Q&A

What is a specialty taxonomy code?

What is a specialty taxonomy code?

A taxonomy code is a unique ten-character alphanumeric code that enables you to identify your specialty (i.e., Speech-Language Pathologist, Physical Therapist, etc.) to an insurance payer.

What is the taxonomy code for osteopathic medicine?

Taxonomy Code 207Q00000X > Family Medicine.

What is a single specialty group?

A single specialty group (193400000X) is a business group of one or more individual practitioners, all of who practice within the same area of specialization. Single specialty groups will normally reflect the actual area of specialization code rather than the 193400000X code.

What is D6 specialty?

SUMMARY OF CHANGES: CMS has established a new physician specialty code for MDS (D7) and ACHD (D8) and a new supplier specialty code for Home Infusion Therapy Services (D6). EFFECTIVE DATE: October 1, 2020. *Unless otherwise specified, the effective date is the date of service.

What is provider specialty?

The provider’s specialty is a value indicating what field of medicine a provider has additional education in to make him/her a specialist in a certain field.

Can you have more than one taxonomy code?

You Must Register All Taxonomy Codes A practitioner can have more than one taxonomy code, due to training, board certifications. etc. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code that represents the specific specialty when filing claims.

What is the taxonomy code for cardiology?

207RI0011X Taxonomy Code – Internal Medicine Interventional Cardiology.

What are 3 common sizes of physician practices?

Small, large and solo/private are the three common sizes of physician practices.

What are the five types of medical practice?

The 5 Types of Medical Practices

  • Private Practice. In private practice, a physician practices alone without any partners and typically with minimal support staff.
  • Group Practice. A group practice involves two or more physicians who all provide medical care within the same facility.
  • Large HMOs.
  • Hospital Based.
  • Locum Tenens.

Where can I find the main specialty code?

For further information regarding the definition and use of MAIN SPECIALTY see the attribute MAIN SPECIALTY CODE. For further information regarding the definition and use of TREATMENT FUNCTION see the attribute TREATMENT FUNCTION CODE.

When was the main specialty and treatment function code introduced?

New National Codes for MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard.

What does single specialty group mean in CMS?

A single specialty group (193400000X) is a business group of one or more individual practitioners, all of who practice within the same area of specialization. Single specialty groups will normally reflect the actual area of specialization code rather than the 193400000X code. CMS

What is the specialty code for plastic surgery?

PROVIDER TYPE CODE PROVIDER SPECIALTY CODE TAXONOMY CODE 074-Clinical Neuropsychologist 103G00000X 152-Counselor 101Y00000X 155-Counselor, Addiction 101YA0400X 093-Emergency Medical Services 207PE0004X 168-Endocrinology, Diabetes & Metabolism 207RE0101X 301-Facial Plastic Surgery 207YS0123X