Built on the authoritative federal record
The primary sources, named on every page.
These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.
See the full source registry, with license and refresh cadence for each →
Reproducible by design
Every figure traces to its federal source.
14-tuple provenance
Every rendered fact ties to a source URL, dataset ID, snapshot date, row key, and SHA-256 — the full chain-of-custody record.
Reproducible SQL
Each study ships the exact query behind its figures, run against the cited federal snapshot. Re-run it yourself.
Daily reconciliation
Published counts are reconciled against the upstream federal datasets on a daily cadence, with drift logged.
Named medical review
Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.
Two doors
Use the free API and open data
Query providers, facilities, sanctions, and quality scores — each field carrying its federal source. Self-serve, no call to start.
Talk to us
Managed pilots, enterprise terms, and audit-ready, signed attestation packages for compliance, risk, and research teams.
The substrate, by the numbers
9.67 active orthopedic surgeons per 100,000 residents — ranked 21 of 51 U.S. states + DC.
Plain-text citation block — paste verbatim into a brief, story, or report.
North Dakota has 77 active orthopedic surgeons (9.67 per 100,000 residents) — ranked 21 of 51 U.S. states + DC. Source: CMS NPPES NPI Registry + U.S. Census Bureau, snapshot 2026-05-06. Threshold for "underserved" in the parent study: 5 per 100,000. Citation: Fonteum Research, /research/orthopedic-surgeon-supply-by-state-2026.