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Medicare Provider/Supplier Provider Type Codes

Below is the list of Medicare provider/supplier type codes you can use as a reference during the enrollment process and claims processing.

Code Description
20 Physician
21 Osteopath
22 Independent Diagnostic Testing Facility
23 Multiple Physician Practice
24 Ambulatory Surgical Center
25 Independent Lab
27 Clinical Psychologist
28 Nurse
29 Chiropractor
30 Podiatrist
31 Physical Therapist
32 Dietitian/Nutritionist
33 Optometrist
34 Audiologist
35 Psychologist
36 Dentist
37 Mammography Screening Center
38 Nurse Practitioner/Clinical Nurse Specialist/Speech Language Pathologist/Physician Assistant/Certified Nurse Midwife
39 Maxillofacial Surgeon
40 Miscellaneous
50 Supplier
51 Freestanding Cardiac Cath Lab
55 Optician
56 Clinical Social Worker
60 Health Agency
61 Ambulance
64 Drug and Department Store
65 Portable X-ray
99 Hospital


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Revised 12/21/2023