- Medicare Provider/Supplier Specialty Codes
- CMS-855I Completion Tips for Managing Employee Information in Section 6
- CMS-20134 Completion Tips for Medicare Diabetes Prevention Program Suppliers
- CMS-855I Completion Tips for Physicians and NPPs that Reassign All Benefits Revalidation Application
- Medicare Provider/Supplier Provider Type Codes
- CMS-855O Completion Tips for Physicians or Eligible Professionals for the Sole Purpose of Ordering, Certifying or Prescribing Part D Drugs
- CMS-855B Completion Tips for Clinics/Group Practices and Other Suppliers Revalidation Application
- PECOS Starter Guide
- Resolving PECOS Common Errors and Warnings
- CMS-855B Completion Tips for Ownership Interest and/or Managing Control Information
- CMS-855I Completion Tips for Physicians and NPPs in Private Practice (Sole Owner or Sole Proprietor) Revalidation Application
- Supporting Documentation Required for Enrollment Revalidations
- Understanding Participating, Nonparticipating and Opt Out Status
Medicare Provider/Supplier Specialty Codes
Here is the list of Medicare provider/supplier specialty codes you can use as a reference during the enrollment process.
| Code | Description |
|---|---|
| 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 medicine |
| 13 | Neurology |
| 14 | Neurosurgery |
| 15 | Speech language pathologist in private practice |
| 16 | Obstetrics/gynecology |
| 17 | Hospice and palliative care |
| 18 | Ophthalmology |
| 19 | Oral surgery (dentists only) |
| 20 | Orthopedic surgery |
| 21 | Cardiac electrophysiology |
| 22 | Pathology |
| 23 | Sports medicine |
| 24 | Plastic and reconstructive surgery |
| 25 | Physical medicine and rehabilitation |
| 26 | Psychiatry |
| 27 | Geriatric psychiatry |
| 28 | Colorectal surgery (formerly proctology) |
| 29 | Pulmonary disease |
| 30 | Diagnostic radiology |
| 31 | Intensive cardiac rehabilitation |
| 32 | Anesthesiologist assistant |
| 33 | Thoracic surgery |
| 34 | Urology |
| 35 | Chiropractic |
| 36 | Nuclear medicine |
| 37 | Pediatric medicine |
| 38 | Geriatric medicine |
| 39 | Nephrology |
| 40 | Hand surgery |
| 41 | Optometry |
| 42 | Certified nurse midwife |
| 43 | Certified registered nurse anesthetist (CRNA) |
| 44 | Infectious disease |
| 45 | Mammography screening center |
| 46 | Endocrinology |
| 47 | Independent diagnostic testing facility |
| 48 | Podiatry |
| 49 | Ambulatory surgical center |
| 50 | Nurse practitioner |
| 51 | Medical supply company with certified orthotist |
| 52 | Medical supply company with certified prosthetist |
| 53 | Medical supply company with certified prosthetist-orthotist |
| 54 | Medical supply company not included in specialties 51-53 |
| 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 |
| 59 | Ambulance service (private) |
| 60 | Public health or welfare agencies (federal, state, and local) |
| 61 | Voluntary health or charitable agencies (e.g., National Cancer Society, National Heart Association, Catholic Charities) |
| 62 | Psychologist (billing independently) |
| 63 | Portable x-ray supplier (billing independently) |
| 64 | Audiologist (billing independently) |
| 65 | Physical therapist in private practice |
| 66 | Rheumatology |
| 67 | Occupational therapist in private practice |
| 68 | Clinical psychologist |
| 69 | Clinical laboratory (billing independently) |
| 70 | Single or Multi-specialty clinic or group practice (PA Group) |
| 71 | Registered dietician/nutrition professional |
| 72 | Pain management |
| 73 | Mass immunization roster biller |
| 74 | Radiation therapy center |
| 75 | Slide preparation facilities |
| 76 | Peripheral vascular disease |
| 77 | Vascular surgery |
| 78 | Cardiac surgery |
| 79 | Addiction medicine |
| 80 | Licensed clinical social worker |
| 81 | Critical care (intensivists) |
| 82 | Hematology |
| 83 | Hematology/oncology |
| 84 | Prevention medicine |
| 85 | Maxillofacial surgery |
| 86 | Neuropsychiatry |
| 87 | All other suppliers, e.g., drug stores |
| 88 | Unknown provider |
| 89 | Certified clinical nurse specialist |
| 90 | Medical oncology |
| 91 | Surgical oncology |
| 92 | Radiation oncology |
| 93 | Emergency medicine |
| 94 | Interventional radiology |
| 95 | Unknown supplier |
| 96 | Optician |
| 97 | Physician assistant |
| 98 | Gynecological/oncology |
| 99 | Unknown physician specialty |
| 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 |
| A7 | Department store |
| A8 | Grocery store |
| B1 | Oxygen/oxygen related equipment |
| B2 | Pedorthic personnel |
| B3 | Medical supply company with pedorthic personnel |
| B4 | Rehabilitation agency |
| B5 | Ocularist |
| C0 | Sleep medicine |
| C1 | Centralized flu |
| C2 | Indirect payment procedure |
| C3 | Interventional cardiology |
| C4 | Restricted use |
| C5 | Dentist |
| C6 | Hospitalist |
| C7 | Advanced heart failure and transplant cardiology (effective 10/1/17) |
| C8 | Medical toxicology (effective 10/1/17) |
| C9 | Hematopoietic cell transplantation and cellular therapy (effective 10/1/17) |
| D1 | Medicare Diabetes Prevention Program |
| D2 | Virtual MDPP supplier |
| D3 | Medical genetics and genomics |
| D4 | Undersea and hyperbaric medicine |
| D5 | Opioid Treatment Program |
| D6 | Home infusion therapy services |
| D7 | Micrographic dermatologic surgery |
| D8 | Adult congenital heart disease |
| E1 | Marriage and family therapists |
| E2 | Mental health counselors |
| E3 | Dental anesthesiology |
| E4 | Dental public health |
| E5 | Endodontics |
| E6 | Oral and maxillofacial pathology |
| E7 | Oral and maxillofacial radiology |
| E9 | Oral Medicine |
| F1 | Orofacial pain |
| F2 | Orthodontics and dentofacial orthopedics |
| F3 | Pediatric dentistry |
| F4 | Periodontics |
| F5 | Prosthodontics |
| F6 | Epileptologists |
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Revised 7/29/2024