Taxonomy code

305R00000X: Preferred Provider Organization

305R00000X is the NUCC provider taxonomy code for Preferred Provider Organization, in the Managed Care Organizations group.

Code details

Code
305R00000X
Grouping
Managed Care Organizations
Classification
Preferred Provider Organization
Specialization
None (this is the general classification code)
Display name
Preferred Provider Organization
Used by
Organizations (NPI-2)

NUCC definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Providers listing Preferred Provider Organization

Search all Preferred Provider Organization providers · filter by state on the search page.

Choosing a taxonomy code

Providers can list up to 15 taxonomy codes on their NPI record and must mark one as primary. Payers often check that the taxonomy code on a claim matches the one on the NPI record, so a mismatch is a common reason for denials.