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| Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
|---|---|---|---|---|---|
| PROV-SPECIALTY | 01 | General Practice | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 02 | General Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 03 | Allergy/Immunology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 04 | Otolaryngology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 05 | Anesthesiology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 06 | Cardiology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 07 | Dermatology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 08 | Family Practice | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 09 | Interventional Pain Management | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 10 | Gastroenterology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 11 | Internal Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 12 | Osteopathic Manipulative Therapy | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 13 | Neurology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 14 | Neurosurgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 15 | Speech Language Pathologist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 16 | Obstetrics/Gynecology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 17 | Hospice and Palliative Care | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 18 | Ophthalmology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 19 | Oral Surgery (dentists only) | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 20 | Orthopedic Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 21 | Cardiac Electrophysiology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 22 | Pathology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 23 | Sports Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 24 | Plastic and Reconstructive Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 25 | Physical Medicine and Rehabilitation | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 26 | Psychiatry | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 27 | Geriatric Psychiatry | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 28 | Colorectal Surgery (formerly proctology) | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 29 | Pulmonary Disease | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 30 | Diagnostic Radiology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 31 | Cardiac Rehabilitation & Intensive Cardiac Rehabilitation | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 32 | Anesthesiologist Assistant | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 33 | Thoracic Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 34 | Urology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 35 | Chiropractic | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 36 | Nuclear Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 37 | Pediatric Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 38 | Geriatric Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 39 | Nephrology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 40 | Hand Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 41 | Optometry | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 42 | Certified Nurse Midwife | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 43 | Certified Registered Nurse Anesthetist (CRNA) | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 44 | Infectious Disease | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 45 | Mammography Center | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 46 | Endocrinology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 47 | Independent Diagnostic Testing Facility (IDTF) | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 48 | Podiatry | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 49 | Ambulatory Surgical Center | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 50 | Nurse Practitioner | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 51 | Medical Supply Company with Orthitist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 52 | Medical Supply Company with Prosthetist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 53 | Medical Supply Company with Orthitist-Prosthetist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 54 | Other Medical Supply Company | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 55 | Individual Certified Orthotist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 56 | Individual Certified Prosthetist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 57 | Individual Certified Orthitist-Prosthetist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 58 | Medical Supply Company with Pharmacist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 59 | Ambulance Service Provider | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 60 | Public Health or Welfare Agency | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 61 | Voluntary Health or Charitable Agency | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 62 | Psychologist (Billing Independently) | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 63 | Portable X-Ray Supplier | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 64 | Audiologist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 65 | Physical Therapist in Private Practice | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 66 | Rheumatology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 67 | Occupational Therapist in Private Practice | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 68 | Clinical Psychologist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 69 | Clinical Laboratory | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 70 | Single or Multispecialty Clinic or Group Practice | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 71 | Registered Dietitian or Nutrition Professional | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 72 | Pain Management | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 73 | Mass Immunization Roster Biller | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 74 | Radiation Therapy Center | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 75 | Slide Preparation Facility | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 76 | Peripheral Vascular Disease | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 77 | Vascular Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 78 | Cardiac Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 79 | Addiction Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 80 | Licensed Clinical Social Worker | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 81 | Critical Care (Intensivists) | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 82 | Hematology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 83 | Hematology/Oncology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 84 | Preventive Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 85 | Maxillofacial Surgery | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 86 | Neuropsychiatry | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 87 | All Other Suppliers | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 88 | Unknown Supplier/Provider Specialty | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 89 | Certified Clinical Nurse Specialist | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 90 | Medical Oncology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 91 | Surgical Oncology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 92 | Radiation Oncology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 93 | Emergency Medicine | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 94 | Interventional Radiology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 95 | Advance Diagnostic Imaging | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 96 | Optician | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 97 | Physician Assistant | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 98 | Gynecological/Oncology | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | 99 | Undefined physician type (provider is an MD) | 01/01/0001 | 12/31/9999 | |
| PROV-SPECIALTY | A0 | Hospital-General | 01/01/0001 | 12/31/9999 |
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