For example, a chiropractor (111N00000X – CHIROPRACTOR) receives greater reimbursement than a physician assistant (363A00000X – PHYSICIAN ASSISTANT).
How do I find my taxonomy provider code?
To find the taxonomy code that most closely describes your provider type, classification, or specialization, use the National Uniform Claim Committee (NUCC) code set list. Note: You may select more than one code or code description when applying for an NPI, but you must indicate one of them as the primary code..
What is taxonomy code 193400000X?
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.
What is a NUCC taxonomy code?
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization. The National Uniform Claim Committee (NUCC) is presently maintaining the code set.
What is Provider taxonomy?
Taxonomy codes are administrative codes set for identifying the provider type and area of specialization for health care providers. Each taxonomy code is a unique ten character alphanumeric code that enables providers to identify their specialty at the claim level. … A provider can have more than one taxonomy code.
Is taxonomy code and tax ID the same?
What is a Taxonomy Code?: A Taxonomy code is a code indicating a provider’s speciality. You can pick from a list of taxonomy codes by entering an asterisk (*) and pressing Enter. In rare cases, an insurance company may require a unique identifier beyond the NPI, Tax ID# or Taxonomy Code.
What is primary taxonomy?
What are Taxonomy Codes? Taxonomy codes are the primary components of the Health Care Provider Taxonomy Code Set. They are designed to categorize healthcare providers into two sections: Individuals/Groups of Individuals and Non-Individuals.
What is taxonomy 207W00000X?
Keep as primary the ophthalmology taxonomy code (207W00000X)
What is taxonomy code 363LF0000X?
For family nurse practitioners, the taxonomy code is 363LF0000X.
What is group taxonomy?
taxonomic group. (Science: zoology) A taxon with all its subordinate taxa and their individuals, for example the taxonomic group insecta consists of all insects and their taxa.
What is taxonomy code 1041C0700X?
4. What is the taxonomy code for clinical social workers, which is required to get an NPI? The taxonomy code is 1041C0700X.
What is NUCC use?
The Uniform Claim Form Task Force was replaced by the National Uniform Claim Committee (NUCC) in the mid 1990s. The NUCC’s goal was to develop the NUCC Data Set (NUCC-DS), a standardized data set for use in an electronic environment, but applicable to and consistent with evolving paper claim form standards.
What does NUCC stand for in medical terms?
This document is published in cooperation with the National Uniform Claim Committee (NUCC) by the American Medical Association (AMA).
Can a provider have 2 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.
Does NPI taxonomy matter?
Why is it important that I select the correct taxonomy code? In addition to requiring the selection of an appropriate taxonomy code when applying for an NPI, many insurers require the use of taxonomy codes to issue billing credentials, process health insurance claims, and determine network adequacy.
What taxonomy code is 101YM0800X?
DHCS has determined that the provider taxonomy code 101YM0800X (classification: “counselor”/specialization: “Mental Health”) aligns with the definition of an LPCC.