Medicare provider/supplier speciality codes
Here is the list of Medicare provider/supplier specialty codes you can use as a reference during the enrollment process.
New physician specialty codes C7, C8, and C9
Effective date: October 1, 2017
Summary
Medicare physician specialty codes describe the specific/unique types of medicine that physicians (and certain other suppliers) practice. The Centers for Medicare & Medicaid Services (CMS) uses specialty codes for programmatic and claims processing purposes. Physicians self-designate their Medicare physician specialty on the Medicare enrollment application.
Change request (CR) 9957 establishes the following new physician specialty codes:
C7 – Advanced heart failure and transplant cardiology
C8 – Medical toxicology
C9 – Hematopoietic cell transplantation and cellular therapy
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 pathology
16 Obstetrics/gynecology
17 Hospice and palliative Care
18 Ophthalmology
19 Oral surgery (dentist 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
29 Pulmonary disease
30 Diagnostic radiology
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
59 Ambulance service (private)
63 Portable x-ray supplier
64 Audiologist (billing independently)
65 Physical therapist (private practice)
66 Rheumatology
67 Occupational therapist (private practice)
68 Clinical psychologist
69 Clinical laboratory (billing independently)
70 Multi-specialty clinic or group practice
71 Dietitian/nutritionist (effective 1/1/2002)
72 Pain management (effective 1/1/2002)
73 Mass immunization roster biller
74 Radiation therapy center
75 Slide preparation facility
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 Preventative medicine
85 Maxillofacial surgery
86 Neuropsychiatry
87 All other (drug and department store, etc.)
88 Unknown supplier/provider
89 Certified clinical nurse specialist
90 Medical oncology
91 Surgical oncology
92 Radiation oncology
93 Emergency medicine
94 Interventional radiology
95 Open
96 Optician
97 Physician assistant
98 Gynecological/oncology
99 Unknown physician specialty