Am I a type/specialty that can order or refer items or services for Medicare beneficiaries?


Answer:
When you enrolled in Medicare, you indicated your Medicare specialty. Any physician specialty (chiropractors are excluded) and only the nonphysician practitioner specialties listed below are eligible to order or refer in the Medicare program.

Only physicians and certain types of nonphysician practitioners are eligible to order or refer items or services for Medicare patients. They are as follows:

  • Physicians (doctor of medicine or osteopathy, doctor of dental medicine, doctor of dental surgery, doctor of podiatric medicine, doctor of optometry; optometrists may only order and refer DMEPOS products/services and laboratory and X-ray services payable under Medicare Part B)
  • Physician Assistants
  • Clinical Nurse Specialists
  • Nurse Practitioners
  • Clinical Psychologists
  • Interns, Residents and Fellows
  • Certified Nurse Midwives
  • Clinical Social Workers





Last Updated: 06/02/2020