Nc Medical Exclusions MCP server

@pipeworx/nc-medical-exclusions

Screens a provider or business name, an NPI, or a non-NPI "atypical" Medicaid provider ID against North Carolina's Medicaid provider exclusion list — the state-level counterpart to the federal HHS OIG LEIE for North Carolina specifically, and the sibling of ny-omig-exclusions, ca-medical-exclusions, tx-medical-exclusions, fl-medical-exclusions, pa-medical-exclusions, ga-medical-exclusions, oh-medical-exclusions and nj-medical-exclusions.

Part of Pipeworx — an MCP gateway connecting AI agents to 1843+ live data sources. This is an independent, unofficial integration — not affiliated with, endorsed by, or published by the upstream provider.

Tools

a provider or business against the list. An NPI or atypical-ID match is an IDENTIFICATION; a name match against the EXCLUDED ENTITY field is a CANDIDATE lead only. A name that matches only the OWNERSHIP field of a row (an owner/principal listed for context, per NC Medicaid's own published note) comes back matchtype: "ownershiponly_match" with excluded:false — never conflated with an exclusion.

• ncmedicalcheckexclusion(name?, npi?, atypicalid?, limit?) — screens

arguments, reports total rows, how many carry an NPI vs. an atypical ID, the distinct exclusion reasons, and the oldest/newest effective dates. With year or a date range, counts how many exclusions took effect in that window (counted by effective_date, over the whole list, not a page).

• ncmedicalexclusioncoverage(year?, startdate?, end_date?) — with no

Auth

Keyless.

Data sources

Program Integrity — State Excluded Providers List. Service providers terminated for cause from North Carolina's Medicaid and other Health Programs. No login, no CAPTCHA.

• NC Medicaid, Division of Health Benefits, Office of Compliance and

Notes

the TX/PA/NJ precedent packs. NC Medicaid publishes no end/reinstatement date column; a reinstated provider simply disappears from the next monthly file (same construction as ga-medical-exclusions). Every row this pack serves is therefore currently_excluded:true.

• This is a CURRENT SNAPSHOT, not an ever-excluded history — unlike

all for any row — CITY/STATE/ZIP is the provider's registered location, served at the same coarse grain ga-medical-exclusions serves its STATE field, never a street-level address.

• No home address is served. This source carries no street address at

names in the OWNERSHIP column are not excluded unless separately listed under EXCLUDED ENTITY. This pack keeps that distinction live in its match types rather than treating an ownership hit as a finding.

• OWNERSHIP is not an exclusion. NC Medicaid's own published caveat:

is "NPI/ATYPICAL ID (EXCLUDED)" — most rows carry a well-formed 10-digit NPI, but a minority carry an 8-digit non-NPI "atypical" Medicaid provider ID instead. npi and atypical_id are kept as separate fields.

• The identifier is not always an NPI. NC Medicaid's own column header

rows store the date as an Excel date serial, a handful as a literal "MM/DD/YYYY" string. Both are decoded to the same ISO date.

• Effective dates are mixed-type in the source file itself — most

file (NC Medicaid's download link is stable — no listing page to re-resolve) and rebuilds src/nc-dhb-index-data.ts; re-run periodically and recommit. dataasof on every response says how stale the baked copy is.

• Refreshed by scripts/bake-index.mjs, which re-fetches the published

Quick Start

Add to your MCP client (Claude Desktop, Cursor, Windsurf, etc.):

{
  "mcpServers": {
    "nc-medical-exclusions": {
      "url": "https://gateway.pipeworx.io/nc-medical-exclusions/mcp"
    }
  }
}

What this endpoint actually serves

Shortened. The full README is on GitHub.