MA · Healthcare shortage profile
Barnstable County, MA
Designation volume is the standout signal for Barnstable County: 12 active HPSA records, above 85% of real US counties. Population 228,996.
- Active HPSAs
- 12
- Population
- 228,996
- Peak shortage score
- 20.0
- MUA Index
- 51.1
Heavy-burden verdict
According to current HRSA Data Warehouse records, Barnstable County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with primary care the deepest gap.
- 12
- Active HPSA designations
- 4
- Mental-health shortages
- 20
- Peak severity score (of 26)
- Top 15%
- US counties by volume
Dense ZCTA lattice over Barnstable County
Barnstable County intersects 48 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
36 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Key findings
What the HRSA Data Warehouse does not surface for Barnstable County, MA on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
-
Peak HPSA score 20.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
-
33.3% of Barnstable County's 12 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).
Barnstable County vs. every real US county
Total active HPSA designations, including counties with none
12 Top 15% higher than 85% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. Barnstable County falls in the upper half of MA counties by active-designation volume, at rank 6 of 14. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 25001. Population: 228,996.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 12 active (designated) HPSAs in Barnstable County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Duffy Health Center, Inc. | mental_health | 20.0 |
| Outer Cape Health Services, Inc. | dental | 18.0 |
| Community Health Center OF Cape Cod, Inc. | mental_health | 17.0 |
| Outer Cape Health Services, Inc. | mental_health | 16.0 |
| Mashpee Wampanoag Health Service Unit | dental | 16.0 |
| Duffy Health Center, Inc. | dental | 16.0 |
| Mashpee Wampanoag Health Service Unit | primary_care | 15.0 |
| Outer Cape Health Services, Inc. | primary_care | 15.0 |
| Community Health Center OF Cape Cod, Inc. | dental | 14.0 |
| Mashpee Wampanoag Health Service Unit | mental_health | 13.0 |
| Duffy Health Center, Inc. | primary_care | 12.0 |
| Community Health Center OF Cape Cod, Inc. | primary_care | 9.0 |
Heavy-burden reading for Barnstable County
Designation volume is the standout signal for Barnstable County: 12 active HPSA records, above 85% of real US counties. Barnstable County's severest measured gap is in mental health, scored 20.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 15.0 of 25; Dental care reads 18.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 51.1, and the lower the index, the greater the measured need.
Volume places Barnstable County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 20.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Barnstable County falls in the upper half of MA counties by active-designation volume, at rank 6 of 14. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Barnstable County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Mental health
Mental health
4 designations
- Dental
Dental
4 designations
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Barnstable County, MA · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Barnstable County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Barnstable County's 12 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of MA before you draw conclusions from a single score. MA overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Barnstable County's 20.0. This compares the designation score only, not local appointment availability or care quality. Start with Volusia County, FL and Brazoria County, TX.
Showing 6 of 3081 counties nationally with an active designation this severe.
High-volume peers of Barnstable County (12 active)
One peer set for this volume-led county: nearest active designation count to 12 across the national corpus.
Frequently Asked Questions
- Does Barnstable County's MUA standing sit beside its HPSA records?
- Yes - Barnstable County carries an MUA designation (index 51.1; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Barnstable County's 12 active HPSA designations?
- 12 Designated rows (4 primary care, 4 mental health, 4 dental). Highest-scored name on this release: "DUFFY HEALTH CENTER, INC." (score 20.0; mental health; 14,306 people in the service area; designated 10/26/2002). Also active: "OUTER CAPE HEALTH SERVICES, INC.", "COMMUNITY HEALTH CENTER OF CAPE COD, INC.", "OUTER CAPE HEALTH SERVICES, INC.". Above 85% of real US counties by volume.
- What does volume-plus-score look like for Barnstable County?
- Peak active score 20.0 in mental health clears the 17-point line while volume sits at 12 rows.
- What clinician need sits behind Barnstable County's designation volume?
- Volume is present (12 rows) but this release publishes no positive providers_needed total after id de-dupe.
- Which federal programs follow Barnstable County's designation volume?
- 12 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Barnstable County's volume compare inside MA?
- 12 active HPSA rows · peak 20.0. Barnstable County falls in the upper half of MA counties by active-designation volume, at rank 6 of 14. Score-nearest counties on this release include Volusia County, FL and Brazoria County, TX.
Source: HRSA Data Warehouse. FIPS: 25001. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 25001 (Barnstable County, MA), vintage 2026-08-15. Active designation count 12; peak score 20.0; signature 12 active designations. This profile is reference material, not professional advice; see methodology.