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Program Integrity Alliance vs io.github.cyanheads/medical-codes-mcp-server

Program Integrity Alliance is an MCP server published by Program-Integrity-Alliance. Marketplaces we read that list it: 1 (Docker MCP Catalog). io.github.cyanheads/medical-codes-mcp-server is an MCP server published by cyanheads. Marketplaces we read that list it: 2 (Official MCP Registry, npm registry (MCP servers)). As of our marketplace pass on 2026-10-25. This pair was picked by a reader, not by our comparison rule, so search engines are asked not to index the page.

Where each is published

Where each is published
MarketplaceProgram Integrity Allianceio.github.cyanheads/medical-codes-mcp-server
Docker MCP Catalog Listed
Version: sha256:7b4f383fd466
Forks (GitHub): 1
Pulls (Docker Hub): 13 732
Stars (Docker Hub): 1
Stars (GitHub): 4
Not marked · First seen
Not listed
Official MCP Registry Not listed Listed
Version: 0.4.2
Downloads/month (npm): 1 495
Downloads/week (npm): 150
Forks (GitHub): 1
Stars (GitHub): 2
Not marked · First seen
npm registry (MCP servers) Not listed Listed
Version: 0.4.2
Downloads/month (npm): 1 495
Downloads/week (npm): 150
Forks (GitHub): 1
Stars (GitHub): 2
Not marked · First seen

Each figure is the marketplace's own and is never added up across marketplaces. A marketplace that publishes no figure shows none: no number is not zero.

The facts side by side

Program Integrity Alliance vs io.github.cyanheads/medical-codes-mcp-server
FactProgram Integrity Allianceio.github.cyanheads/medical-codes-mcp-server
Marketplaces that list it (differs)1 (worse)2 (better)
Stars (GitHub) (differs)4 (better)2 (worse)
Pulls (Docker Hub) (differs)13 732No figure on Docker Hub
Forks (GitHub)11
Last release (differs)Not published2026-10-25
Where it runs (differs)On your machine (mcp/pia)Remote server or your machine
Transport (differs)stdioStreamable HTTP
Tools it declares (differs)2Not published
Environment variables it asks for (differs)1, secrets among them: 18, secrets among them: 0
Licence (differs)MITApache-2.0
Repository (differs)github.com/program-integrity-alliance/pia-mcp-localgithub.com/cyanheads/medical-codes-mcp-server
Changes in the last 7 days (differs)02
First seen2026-10-112026-10-11
Endpoint at the last check (differs)no remote endpoint we checkResponded 2 days ago

Lines where the two differ have a tinted background and bold values. Where the data itself says which value is better (more marketplaces, a larger figure of the same marketplace, a fresher release, a verified mark on a marketplace that lists both), the better one is also marked green with ▲ and the worse one red with ▼. Where it runs, the transport, the tools, the settings, hooks, the bundle's parts, the licence and the week's changes are marked only as different: more or fewer is not better in itself.

What each says it does

Program Integrity Alliance

In its own words, on Docker MCP Catalog:

An MCP server to help make U.S. Government open datasets AI-friendly.

io.github.cyanheads/medical-codes-mcp-server

In its own words, on Official MCP Registry:

Offline US medical code lookup and crosswalk — ICD-10-CM/PCS, HCPCS Level II, RxNorm. Keyless.

How to run each

Program Integrity Alliance As a local MCP server: Docker image

Claude Code
claude mcp add --env "PIA_API_KEY=<YOUR_PIA_API_KEY>" --transport stdio pia -- docker run -i --rm -e PIA_API_KEY mcp/pia

Requires: PIA_API_KEY (secret)

io.github.cyanheads/medical-codes-mcp-server As a remote MCP server

Claude Code
claude mcp add --transport http medical-codes-mcp-server https://medical-codes.caseyjhand.com/mcp

Commands built only from what the marketplaces declare; the full set for every client is on each card.

Only io.github.cyanheads/medical-codes-mcp-server has a remote endpoint we check. How we check endpoints

Tools each declares

The marketplaces of io.github.cyanheads/medical-codes-mcp-server publish no list of tools, so we do not compare tools.

Settings each asks for

Only Program Integrity Alliance asks for

  • PIA_API_KEY (secret)

Only io.github.cyanheads/medical-codes-mcp-server asks for

  • MCP_AUTH_MODE
  • MCP_HTTP_ENDPOINT_PATH
  • MCP_HTTP_HOST
  • MCP_HTTP_PORT
  • MCP_LOG_LEVEL
  • MCP_TRANSPORT_TYPE
  • MEDCODE_DB_PATH
  • MEDCODE_MAX_RESULTS

Settings as each marketplace publishes them. Asking for fewer is not better in itself.

What it can do: Program Integrity Alliance · What it can do: io.github.cyanheads/medical-codes-mcp-server · Compare two other plugins

Data comes from the Docker MCP Catalog (desktop.docker.com/mcp/catalog) and Docker Hub. Data comes from the Official MCP Registry (registry.modelcontextprotocol.io), CC0 1.0. Package data comes from the public npm registry (registry.npmjs.org). Figures come from our own regular passes over the marketplaces, last read on . We publish no contact details for plugin publishers.

Where the data comes from: how the catalog is built