected fields
ccn, ms_drg_code, ms_drg_description, total_discharges, avg_covered_charges, avg_total_payments, avg_medicare_payments, avg_length_of_stay
Phase 1 · liveCMS Medicare Outpatient Hospitals by Provider and Servicecms-outpatient-utilization
Cadence
Annual (mid-June release of prior data year)
Cron
0 6 * * * — 0 6 * * *
Methodology
v2026.05.0
Schema
v2026.05.0
Download
https://data.cms.gov/sites/default/files/2024-06/MUP_OHP_R24_P05_V10_D22_FFS_Prov_Svc.csv
Projected fields
ccn, apc_code, apc_description, hcpcs_code, total_services, total_beneficiaries, avg_total_submitted_charges, avg_medicare_payment_amt
Phase 1 · liveHRSA Uniform Data System (UDS)hrsa-uds
Cadence
Annual (May, post-grant-year reporting)
Cron
Manual: npx tsx scripts/research/uds-ingest.ts — Manual: npx tsx scripts/research/uds-ingest.ts
Methodology
hrsa-uds/v1
Schema
hrsa-uds-awardee/v1
Download
https://data.hrsa.gov/DataDownload/UDS/current/UDSData.zip
Projected fields
bhcmis_id, awardee_name, state, grant_year, total_patients, medicaid_patients, uninsured_patients, total_fte, clinical_fte, grant_amount_usd, total_sites
Phase 1 · liveCMS Provider of Services (POS) — iQIES Facility Registrycms-pos
Cadence
Quarterly (operator-triggered; CMS publishes Q1–Q4)
Cron
Manual: npx tsx scripts/research/cms-pos-ingest.ts — Manual: npx tsx scripts/research/cms-pos-ingest.ts
Methodology
cms-pos/v1
Schema
cms-pos-facilities/v1
Download
https://data.cms.gov/sites/default/files/2026-04/90983850-6dfe-4886-9dfa-1a3890a655b3/POS_File_iQIES_Q1_2026.csv
Projected fields
ccn, facility_type, state
Cross-links
  • /freshness — live snapshot age + status band per source.
  • /methodology/changelog — methodology version-bump log; one citeable URL per bump.
  • /trust/integrity — public SHA-256 attestation index per snapshot.
  • /developer/webhooks — subscribe to provider.exclusion_added + provider.enrollment_status_changed events.

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