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MedicalDataFiles.Com
P.O. Box 510949 Milwaukee, WI 53203 800 669-3337 414 272-6666 Fax Record Layout / Sample Data |
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File Description / Details: |
| Description: |
| File Name: | UPIN Quarter/Annual |
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Record Layout: |
| Field | Type | Size | Description |
| Lname | Text | 20 | First Name |
| Fname | Text | 14 | Last Name |
| Middle | Text | 6 | Middle Initial |
| Suffix | Text | 3 | Suffix (i.e. Jr., II) |
| Degree | Text | 3 | See below |
| UPIN | Text | 6 | Medicare Unique Physician Identifier Number |
| St | Text | 2 | State |
| Zip | Text | 9 | Zip Code |
| Specialty | Text | 3 | See below |
Sample Data:
| Lname | Fname | Middle | Suffix | Degree | Upin | St | Zip | Specialty |
|---|---|---|---|---|---|---|---|---|
| LABBOTT | WILLIAM | B | III | MD | G84999 | AL | 35234-1913 | 30 |
| RABDULMAGID | AYMAN | A | MD | H23999 | AL | 36701-6748 | 93 | |
| CLOUNT | REBECCA | S | NP | P91999 | AL | 36904-2620 | 50 | |
| LUNCK | CARL | E | III | MD | B64069 | AL | 36608-1750 | 30 |
| MAVIS | JAMES | W | MD | D26489 | UT | 84341-2455 | 08 | |
| HEHTA | NALINI | MD | C33619 | PA | 18015-1014 | 92 | ||
| BULLEN | CHARLES | V | MD | D05569 | SC | 29601-3900 | 29 | |
| ZOUNG | VASSILIA | D | MD | G11879 | WY | 82716-0000 | 07 |
Degrees
AA = Anesthesia Assistant
AMB = Ambulance Service Supplier (Group File Only)
ASC = Ambulatory Surgical Center (Group File Only)
AU = Audiologist
CH = Chiropractor
CNA = Certified Nurse Anesthetist
CNM = Certified Nurse Midwife
CNS = Certified Clinical Nurse Specialist
CP = Clinical Psychologist
CSW = Clinical Social Worker
DDM = Doctor of Dental Medicine
DDS = Doctor of Dental Surgery
DO = Doctor of Osteopathy
DPM = Podiatrist
FNP = Family Nurse Practitioner
GRP = Group
IDF = Independent Diagnostic Facility (Group File Only)
IPL = Independent Physiological Lab (Group File Only)
LAB = Laboratory (Group File Only)
MD = Medical Doctor
MSC = Mammography Screening Center (Group File Only)
NP = Nurse Practioner
OD = Doctor of Optometry
OT = Occupational Therapist
PA = Physician Assistant
PHS = Public Health Service (Group File Only)
PSY = Psychologist
PT = Physical Therapist
PXS = Portable XRay Supplier (Group File Only)
RNA = Certified Registered Nurse
Character Specialty Codes
00 = Carrier wide
01 = General practice
02 = General surgery
03 = Allergy/immunology
04 = Otolaryngology
05 = Anesthesiology
06 = Cardiology
07 = Dermatology
08 = Family practice
09 = Interventional Pain Management
10 = Gastroenterology
11 = Internal medicine
12 = Osteopathic manipulative therapy
13 = Neurology
14 = Neurosurgery
15 = Unassigned
16 = Obstetrics/gynecology
17 = Unassigned
18 = Ophthalmology
19 = Oral surgery (dentists only)
20 = Orthopedic surgery
21 = Unassigned
22 = Pathology
23 = Unassigned
24 = Plastic and reconstructive surgery
25 = Physical medicine and rehabilitation
26 = Psychiatry
27 = Unassigned
28 = Colorectal surgery (formerly proctology)
29 = Pulmonary disease
30 = Diagnostic radiology
31 = Unassigned
32 = Anesthesiologist assistant
33 = Thoracic surgery
34 = Urology
35 = Chiropractor, licensed
36 = Nuclear medicine
37 = Pediatric medicine
38 = Geriatric medicine
39 = Nephrology
40 = Hand surgery
41 = Optometry (revised 10/93 to mean optometrist)
42 = Certified nurse midwife (eff 1/87)
43 = Certified registered nurse anesthesiologist (CRNA)
44 = Infectious disease
45 = Mammography screening center
46 = Endocrinology (eff 5/92)
47 = Independent Diagnostic Testing Facility (IDTF)(eff. 6/98)
48 = Podiatry
49 = Ambulatory surgical center formerly miscellaneous)
50 = Nurse practitioner
51 = Medical supply company with certified orthotist (certified by American Board for Certification in Prosthetics And Orthotics)
52 = Medical supply company with certified prosthetist (certified by American Board for Certification In Prosthetics And Orthotics)
53 = Medical supply company with certified prosthetist-orthotist (certified by American Board for Certification in Prosthetics and Orthotics)
54 = Medical supply company not included in 51, 52, or 53. (Revised 10/93 to mean medical supply company for DMERC)
55 = Individual certified orthotist
56 = Individual certified prosthetist
57 = Individual certified prosthetist-orthotist
58 = Individuals not included in 55, 56, or 57 (revised 10/93 to mean medical supply company with registered pharmacist)
59 = Ambulance service supplier, e.g., private ambulance companies, funeralhomes, etc.
