Data study

Perimenopause care in the 60 largest US cities (2026 data)

How many OB-GYNs, women's health nurse practitioners, nurse-midwives, sleep doctors and endocrinologists practice in America's largest cities? We counted them in the federal NPI registry.

15,510: clinicians across 5 specialties in 60 cities
77%: are women, based on the sex recorded in the registry
1,315: sleep medicine doctors: the scarcest of the five
1,052 vs 31: New York vs Stockton, the largest and smallest counts

Key findings

Front-line menopause care is mostly nurse-led in numbers. Across the 60 cities we found 4,027 women's health nurse practitioners and 3,471 nurse-midwives, compared with 3,332 OB-GYNs.
Sleep specialists are scarce. Only 1,315 sleep medicine doctors were listed, although sleep problems are among the most common complaints of perimenopause.
Counts are concentrated. The five cities with the most clinicians (New York, Boston, Chicago, Houston, Dallas) account for 24% of everyone we counted. Large academic medical centers weigh heavily in these totals.
Most clinicians are women. 77% of the clinicians counted are women, which matters to many patients looking for a clinician they feel comfortable with.

These are raw counts, not rates per resident: a larger city will usually have more clinicians. They show where care is listed, not how easy it is to get an appointment.

All 60 cities

Sorted by total. Bars show the total relative to New York. Download the data (CSV)

City	OB-GYNs	Women's health nurse practitioners	Nurse-midwives	Sleep medicine doctors	Endocrinologists	Total	Women
New York, NY	320	239	121	58	314	1,052	74%
Boston, MA	126	120	114	58	303	721	71%
Chicago, IL	139	143	202	63	159	706	80%
Houston, TX	189	151	70	79	167	656	68%
Dallas, TX	97	243	85	39	90	554	80%
Philadelphia, PA	104	173	79	57	113	526	79%
Nashville, TN	65	177	162	28	67	499	86%
Los Angeles, CA	135	108	81	31	117	472	74%
Portland, OR	102	76	194	27	62	461	85%
Atlanta, GA	114	113	104	34	73	438	78%
Seattle, WA	78	107	128	30	91	434	83%
San Diego, CA	71	81	103	34	77	366	72%
San Francisco, CA	79	89	81	19	90	358	79%
Baltimore, MD	82	61	79	28	103	353	75%
Phoenix, AZ	60	127	93	23	46	349	84%
Indianapolis, IN	50	102	64	37	72	325	74%
Orlando, FL	74	96	95	23	35	323	80%
Cleveland, OH	69	66	75	32	78	320	77%
Columbus, OH	36	110	60	28	67	301	79%
San Antonio, TX	70	59	52	31	75	287	72%
Jacksonville, FL	76	75	55	22	57	285	72%
Minneapolis, MN	51	78	103	12	40	284	84%
Denver, CO	36	93	94	14	35	272	88%
Washington, DC	66	54	68	16	62	266	79%
Tampa, FL	56	74	62	21	51	264	74%
Charlotte, NC	71	44	70	34	45	264	75%
Aurora, CO	69	34	93	10	55	261	82%
Albuquerque, NM	48	51	116	18	28	261	86%
Louisville, KY	59	81	22	35	35	232	69%
Austin, TX	51	68	58	22	33	232	81%
Miami, FL	58	25	26	32	72	213	57%
Tucson, AZ	30	46	65	21	38	200	79%
Las Vegas, NV	40	54	37	16	44	191	67%
Milwaukee, WI	21	33	74	10	49	187	81%
Detroit, MI	40	21	64	24	33	182	73%
Sacramento, CA	34	47	32	21	44	178	76%
Fort Worth, TX	34	57	45	13	19	168	77%
Raleigh, NC	54	49	21	10	20	154	79%
Omaha, NE	21	51	32	8	38	150	80%
Oklahoma City, OK	34	41	13	21	37	146	68%
Lexington, KY	34	34	26	17	32	143	65%
Fresno, CA	20	49	23	20	21	133	75%
Colorado Springs, CO	18	54	37	10	9	128	84%
Kansas City, MO	27	40	11	6	22	106	75%
New Orleans, LA	24	23	18	7	32	104	69%
Memphis, TN	13	24	18	13	36	104	66%
Tulsa, OK	16	24	14	20	29	103	71%
San Jose, CA	21	39	17	6	16	99	78%
El Paso, TX	21	19	15	11	20	86	59%
Honolulu, HI	28	22	7	8	18	83	70%
Oakland, CA	15	35	25	1	4	80	94%
Virginia Beach, VA	11	32	7	11	9	70	86%
Long Beach, CA	21	20	3	4	21	69	65%
Mesa, AZ	17	19	17	6	9	68	79%
Wichita, KS	11	16	8	7	10	52	65%
Bakersfield, CA	7	17	2	4	15	45	69%
Anaheim, CA	6	6	18	5	7	42	79%
Henderson, NV	3	10	8	9	9	39	64%
Arlington, TX	5	16	3	7	3	34	74%
Stockton, CA	5	11	2	4	9	31	68%

Method

Source: the CMS National Plan and Provider Enumeration System (NPPES) NPI Registry public API, individual providers only (NPI type 1), queried in October 2026.
Who counts: clinicians whose registry taxonomy matches exactly one of five specialties (OB-GYN and its subspecialties relevant to midlife care, women's health and OB-GYN nurse practitioners, advanced practice midwives, sleep medicine, and endocrinology, diabetes and metabolism), with a practice address in the named city.
Cities: the 60 largest US cities by population. Suburbs and neighboring cities are not included, so metro areas are undercounted.
Limits: the registry records what clinicians declare. It does not show whether a clinician sees perimenopause patients, accepts new patients or takes a given insurance, and some listed clinicians may no longer practice.
Reuse: free to use with credit to PeriSignal and a link to this page (CC BY 4.0).

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