specialty 

code specialty description

designated 

physician

eligible 

professional provider strat category

eligible provider type 

category eligible provider types

1 General Practice Yes Yes Primary Care Physicians Physicians Doctor of Medicine

2 General Surgery Yes Yes Surgeons Physicians Doctor of Medicine

3 Allergy/Immunology Yes Yes Medical Specialists Physicians Doctor of Medicine

4 Otolaryngology Yes Yes Surgeons Physicians Doctor of Medicine

5 Anesthesiology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

6 Cardiology Yes Yes Medical Specialists Physicians Doctor of Medicine

7 Dermatology Yes Yes Medical Specialists Physicians Doctor of Medicine

8 Family Practice Yes Yes Primary Care Physicians Physicians Doctor of Medicine

9 Interventional Pain Management Yes Yes Medical Specialists Physicians Doctor of Medicine

10 Gastroenterology Yes Yes Medical Specialists Physicians Doctor of Medicine

11 Internal Medicine Yes Yes Primary Care Physicians Physicians Doctor of Medicine

12

Osteopathic Manipulative 

Medicine Yes Yes Medical Specialists Physicians Doctor of Osteopathy 

13 Neurology Yes Yes Medical Specialists Physicians Doctor of Medicine

14 Neurosurgery Yes Yes Surgeons Physicians Doctor of Medicine

16 Obstetrics/Gynecology Yes Yes Surgeons Physicians Doctor of Medicine

17 Hospice and Palliative Care Yes Yes Medical Specialists Physicians Doctor of Medicine

18 Ophthalmology Yes Yes Surgeons Physicians Doctor of Medicine

19 Oral Surgery (Dentists Only) Yes Yes Surgeons Physicians

Doctor of Dental 

Medicine/Doctor of Oral 

Surgery

20 Orthopedic Surgery Yes Yes Surgeons Physicians Doctor of Medicine

21 Cardiac Electrophysiology Yes Yes Medical Specialists Physicians Doctor of Medicine

22 Pathology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

23 Sports Medicine Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

24

Plastic and Reconstructive 

Surgery Yes Yes Surgeons Physicians Doctor of Medicine

25

Physical Medicine and 

Rehabilitation Yes Yes Medical Specialists Physicians Doctor of Medicine

26 Psychiatry Yes Yes Medical Specialists Physicians Doctor of Medicine

27 Geriatric Psychiatry Yes Yes Medical Specialists Physicians Doctor of Medicine

28

Colorectal Surgery (Formerly 

Proctology) Yes Yes Surgeons Physicians Doctor of Medicine

29 Pulmonary Disease Yes Yes Medical Specialists Physicians Doctor of Medicine

30 Diagnostic Radiology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

33 Thoracic Surgery Yes Yes Surgeons Physicians Doctor of Medicine

34 Urology Yes Yes Surgeons Physicians Doctor of Medicine

35 Chiropractor, Licensed Yes Yes Other Eligible Professionals Physicians Doctor of Chiropractic

36 Nuclear Medicine Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

37 Pediatric Medicine Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

38 Geriatric Medicine Yes Yes Primary Care Physicians Physicians Doctor of Medicine

39 Nephrology Yes Yes Medical Specialists Physicians Doctor of Medicine

40 Hand Surgery Yes Yes Surgeons Physicians Doctor of Medicine

41 Optometrist Yes Yes Other Eligible Professionals Physicians Doctor of Optometry

44 Infectious Disease Yes Yes Medical Specialists Physicians Doctor of Medicine

46 Endocrinology Yes Yes Medical Specialists Physicians Doctor of Medicine

48 Podiatry Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

66 Rheumatology Yes Yes Medical Specialists Physicians Doctor of Medicine

70

Single or Multispecialty Clinic or 

Group Practice Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

72 Pain Management Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

76 Peripheral Vascular Disease Yes Yes Surgeons Physicians Doctor of Medicine

77 Vascular Surgery Yes Yes Surgeons Physicians Doctor of Medicine

78 Cardiac Surgery Yes Yes Surgeons Physicians Doctor of Medicine

79 Addiction Medicine Yes Yes Medical Specialists Physicians Doctor of Medicine

81 Critical Care (Intensivists) Yes Yes Medical Specialists Physicians Doctor of Medicine

82 Hematology Yes Yes Medical Specialists Physicians Doctor of Medicine

83 Hematology/Oncology Yes Yes Medical Specialists Physicians Doctor of Medicine

84 Preventive Medicine Yes Yes Medical Specialists Physicians Doctor of Medicine
specialty 

code specialty description

designated 

physician

eligible 

professional provider strat category

eligible provider type 

category eligible provider types

85 Maxillofacial Surgery Yes Yes Surgeons Physicians Doctor of Oral Surgery

86 Neuropsychiatry Yes Yes Medical Specialists Physicians Doctor of Medicine

90 Medical Oncology Yes Yes Medical Specialists Physicians Doctor of Medicine

91 Surgical Oncology Yes Yes Surgeons Physicians Doctor of Medicine

92 Radiation Oncology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

93 Emergency Medicine Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

94 Interventional Radiology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

98 Gynecologist/Oncologist Yes Yes Surgeons Physicians Doctor of Medicine

99 Unknown Physician Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

C0 Sleep Medicine Yes Yes Medical Specialists Physicians Doctor of Medicine