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health.provider-profile

Aggregates provider identity, industry payments, and Medicare billing data from NPPES, CMS Open Payments, and CMS Medicare into a single API call for KYC, fraud detection, and due diligence.

Instructions

Provider 360 by NPI — merges NPPES identity (name, specialty, address, licenses) + CMS Open Payments (industry payments) + CMS Medicare billing in one call. Each section reports found/error independently. KYC, healthcare-fraud, provider due diligence.

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
npiYes10-digit National Provider Identifier.
Behavior3/5

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

No annotations provided. Description mentions independent error reporting per section but lacks details on authentication, rate limits, or data freshness. More transparency on behavior would be beneficial.

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

Conciseness5/5

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

The description is concise with 3 sentences, front-loading the main purpose without unnecessary details.

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

Completeness2/5

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

No output schema provided. Description mentions data sources but does not specify the return structure or format of each section, leaving the agent uncertain about what to expect.

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

Parameters3/5

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

Schema coverage is 100% with parameter description '10-digit National Provider Identifier.' The tool description reinforces the parameter's role but does not add significant new meaning beyond the schema.

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?

The description clearly states the tool merges data from three distinct sources (NPPES, CMS Open Payments, CMS Medicare) for a given NPI, and specifies use cases like KYC and due diligence, distinguishing it from sibling tools.

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

Usage Guidelines3/5

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

The description implies usage for provider background checks but does not explicitly state when to use this tool versus alternatives or when not to use it.

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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