Physician Codes

01 General practice
02 General surgery
03 Allergy/immunology
04 Otolaryngology
05 Anesthesiology
06 Cardiology
07 Dermatology
08 Family practice
09 Interventional pain management
10 Gastroenterology
11 Internal medicine
12 Osteopathic manipulative therapy
13 Neurology
14 Neurosurgery
16 Obstetrics/gynecology
18 Ophthalmology
19 Oral surgery (dentists only)
20 Orthopedic surgery
22 Pathology
24 Plastic and reconstructive surgery
25 Physical medicine rehabilitation
26 Psychiatry
28 Colorectal surgery
29 Pulmonary disease
30 Diagnostic radiology
33 Thoracic surgery
34 Urology
35 Chiropractor (effective July 1973)
36 Nuclear medicine
37 Pediatric medicine
38 Geriatric medicine
39 Nephrology
40 Hand surgery
41 Optometrists (effective July 1981)
44 Infectious diseases
46 Endocrinology
48 Podiatry
66 Rheumatology
72 Pain management
76 Peripheral vascular disease
77 Vascular surgery
78 Cardiac surgery
79 Addiction medicine
81 Critical care
82 Hematology
83 Hematology/oncology
84 Preventive medicine
85 Maxillofacial surgery
86 Neuropsychiatry
90 Medical oncology
91 Surgical oncology
92 Radiation oncology
93 Emergency medicine
94 Interventional radiology
98 Gynecological oncology
99 Unknown physician specialty

Nonphysician Provider Codes

32 Anesthesiologist assistants
42 Certified nurse midwife (effective July 1, 1988)
43 Certified registered nurse anesthetist, anesthesia assistants (effective January 1, 1989)
50 Nurse practitioner
62 Clinical psychologist (billing independently)
64 Audiologists (billing independently)
65 Physical therapists independently practicing
67 Occupational therapists (effective July 1, 1987)
68 Clinical psychologist
71 Medical nutrition therapy
73 Mass immunization roster biller
80 Licensed clinical social worker
88 Unknown non-physician specialty
89 Certified clinical nurse specialist
96 Optician
97 Physician assistant

Supplier Codes

45 Mammography screening center
47 Independent diagnostic testing facility
49 Ambulatory surgical center
59 Ambulance service supplier
60 Public health or welfare agencies (federal, state, and local)
61 Voluntary health or charitable agencies, (e.g., National Cancer Society, National Heart)
63 Portable x-ray supplier
69 Independent laboratory (billing independently)
74 Radiation therapy centers
75 Slide preparation facilities
87 Pharmacies only
88 Unknown supplier specialty
A7 Department store
A8 Grocery store

New Jersey Group Practice Codes

70 Multi-specialty clinic or group practice

New York Group Practice Codes

69 Multi-specialty clinic or group practice
73 Physiotherapy

Indiana and Kentucky Nonphysician Provider Codes

51 Medical supply company with orthotic personnel certified by an accrediting organization
52 Medical supply company with prosthetic personnel certified by an accrediting organization
53 Medical supply company with prosthetic/orthotic personnel certified by an accrediting organization
54 Medical supply company not included in 51, 52, or 53
55 Individual orthotic personnel certified by an accrediting organization
56 Individual prosthetic personnel certified by an accrediting organization
57 Individual prosthetic/orthotic personnel certified by an accrediting organization
58 Medical Supply Company with registered pharmacist
75 Slide preparation facilities
A0 Hospital
A1 Skilled nursing facility
A2 Intermediate care nursing facility
A3 Nursing facility, other
A4 Home health agency
A5 Pharmacy
A6 Medical supply company with respiratory therapist

Note: Clinic code 70 is used only for those groups composed of physicians with mixed (two or more) specialties. For single specialty groups, assign the code applicable to that specialty to groups whose physician members are that entire one specialty. Do not use specialty code 70 for such groups.