302F00000X — Exclusive Provider Organization
302F00000X is the NUCC provider taxonomy code for Exclusive Provider Organization (organizations). 2,275 providers in our latest NPPES snapshot list it as their primary taxonomy.
| Taxonomy code | 302F00000X |
|---|---|
| Display name | Exclusive Provider Organization |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| Section | Non-Individual |
| Directory | Exclusive Provider Organization provider directory |
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Definition from the NUCC Health Care Provider Taxonomy code set.
Related taxonomy codes
Frequently asked questions
What does taxonomy code 302F00000X mean?
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Source: CMS NPPES (public data). Snapshot 2026-07-09.