If a patient is seen in Family Practice and then changes to one of the FP/IM/Ped providers is this considered a new patient visit or an established patient visit? All providers are under the same tax id. In some cases the providers even work out of the same office. In the CPT guidelines it states specialty or subspecialty. Does Internal Medicine make this a different specialty? What if it is a child transferring from one Pediatric provider to another that is Ped/FM/IM?