Form CMS-10482 Attachment A - List of Eligible Professionals

Physician Quality Reporting System and the Electronic Prescribing Incentive Program

Attachment_A

Survey of Eligible Professionals and Administrators

OMB: 0938-1226

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Attachment A. List of Eligible Professionals

Medicare Physicians
Doctor of Medicine
Doctor of Osteopathy
Doctor of Podiatric Medicine

Practitioners
Physician Assistant
Nurse Practitioner
Clinical Nurse Specialist

Doctor of Optometry

Certified Registered Nurse
Anesthetist (and
Anesthesiologist Assistant)
Certified Nurse Midwife
Certified Social Worker
Clinical Psychologist
Registered Dietician
Nutrition Professional
Audiologist

Doctor of Oral Surgery
Doctor of Dental Medicine
Doctor of Chiropractic

A-2

Therapists
Physical Therapist
Occupational Therapist
Qualified Speech-Language
Therapist


File Typeapplication/pdf
File TitleAttachment A. List of Eligible Professionals
AuthorCenter for Medicare and Medicaid Services
File Modified2013-10-30
File Created2013-10-22

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