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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

TableJSON Schema
NameRequiredDescriptionDefault

No arguments

Output Schema

TableJSON Schema
NameRequiredDescriptionDefault
schemaYes
coverageYes
releasesYes
release_catalog_urlYes

Schema Changelog

Changes observed during successful MCP inspections.

  1. First observed

TDQS

A4.5/5.0
Behavior4/5

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

Annotations already cover read-only, idempotent, non-destructive, closed-world behavior, so the bar is lower; the description nonetheless adds the coverage window (2023-01-01 to 2026-12-31), the update cadence ('changes only when a new CMS release is archived'), and the novelty of checksums/gaps. It omits pagination/rate-limit behavior, but the cache-like update note is valuable.

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?

Well front-loaded with purpose then scope then exclusions, but somewhat long and dense, packing return fields and the coverage window into single sentences. Every clause earns its place, but it could be tighter.

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

Completeness4/5

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

With an output schema present, the description needn't enumerate return values, yet it does so anyway; it also covers scope, cadence, and exclusions. Complete enough to invoke correctly, though the return-field recital is partly redundant against the output schema.

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 baseline is 4; the description correctly states 'It takes no input', which is consistent with the empty schema and avoids implying any filtering knobs.

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: listing archived CMS Medicare Physician Fee Schedule releases with their metadata. It explicitly distinguishes from the single sibling, medicare_get_physician_fee, and enumerates what the archive holds.

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?

Explicit when-to-use ('before or instead of looking up a fee') and when-not-to-use, naming the alternative sibling and ruling out other Medicare schedules plus Medicaid/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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