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 |
Revised 7/29/2024