specialty code specialty description designated physician eligible

professional provider strat category eligible provider type category eligible provider types 1General Practice Yes Yes Primary Care Physicians Physicians Doctor of Medicine 2General Surgery Yes Yes Surgeons Physicians Doctor of Medicine 3Allergy/Immunology Yes Yes Medical Specialists Physicians Doctor of Medicine 4Otolaryngology Yes Yes Surgeons Physicians Doctor of Medicine 5Anesthesiology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine 6Cardiology 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 10Gastroenterology Yes Yes Medical Specialists Physicians Doctor of Medicine 11 Internal Medicine Yes Yes Primary Care Physicians Physicians Doctor of Medicine

12Osteopathic Manipulative Medicine Yes Yes Medical Specialists Physicians Doctor of Osteopathy 13 Neurology Yes Yes Medical Specialists Physicians Doctor of Medicine 14Neurosurgery Yes Yes Surgeons Physicians Doctor of Medicine 16Obstetrics/Gynecology Yes Yes Surgeons Physicians Doctor of Medicine 17 Hospice and Palliative Care Yes Yes Medical Specialists Physicians Doctor of Medicine 18Ophthalmology Yes Yes Surgeons Physicians Doctor of Medicine

19Oral Surgery (Dentists Only) Yes Yes Surgeons Physicians Doctor of Dental Medicine/Doctor of Oral Surgery 20Orthopedic Surgery Yes Yes Surgeons Physicians Doctor of Medicine 21Cardiac Electrophysiology Yes Yes Medical Specialists Physicians Doctor of Medicine 22 Pathology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine 23Sports Medicine Yes Yes Other Eligible Professionals Physicians Doctor of Medicine

24Plastic and Reconstructive Surgery Yes Yes Surgeons Physicians Doctor of Medicine

25 Physical Medicine and Rehabilitation Yes Yes Medical Specialists Physicians Doctor of Medicine 26Psychiatry Yes Yes Medical Specialists Physicians Doctor of Medicine 27Geriatric Psychiatry Yes Yes Medical Specialists Physicians Doctor of Medicine

28Colorectal Surgery (Formerly Proctology) Yes Yes Surgeons Physicians Doctor of Medicine 29 Pulmonary Disease Yes Yes Medical Specialists Physicians Doctor of Medicine 30Diagnostic Radiology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine 33Thoracic Surgery Yes Yes Surgeons Physicians Doctor of Medicine 34Urology Yes Yes Surgeons Physicians Doctor of Medicine 35Chiropractor, Licensed Yes Yes Other Eligible Professionals Physicians Doctor of Chiropractic 36Nuclear Medicine Yes Yes Other Eligible Professionals Physicians Doctor of Medicine 37 Pediatric Medicine Yes Yes Other Eligible Professionals Physicians Doctor of Medicine 38Geriatric Medicine Yes Yes Primary Care Physicians Physicians Doctor of Medicine 39 Nephrology Yes Yes Medical Specialists Physicians Doctor of Medicine 40Hand Surgery Yes Yes Surgeons Physicians Doctor of Medicine 41Optometrist Yes Yes Other Eligible Professionals Physicians Doctor of Optometry 44Infectious Disease Yes Yes Medical Specialists Physicians Doctor of Medicine 46Endocrinology Yes Yes Medical Specialists Physicians Doctor of Medicine 48 Podiatry Yes Yes Other Eligible Professionals Physicians Doctor of Medicine 66Rheumatology Yes Yes Medical Specialists Physicians Doctor of Medicine

70Single 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 76Peripheral Vascular Disease Yes Yes Surgeons Physicians Doctor of Medicine 77Vascular Surgery Yes Yes Surgeons Physicians Doctor of Medicine 78Cardiac Surgery Yes Yes Surgeons Physicians Doctor of Medicine 79Addiction Medicine Yes Yes Medical Specialists Physicians Doctor of Medicine 81Critical 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 84Preventive Medicine Yes Yes Medical Specialists Physicians Doctor of Medicinespecialty 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 86Neuropsychiatry Yes Yes Medical Specialists Physicians Doctor of Medicine 90Medical Oncology Yes Yes Medical Specialists Physicians Doctor of Medicine 91Surgical 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 94Interventional Radiology Yes Yes Other Eligible Professionals Physicians Doctor of Medicine 98Gynecologist/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