AMA header

AMA Credentialing ServicesProfiles level 2 image

AMA Physician Profiles

The AMA offers a Physician Profile and a Physician Reappointment Profile. Samples of each are available in the links to the right.

 

Physician Profile vs Physician Reappointment Profile
The AMA Physician Profile is also referred to as a full or initial physician profile. An AMA Physician Profile can be used by a health care organization to confirm information submitted by a physician when applying for clinical privileges at the organization. The profile can also be used by a payer to validate physician information connected to reimbursement or help determine whether a physician would make a good addition to the payer’s network of approved practitioners. The AMA Physician Profile assists in reducing the threat of clinical, legal and financial liability for practitioners, payers and health care organizations by helping to identify highly qualified health care professionals to serve the public.

The purpose of an AMA Physician Reappointment Profile is to provide verification of updated information on the profile data that is subject to change. Because information pertaining to medical school, graduate medical education and ECFMG applicant number does not change, this is not reported in the reappointment profile.

 

Primary source verification requirements
The AMA Physician Masterfile—the source of AMA Physician Profile data—meets select primary source verification requirements of the following organizations:

  • Centers for Medicare and Medicaid Services (CMS)
  • The Joint Commission (TJC)
  • Healthcare Facilities Accreditation Program (HFAP)
  • DNV-GL Healthcare (DNV-GL)
  • Accreditation Association for Ambulatory Health Care (AAAHC)
AMA is an official licensee of American Board of Medical Specialties (ABMS®) data. As such, the AMA is designated as an official ABMS display agent and serves as a provider of primary source equivalent ABMS specialty board certification data. That data, which is updated monthly, includes the following:
  • Specialty and subspecialty certification
  • Initial year granted
  • Certification type
  • Expiration dates
  • Maintenance of certification (beginning late 2015)
In regard to the National Committee for Quality Assurance (NCQA), the AMA Masterfile is an approved source for verification of the following:
  • Medical school
  • Postgraduate medical training
  • American Board of Medical Specialties (ABMS®) board certification
  • Federal DEA registration

Access and keep on file more information about the above mentioned organizations by clicking the Important documents link at right. Also view a table that summarizes how data elements within AMA Profiles meet the standards of the accrediting bodies.

The AMA verifies with the primary source the following elements:

  • Medical school
  • Graduate medical education
  • ABMS® specialty board certification (includes MOC)
  • All state licensure data (current and historic) and sanctions
  • DEA registration
  • National Provider Identifier (NPI) number
  • Education Commission for Foreign Medical Graduates (ECFMG) applicant number

For a detailed explanation about these core elements and all other elements in an AMA Profile, click the AMA Masterfile Data link at right.

   
more information
Physician Profile sample AMA Physician Reappointment Profile sample AMA Physician Profiles meet standardsAMA Masterfile Data as used in a profileImportant documents KEEP ON FILE Physician access of profilesFrequently asked questions - Physician profile
Purchase Now

Create Account

green bar