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Medicare Fee Schedule Rates

Medicare fee schedule release list

medicare_list_fee_releases
Read-onlyIdempotent

Use this when you need to know which CMS Medicare Physician Fee Schedule releases the archive holds, with their effective dates, CMS source files, SHA-256 checksums and any gaps in coverage, before or instead of looking up a fee. It takes no input and returns every release, newest first (id, label, effective and end dates, the CMS document that fixed the dates, source files, the hosted data bundle), plus the coverage summary and the release catalog URL. Coverage runs from Jan 1, 2023 through Dec 31, 2026, and the list changes only when a new CMS release is archived. Do not use it to get a fee amount (use medicare_get_physician_fee), or for other Medicare schedules such as hospital outpatient, ambulatory surgery center, laboratory, ambulance or DMEPOS, or for Medicaid or commercial rates. It is read-only.

Input Schema

NameRequiredDescriptionDefault

No arguments

Output Schema

NameRequiredDescriptionDefault
schemaYes
coverageYes
releasesYes
release_catalog_urlYes

Schema Changelog

Changes observed during successful MCP inspections.

  1. First observed

TDQS

A4.6/5.0
Behavior4/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

Annotations already declare readOnly, idempotent, non-destructive and closed-world, so the closing "It is read-only" is redundant. What the description adds beyond structured data is genuinely useful: the coverage window (Jan 1 2023 – Dec 31 2026) and the staleness rule ("the list changes only when a new CMS release is archived"), which tells the agent cacheability. It stops short of describing pagination or response size.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness4/5

Is the description appropriately sized, front-loaded, and free of redundancy?

Front-loaded trigger and scope, then return shape, then coverage window, then exclusions — a logical order. It is on the long side and restates read-only (already in annotations) and enumerates return fields (already in the output schema), so a couple of clauses do not fully earn their place.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness5/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

For a no-parameter listing tool, the agent knows when to call it, what it will receive (newest-first releases plus coverage summary and catalog URL), the date bounds, and every neighboring tool it should not use. Output schema exists, so the return-field recap is bonus rather than necessary. Nothing material is missing.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters4/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Zero parameters, so the baseline is 4. The description explicitly confirms "It takes no input", which aligns with additionalProperties:false and the empty schema, leaving no ambiguity about invocation.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose5/5

Does the description clearly state what the tool does and how it differs from similar tools?

States a specific verb+resource (list CMS Medicare Physician Fee Schedule releases the archive holds) and explicitly names the sibling it is not (medicare_get_physician_fee). An agent can distinguish this catalog-listing tool from the fee-lookup tool without opening either schema.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines5/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

Gives an explicit when-to-use trigger ("before or instead of looking up a fee"), a named alternative for the fee case, and a when-not-to-use clause listing other schedules (hospital outpatient, ASC, lab, ambulance, DMEPOS) plus Medicaid and commercial rates. Nothing is left to inference.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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