Healthcare Staffing & Locum Tenens
Batch credential verification, multi-state license checks, compliance screening, and billing benchmarking, so you can place with confidence.
How it works
These are real reports generated from live CMS and state board data. Ask Medistill to verify a locum tenens physician , it pulls compliance screens, peer benchmarks, and action items in one conversation.
Query
“We're placing a locum tenens physician in Texas, Arizona, and Nevada. Run a full credential verification and compliance screen. NPI: 1811212238.”
Dr. Brendan Holloway, M.D. | NPI 1811212238
Deployment States: Texas · Arizona · Nevada | Effective: April 2026
| Check | TX | AZ | NV | Federal |
|---|---|---|---|---|
| OIG LEIE Federal Exclusion | Clear | Clear | Clear | Clear |
| SAM.gov Federal Debarment | Clear | Clear | Clear | Clear |
| CMS Medicare Revocation | Clear | Clear | Clear | Clear |
| OIG Civil Monetary Penalties | Clear | Clear | Clear | Clear |
| OIG Corporate Integrity Agreements | Clear | Clear | Clear | Clear |
| FDA Debarment / Disqualification | Clear | Clear | Clear | Clear |
| State Medical Board Discipline | Clear | Clear | Clear | , |
| Malpractice / Adverse Actions | Clear | Clear | Clear | Clear |
| NPI Deactivation Status | Active | Active | Active | Active |
| Medicare Opt-Out | Clear | Clear | Clear | Clear |
| Item | Detail | Priority |
|---|---|---|
| Active State Licenses | Confirm active licenses with TX Medical Board, AZ Medical Board, and NV State Board | Critical |
| Board Certification | Primary source verify with ABIM for Internal Medicine / Hospital Medicine | Critical |
| DEA Registration | Confirm active DEA; verify schedule coverage for TX, AZ, NV | Critical |
| Malpractice Coverage | Confirm occurrence vs. claims-made; tail coverage if applicable | Critical |
| Work History / References | Minimum 3-5 years employment verification with gap explanation | Standard |
| NPDB Query | Pull National Practitioner Data Bank self-query or facility query | Recommended |
| Hospital Privileges | Verify existing privileges; request credentialing packet from receiving hospitals | Required per site |
| CME Compliance | Verify CME hours meet TX/AZ/NV renewal requirements | Standard |
Follow-up query
“Pull their Medicare billing history and benchmark against peers. Are they consistent with the hospitalist assignment we're filling?”
Medicare Utilization vs. Matched Peers | 2023 Data
| Metric | Value | Peer Avg | vs. Peers | Status |
|---|---|---|---|---|
| Total Medicare Beneficiaries | 424 | 386 | +10% | ✓ |
| Total Services Rendered | 1,699 | 3,700 | -54% | ✗ |
| Total Medicare Payment | $165,598 | $161,366 | +3% | ✓ |
| Avg Patient Risk Score | 1.09 | 1.00 | +9% (sicker patients) | Info |
| HCPCS Code Breadth | 71 | 69 | Comparable | ✓ |
| Services / Beneficiary | 4.01 | 10.02 | -60% | ✗ |
| Payment / Service | $97.47 | $53.65 | +82% | ✗ |
| Payment / Beneficiary | $390.56 | $438.08 | -11% | ✓ |
| Finding | Severity | Verdict |
|---|---|---|
| Specialty listed as Orthopedic Surgery (not Hospitalist) | Needs clarification | Verify taxonomy, may be miscoded |
| Services/beneficiary 60% below peer norm | Notable | Monitor; likely explained by practice model |
| Payment/service 82% above peer norm | Notable | Consistent with high-acuity hospitalist coding |
| No compliance flags in any database | Clean | No concern |
| No Medicare payment anomalies triggering OIG/CMS flags | Clean | No concern |
Follow-up query
“Generate the credential packet with action items and deadlines. We need to start the privileging process.”
Dr. Brendan Holloway, M.D. | NPI 1811212238 | TX · AZ · NV
| ID | Item | Deadline | Priority |
|---|---|---|---|
| A-1 | State licenses, TX, AZ, NV (primary source verify) | Apr 1 | Critical |
| A-2 | DEA registration + state CDS permits (all 3 states) | Apr 1 | Critical |
| A-3 | Malpractice COI confirming coverage in all 3 states | Apr 5 | Critical |
| A-4 | Resolve Orthopedic Surgery vs. Hospitalist taxonomy discrepancy | Apr 8 | Required |
| A-5 | NPDB query + hospital privileging applications + employer letter of good standing | Apr 10 | Required |
Holloway credential packet
Document · PDF · 5 sections, 31-item checklist
What you can ask
Each question runs against real data. Follow-ups build on previous results , Medistill remembers context across the entire conversation.
Multi-state locum verification
“We’re placing a locum tenens physician in 3 states, Florida, Texas, and California. Verify their license status in all 3 states, check federal exclusion lists, and run a full compliance screen. NPI: 1234567890.”
Runs multi-state license verification and 130-source compliance screen in a single query, the work that takes credentialing coordinators days.
“Their Florida license shows a past disciplinary action. What exactly was the action, when did it happen, and is it resolved?”
Drills into state board discipline details, critical context before placing a physician.
“Pull their Medicare billing history, what procedures do they typically perform, and what’s their average volume? Is their profile consistent with the assignment we’re filling?”
Validates that the physician’s billing history matches the locum assignment specialty and volume expectations.
Without Medistill
Call three state boards, wait for verification letters, separately search OIG LEIE, SAM.gov, and NPDB. 3-5 business days per physician.
