diff --git a/.npmignore b/.npmignore
new file mode 100644
index 00000000..0b267a1b
--- /dev/null
+++ b/.npmignore
@@ -0,0 +1,22 @@
+tmp
+coverage
+.DS_Store
+QPP_quality_measure_specifications.zip
+QPP_quality_measure_specifications
+ecqm_eligibleclinician_jan2017.zip
+ecqm_eligibleclinician_jan2017
+Claims-Registry-Measures.zip
+Claims-Registry-Measures
+Web-Interface-Measures.zip
+.idea/
+claims-related/scripts/pycache/**
+claims-related/scripts/__pycache__/**
+jovyan/**
+.actrc
+
+.nyc_output
+json_report
+__pycache__
+__mocks__
+venv
+.vscode
\ No newline at end of file