60 = Public health or welfare agencies (federal, state, and local)
61 = Voluntary health or charitable agencies (e.G., National Cancer Society, National Heart Associiation, Catholic Charities)62 = Psychologist (billing independently)
63 = Portable X-ray supplier
64 = Audiologist (billing independently)
65 = Physical therapist (independently practicing)
66 = Rheumatology (eff 5/92)Note: during 93/94 DMERC also used this to mean medical supply company with respiratory therapist
67 = Occupational therapist (independently practicing)
68 = Clinical psychologist
69 = Clinical laboratory (billing independently)
70 = Multispecialty clinic or group practice
71 = Registered dietician/nutrition professional
72 = Pain management
73 = Mass immunization roster billersassigned after 5/92)
74 = Radiation therapy centers
75 = Slide preparation facilities
76 = Peripheral vascular disease (eff 5/92)
77 = Vascular surgery (eff 5/92)
78 = Cardiac surgery (eff 5/92)
79 = Addiction medicine (eff 5/92)
80 = Licensed clinical social worker
81 = Critical care (intensivists)(eff 5/92)
82 = Hematology (eff 5/92)
83 = Hematology/oncology (eff 5/92)
84 = Preventive medicine (eff 5/92)
85 = Maxillofacial surgery (eff 5/92)
86 = Neuropsychiatry (eff 5/92)
87 = All other suppliers (e.g. drug and department stores) (note: DMERC used 87 to mean department store from 10/93 through 9/94; recoded eff 10/94 to A7; NCH cross-walked DMERC reported 87 to A7.
88 = Unknown supplier/provider(note: DMERC used 87 to mean grocery store from 10/93 - 9/94; recoded eff 10/94 to A8; NCH cross-walked DMERC reported 88 to A8.
89 = Certified clinical nurse specialist
90 = Medical oncology (eff 5/92)
91 = Surgical oncology (eff 5/92)
92 = Radiation oncology (eff 5/92)
93 = Emergency medicine (eff 5/92)
94 = Interventional radiology (eff 5/92)
95 = Unassigned
96 = Optician (eff 10/93)
97 = Physician assistant (eff 5/92)
98 = Gynecologist/oncologist (eff 10/94)
99 = Unknown physician
A0 = Hospital (eff 10/93) (DMERCs only)
A1 = SNF (eff 10/93) (DMERCs only)
A2 = Intermediate care nursing facility (eff 10/93) (DMERCs only)
A3 = Nursing facility, other (eff 10/93)(DMERCs only)
A4 = HHA (eff 10/93) (DMERCs only)
A5 = Pharmacy (eff 10/93) (DMERCs only)
A6 = Medical supply company with respiratory therapist (eff 10/93) (DMERCs only)
A7 = Department store (for DMERC use:eff 10/94, but cross-walked from code 87 eff 10/93)
A8 = Grocery store (for DMERC use: eff 10/94, but cross-walked from code 88 eff 10/93)
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06/27/07 |