Medicare Claims Processing Manual (Pub. 100-04), Ch. 39 § 40.3
Prescribing Individuals
40.3 - Prescribing Individuals
(Rev. 4524: Issued; 02-14-20: Effective; 01-01-20: Implementation: 03-16-20)
OTPs should list the prescribing or medication ordering physician’s or other eligible professional’s National
Provider Identifier in Field 17 (the ordering/referring/other field) of the Form CMS–1500 (Health Insurance
Claim Form; 0938–1197) or the digital equivalent thereof.