Heartland · Atlas

Public dataset · Updated monthly · 3,144 counties

Heart failure care where there’s no cardiologist.

An interactive county-level atlas of the US cardiology access gap — provider density, distance to the nearest specialist, Critical Access Hospitals, and HRSA shortage designations. Companion to the peer-reviewed HEARTLAND Protocol.

57.6% of US counties have zero cardiologists at a primary practice ZIP. Aggregate public data only; no patient health information.

Counties with zero cardiologists

1,810

of 3,144 (57.6%)

Median distance — rural counties

23.1 mi

to nearest cardiologist

CAHs ≥ 20 mi from a cardiologist

659

Critical Access Hospitals

Population in zero-cardio counties

39,161,958

residents without a local cardiologist

How this map is built

Cardiologists are identified from the CMS NPPES registry and located via their practice ZIP (crosswalked to county FIPS by the US Census ZCTA↔County relationship file). Distance is measured between county centroids and ZIP centroids via great-circle geometry — suitable for county-level comparisons and intentionally coarse inside very large urban ZIPs. Full methodology.