Distribution of Practitioners by %ChangeinTotalRVUsandIMPACT Specialty													
NPRM2026 (using 2024 CCW claims)													
Impact Specialty		Practitioners (thousands)	% Change in Total RVUs per practitioner										
			< -%20	-20% to < -10%	-10% to < -5%	-5% to < -2%	-2% to < -1%	-1% to < 1%	1% to < 2%	2% to < 5%	5% to < 10%	10% to < 20%	>=20%
Total		" 1,388 "	Share of Total Practitioners in Specialty										
1	ALLERGY/IMMUNOLOGY	 4 	0%	8%	4%	2%	0%	1%	2%	25%	49%	10%	0%
43	AUDIOLOGIST	 9 	0%	5%	1%	1%	1%	91%	1%	1%	0%	0%	0%
3	CARDIAC SURGERY	 1 	0%	1%	30%	59%	2%	2%	1%	3%	1%	1%	0%
4	CARDIOLOGY	 29 	0%	2%	20%	16%	6%	16%	10%	24%	5%	1%	0%
44	CHIROPRACTIC	 41 	0%	0%	0%	72%	28%	0%	0%	0%	0%	0%	0%
45	CLINICAL PSYCHOLOGIST	 27 	0%	0%	3%	7%	4%	6%	8%	18%	52%	1%	1%
46	CLINICAL SOCIAL WORKER	 84 	0%	0%	2%	7%	4%	4%	5%	23%	56%	0%	0%
5	COLON AND RECTAL SURGERY	 2 	0%	1%	29%	33%	9%	11%	4%	7%	5%	1%	0%
6	CRITICAL CARE	 6 	0%	1%	81%	8%	2%	3%	1%	2%	2%	0%	0%
7	DERMATOLOGY	 14 	1%	9%	2%	2%	4%	26%	34%	18%	2%	1%	1%
47	DIAGNOSTIC TESTING FACILITY	 2 	0%	0%	0%	1%	15%	51%	9%	7%	16%	0%	0%
8	EMERGENCY MEDICINE	 53 	0%	1%	3%	15%	53%	22%	1%	3%	3%	0%	0%
9	ENDOCRINOLOGY	 7 	0%	14%	14%	4%	2%	4%	3%	21%	40%	0%	0%
10	FAMILY PRACTICE	 95 	0%	8%	12%	2%	2%	3%	2%	20%	51%	1%	0%
11	GASTROENTEROLOGY	 16 	0%	5%	46%	25%	6%	8%	2%	3%	5%	2%	0%
12	GENERAL PRACTICE	 6 	0%	2%	10%	5%	3%	7%	2%	36%	35%	1%	1%
13	GENERAL SURGERY	 24 	0%	2%	53%	28%	5%	6%	1%	3%	2%	0%	1%
14	GERIATRICS	 2 	0%	12%	34%	8%	3%	5%	4%	12%	24%	0%	0%
15	HAND SURGERY	 2 	0%	1%	13%	12%	12%	36%	14%	12%	1%	0%	0%
16	HEMATOLOGY/ONCOLOGY	 15 	0%	37%	20%	3%	1%	2%	1%	11%	24%	0%	0%
48	INDEPENDENT LABORATORY	 1 	0%	0%	0%	22%	51%	14%	3%	4%	4%	1%	0%
17	INFECTIOUS DISEASE	 7 	0%	6%	74%	10%	2%	2%	1%	2%	4%	0%	0%
18	INTERNAL MEDICINE	 123 	0%	5%	51%	3%	1%	2%	1%	10%	25%	1%	0%
19	INTERVENTIONAL PAIN MGMT	 4 	0%	10%	10%	9%	3%	9%	5%	18%	37%	0%	0%
20	INTERVENTIONAL RADIOLOGY	 3 	0%	4%	50%	24%	6%	6%	1%	3%	4%	2%	0%
