Distribution of Practitioners by %ChangeinTotalRVUsandIMPACT Specialty															
NPRM2027 (using 2025 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		" 1,441 "	Share of Total Practitioners in Specialty												
1	ALLERGY/IMMUNOLOGY	 4 	0%	0%	1%	2%	3%	58%	17%	12%	4%	2%	2%		
43	AUDIOLOGIST	 9 	0%	1%	2%	58%	28%	7%	1%	1%	1%	0%	0%		
3	CARDIAC SURGERY	 1 	0%	0%	0%	0%	1%	14%	13%	30%	21%	10%	11%		
4	CARDIOLOGY	 29 	0%	0%	0%	1%	2%	56%	19%	15%	6%	1%	1%		
44	CHIROPRACTIC	 40 	0%	0%	0%	0%	0%	1%	23%	75%	0%	0%	0%		
45	CLINICAL PSYCHOLOGIST	 27 	0%	0%	0%	0%	0%	1%	4%	10%	10%	76%	0%		
46	CLINICAL SOCIAL WORKER	 99 	0%	0%	0%	0%	0%	1%	0%	1%	3%	86%	9%		
5	COLON AND RECTAL SURGERY	 2 	0%	2%	11%	16%	10%	22%	10%	13%	9%	4%	3%		
6	CRITICAL CARE	 6 	0%	0%	0%	0%	1%	85%	5%	5%	2%	1%	0%		
7	DERMATOLOGY	 14 	0%	54%	23%	15%	2%	3%	1%	1%	1%	1%	1%		
47	DIAGNOSTIC TESTING FACILITY	 2 	1%	1%	1%	5%	8%	5%	8%	63%	8%	1%	1%		
8	EMERGENCY MEDICINE	 54 	0%	0%	0%	1%	1%	24%	66%	5%	1%	0%	0%		
9	ENDOCRINOLOGY	 7 	0%	0%	0%	1%	2%	44%	16%	18%	13%	5%	1%		
10	FAMILY PRACTICE	 95 	1%	1%	2%	3%	4%	43%	10%	12%	14%	8%	3%		
11	GASTROENTEROLOGY	 16 	0%	0%	0%	2%	4%	70%	9%	9%	3%	1%	1%		
12	GENERAL PRACTICE	 6 	2%	1%	2%	3%	4%	36%	11%	13%	10%	8%	10%		
13	GENERAL SURGERY	 25 	0%	0%	1%	2%	3%	30%	14%	23%	14%	7%	6%		
14	GERIATRICS	 2 	4%	2%	1%	2%	4%	33%	9%	15%	14%	15%	1%		
15	HAND SURGERY	 2 	0%	1%	18%	41%	13%	13%	4%	6%	3%	2%	1%		
16	HEMATOLOGY/ONCOLOGY	 15 	0%	0%	0%	1%	8%	59%	11%	12%	7%	3%	1%		
48	INDEPENDENT LABORATORY	 1 	0%	0%	0%	5%	14%	60%	10%	8%	3%	1%	1%		
17	INFECTIOUS DISEASE	 7 	0%	0%	0%	1%	2%	79%	8%	6%	2%	1%	1%		
18	INTERNAL MEDICINE	 125 	1%	0%	0%	1%	3%	69%	6%	7%	7%	5%	1%		
19	INTERVENTIONAL PAIN MGMT	 4 	0%	1%	4%	11%	20%	48%	5%	7%	3%	1%	1%		
20	INTERVENTIONAL RADIOLOGY	 3 	0%	0%	0%	0%	0%	5%	30%	43%	15%	4%	2%		
21	MULTISPECIALTY CLINIC/OTHER PHYS	 3 	4%	7%	2%	4%	11%	45%	7%	9%	5%	5%	2%		
22	NEPHROLOGY	 10 	0%	0%	0%	1%	2%	71%	14%	10%	2%	0%	0%		
23	NEUROLOGY	 19 	0%	0%	1%	5%	11%	57%	8%	10%	5%	2%	1%		
24	NEUROSURGERY	 6 	0%	0%	0%	2%	13%	40%	11%	16%	9%	4%	5%		
25	NUCLEAR MEDICINE	 1 	0%	0%	0%	0%	1%	5%	70%	20%	3%	0%	0%		
50	NURSE PRACTITIONER	 259 	4%	2%	1%	2%	2%	33%	13%	18%	11%	9%	7%		
27	OBSTETRICS/GYNECOLOGY	 40 	1%	1%	2%	4%	4%	22%	11%	21%	14%	10%	12%		
28	OPHTHALMOLOGY	 18 	0%	1%	5%	29%	41%	16%	2%	2%	2%	1%	1%		
51	OPTOMETRY	 37 	0%	0%	0%	11%	29%	37%	6%	7%	4%	3%	3%		
52	ORAL/MAXILLOFACIAL SURGERY	 2 	0%	1%	1%	5%	6%	22%	10%	23%	17%	9%	7%		
29	ORTHOPEDIC SURGERY	 23 	0%	11%	30%	16%	7%	14%	5%	7%	4%	2%	5%		
98	OTHER	 7 	0%	0%	0%	6%	45%	17%	4%	9%	5%	9%	4%		
30	OTOLARNGOLOGY	 10 	0%	23%	34%	14%	4%	8%	3%	5%	4%	2%	2%		
31	PATHOLOGY	 13 	0%	0%	0%	0%	2%	94%	2%	1%	0%	0%	0%		
32	PEDIATRICS	 10 	0%	0%	1%	1%	5%	44%	15%	14%	8%	4%	10%		
33	PHYSICAL MEDICINE	 9 	0%	1%	4%	11%	14%	48%	4%	7%	4%	7%	1%		
53	PHYSICAL/OCCUPATIONAL THERAPY	 118 	0%	0%	0%	0%	0%	1%	1%	93%	3%	1%	1%		
54	PHYSICIAN ASSISTANT	 137 	1%	5%	3%	2%	2%	27%	13%	15%	8%	7%	17%		
34	PLASTIC SURGERY	 5 	0%	1%	2%	6%	6%	20%	10%	23%	17%	9%	6%		
55	PODIATRY	 16 	2%	7%	18%	23%	10%	19%	6%	9%	3%	2%	1%		
56	PORTABLE X-RAY SUPPLIER	 -   	0%	0%	0%	5%	72%	18%	3%	1%	1%	0%	0%		
35	PSYCHIATRY	 28 	0%	0%	0%	0%	2%	42%	12%	25%	10%	5%	3%		
36	PULMONARY DISEASE	 11 	0%	0%	0%	1%	2%	72%	9%	10%	4%	1%	1%		
37	RADIATION ONCOLOGY AND RADIATION THERAPY CENTERS	 5 	2%	0%	0%	1%	16%	51%	3%	12%	13%	1%	1%		
38	RADIOLOGY	 34 	0%	0%	0%	0%	0%	5%	56%	35%	2%	1%	0%		
39	RHEUMATOLOGY	 5 	0%	0%	2%	11%	13%	37%	10%	13%	10%	3%	1%		
40	THORACIC SURGERY	 3 	0%	0%	0%	0%	0%	13%	13%	30%	22%	12%	11%		
41	UROLOGY	 10 	0%	0%	1%	9%	9%	32%	14%	19%	8%	4%	5%		
42	VASCULAR SURGERY	 4 	0%	0%	0%	0%	0%	3%	3%	22%	39%	21%	10%		
															
"Note: Analysis excludes anesthesia services (furnished by any practitioner) and all services furnished by practitioners in the following specialties: anesthesiology, CRNA, and anesthesiology assistant."															