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Type of Practice Codes 100 Physician 110 Hospital Based Physician 200 Independent Laboratory 300 Group Practice 400 Clinic 500 Supplier Specialty Codes 001 General Practice 002 General Surgery 003 Allergy 004 Otology, Laryngology, Rhino 005 Anesthesiology 006 Cardiovascular Disease 007 Dermatology 008 Family Practice 010 Gastroenterology 011 Internal Medicine 013 Neurology 014 Neurological Surgery 016 OB-Gynecology 018 Ophthalmology 019 Oral Surgery (Dentists only) 020 Orthopedic Surgeries 022 Pathology 024 Plastic Surgery 025 Physical Medicine and Rehab 026 Psychiatry 027 Psychiatry, Neurology 028 Proctology 029 Pulmonary Disease 032 Radiation Therapy 033 Thoracic Surgery 034 Urology 035 Chiropractic, Licensed 036 Nuclear Medicine 037 Pediatrics 038 Geriatrics 039 Nephrology 040 Hand Surgery 041 Optometrist 042 Certified Nurse Midwife 043 CRNA 044 Infectious Disease 045 Mammography Screening 046 Endocrinology 048 Podiatry, Surgical Chiropody 049 ASC 051 Medical Supply Company with a orthotist certified by American board for certification in prosthetics and Orthotics. 052 Medical Supply Company with a prosthetics certified by ABC in Prosthetics and Orthotics. 053 Medical Supply Company with a prosthetics -orthotist certified by ABC in prosthetics and Orthotics. 054 Medical Supply Company not included in 051,052, or 053. 055 Individual Certified Orthotist 056 Individual Certified Prosthetics 057 Individual Certified Prosthetics-Orthotist 058 Individuals not included in 055, 056, or 057 059 Ambulance 060 Public Health 061 Voluntary health or Charitable Agencies 062 Licensed Psychologist 063 Portable X-Ray (bill independently) 064 Audiologist (bill independently) 065 Physical Therapist 066 Rheumatology 067 Occupational Therapy 068 Clinical Psychology 069 Independent laboratory 070 Clinic or other Group Practice 071 Diagnostic X-Ray 072 Diagnostic Laboratory 073 Physiotherapy 075 Other Medical Care 076 Peripheral Vascular Disease 077 Vascular Surgery 078 Cardiac Surgery 079 Addiction Medicine 080 Registered nurse 081 Licensed Practitioner Nurse 082 Hematology 083 Oncology 084 Preventative Medicine 085 Maxillofacial Surgery 086 Acupuncturist 087 All other (Drug and Department stores) 088 Unlisted Supplier/Provider 089 Certified Clinical Nurse Specialist 090 Medical Oncology 091 Surgical Oncology 092 Radiation Oncology 093 Emergency Physician