Batch credential screening
“We have 25 physicians starting assignments next week. Batch screen all of them across every federal and state compliance database. Flag anyone with issues.”
Batch screens 25 providers against 130+ databases simultaneously, the pre-placement check that protects your agency from compliance exposure.
“3 were flagged. For each, show the risk score, letter grade, recency adjustment, and which databases triggered the flag. Which are hard stops (Grade F) and which need review (Grade C/D)?”
Triages flagged providers into immediate stops vs. review-needed, so your team knows exactly who to hold and who to investigate.
Without Medistill
Manual OIG + SAM.gov + state board checks for each of 25 physicians. At 2-3 hours each, that’s 50-75 hours of credentialing work.
Annual LEIE/SAM.gov monitoring
“Our client hospital requires us to verify that no placed physician has ever been excluded from a federal healthcare program. Pull every physician we’ve placed in the last year and check them against LEIE and SAM.gov. Give me a clean list and a flagged list.”
Ongoing exclusion monitoring is a contractual requirement, this replaces the monthly manual download-and-match process.
“For the clean list, also check their state medical board in the state where they’re currently practicing. Any new discipline since their last credentialing?”
State board discipline can happen between credentialing cycles, catches new issues that federal lists won’t show.
Without Medistill
Download LEIE monthly file, download SAM.gov extract, match against your roster manually. Then separately check each state board website. Full-day project each month.
Single physician credential verification
“A physician is applying to work with us. They claim board certification in orthopedic surgery and an active license in 4 states. Verify: pull their NPI record, check all 4 state boards for active license status, and confirm their specialty matches what they claimed.”
Verifies applicant claims against NPI records and state board data, catches misrepresented credentials before onboarding.
“Also pull their MIPS quality scores. Our client hospitals want providers with above-average quality, do they qualify?”
Quality scores are increasingly part of placement criteria, gives your sales team concrete data for client conversations.
Without Medistill
Look up NPI on NPPES, check 4 separate state board websites, search ABMS for board certification. 1-2 hours of manual research.
Market intelligence by specialty
“We need a market intelligence report. How many active physicians are there by specialty in Texas? Which specialties have the most Medicare opt-outs, those are the ones creating locum demand.”
Opt-out patterns signal where permanent physicians are leaving Medicare, creating exactly the locum demand your agency fills.
“For the specialties with the highest opt-out rates, show the geographic distribution. Which Texas cities have the most locum demand based on opt-out gaps?”
Maps demand hotspots to specific cities, actionable targeting for your sales team.
“Cross-reference with AHRF provider shortage data. Where do the opt-out gaps overlap with federal shortage designations?”
Shortage + opt-out overlap = maximum demand, these are the markets where locum rates are highest.
Without Medistill
Download NPPES monthly file, download Medicare opt-out list, manually cross-reference by specialty and geography. Multi-day analysis project.
Geographic staffing gap analysis
“Our client hospital in El Paso needs hospitalists urgently. Find all Internal Medicine providers within 30 miles, group by facility and show which hospitals have the most. Is this market saturated or starving?”
Geographic search with specialty synonyms (hospitalist → Internal Medicine) and facility grouping shows the full competitive landscape instantly, who’s where and how many.
“For providers not affiliated with a major system, screen for compliance and pull their Medicare billing volume. I need a shortlist of clean, high-volume candidates I can call today.”
Combines geographic search + compliance + billing data to build a pre-vetted, volume-ranked candidate list in minutes.
“Compare Internal Medicine provider density within 30 miles of El Paso vs San Antonio vs Austin. Also pull HPSA shortage scores, where’s the gap biggest?”
Density + shortage designation overlap identifies where demand outstrips supply the most, pricing intelligence for your sales team.
Without Medistill
Call hospital HR departments, search job boards, manually check NPPES by city. No way to see the full competitive landscape or run compliance checks without separate tools.
Why switch
Multi-state license check
Multi-state license check
Call each state board individually, 3-5 days
All 50 states + DC verified in seconds
License → NPI reverse lookup
License → NPI reverse lookup
Search NPPES manually by name, guess at disambiguation
Paste a state license number, get back the NPI and full taxonomy, no separate search required
Federal exclusion screening
Federal exclusion screening
Download and manually search each list
OIG, SAM.gov, FDA, CMS, one query
Batch credentialing
Batch credentialing
2-3 hours per provider, sequential
Screen 25+ providers simultaneously
Billing benchmarking
Billing benchmarking
Request data from CMS, build own analysis
Medicare utilization vs. peer cohort, auto-analyzed
Compliance monitoring
Compliance monitoring
Manual monthly LEIE download and match
Schedule weekly/monthly re-screens
State board discipline
State board discipline
Search each state board website individually
50 states + DC medical boards checked instantly
Credential packet
Credential packet
Compile manually from multiple sources
Auto-generated PDF with risk scores
Modifications
Modifications
Start entire verification process over
"Add Nevada", done instantly
Scheduled monitoring
Scheduled monitoring
Calendar reminders, manual re-checks
Schedule re-screens via Claude
Price
Price
$80K-$150K/yr credentialing staff + database subscriptions
From $199/mo
Data coverage
NPI Registry
Compliance Databases
State Medical Boards
Medicare Utilization
Industry payments
MIPS / Quality
Provider-Facility Crosswalk
Geographic Provider Search
State Medicaid Exclusions
130+ databases, 50 states + DC medical boards, peer benchmarks, compliance scoring , all in one conversation at from $199/month.