21	MULTISPECIALTY CLINIC/OTHER PHYS	 3 	0%	6%	48%	7%	3%	4%	2%	15%	14%	0%	0%
22	NEPHROLOGY	 10 	0%	3%	18%	14%	7%	17%	10%	21%	10%	1%	0%
23	NEUROLOGY	 18 	0%	12%	33%	7%	2%	4%	2%	13%	28%	0%	0%
24	NEUROSURGERY	 6 	0%	5%	40%	40%	5%	4%	1%	2%	2%	0%	0%
25	NUCLEAR MEDICINE	 1 	0%	0%	1%	21%	45%	23%	3%	5%	1%	0%	0%
50	NURSE PRACTITIONER	 243 	0%	10%	22%	4%	2%	5%	2%	21%	33%	1%	1%
27	OBSTETRICS/GYNECOLOGY	 39 	0%	10%	15%	8%	4%	15%	11%	34%	4%	0%	0%
28	OPHTHALMOLOGY	 18 	0%	9%	12%	19%	9%	18%	9%	23%	1%	0%	0%
51	OPTOMETRY	 36 	0%	2%	1%	0%	0%	1%	1%	91%	4%	0%	0%
52	ORAL/MAXILLOFACIAL SURGERY	 2 	0%	7%	11%	6%	2%	5%	5%	53%	10%	0%	0%
29	ORTHOPEDIC SURGERY	 23 	0%	3%	27%	26%	10%	16%	5%	9%	3%	0%	0%
98	OTHER	 7 	0%	11%	6%	3%	2%	50%	6%	13%	11%	0%	0%
30	OTOLARNGOLOGY	 10 	0%	16%	9%	6%	3%	13%	13%	36%	3%	0%	0%
31	PATHOLOGY	 13 	0%	3%	4%	79%	11%	3%	0%	0%	0%	0%	0%
32	PEDIATRICS	 10 	0%	16%	32%	5%	2%	12%	2%	13%	18%	0%	0%
33	PHYSICAL MEDICINE	 9 	0%	6%	38%	5%	3%	6%	3%	13%	26%	0%	0%
53	PHYSICAL/OCCUPATIONAL THERAPY	 114 	0%	0%	0%	1%	69%	29%	0%	0%	0%	0%	0%
54	PHYSICIAN ASSISTANT	 129 	0%	9%	24%	6%	5%	10%	5%	19%	22%	0%	0%
34	PLASTIC SURGERY	 5 	0%	11%	45%	16%	4%	9%	3%	6%	3%	1%	2%
55	PODIATRY	 16 	0%	3%	5%	3%	2%	12%	17%	42%	6%	4%	7%
56	PORTABLE X-RAY SUPPLIER	 -   	0%	0%	0%	4%	62%	33%	1%	0%	0%	0%	0%
35	PSYCHIATRY	 28 	0%	6%	36%	7%	2%	4%	2%	14%	29%	1%	0%
36	PULMONARY DISEASE	 11 	0%	3%	41%	16%	6%	9%	4%	10%	12%	0%	0%
37	RADIATION ONCOLOGY AND RADIATION THERAPY CENTERS	 5 	0%	5%	13%	42%	9%	11%	3%	7%	6%	2%	1%
38	RADIOLOGY	 34 	0%	1%	9%	43%	34%	12%	1%	0%	0%	0%	0%
39	RHEUMATOLOGY	 5 	0%	18%	8%	2%	1%	2%	1%	10%	58%	0%	0%
40	THORACIC SURGERY	 3 	0%	1%	32%	55%	4%	4%	0%	2%	1%	0%	0%
41	UROLOGY	 10 	1%	12%	15%	12%	7%	19%	11%	19%	5%	1%	0%
42	VASCULAR SURGERY	 4 	0%	1%	20%	23%	10%	13%	4%	11%	10%	7%	2%
													
"Note: Analysis excludes anesthesia services (furnished by any practitioner) and all services furnished by practitioners in the following specialties: anesthesiology, CRNA, and anesthesiology assistant."													
