Modified: 1/23/2012
Find the tools, tips, and step-by-step instructions you'll need to navigate and complete the new Medicare provider enrollment process successfully the first time.
Learn which forms meet your enrollment needs and find links to required enrollment applications, participating physician or supplier agreements, and electronic file transfer (EFT) applications.
This versatile application allows you to check the status of your enrollment in the Medicare program in three ways. You may search for all pending applications by entering your National Provider Identifier (NPI) and provider transaction access number (PTAN), check the status of a specific application by entering the 12-digit correspondence control number (CCN) and three-digit record number (listed in your acknowledgement letter), or check to determine if you have been sent a revalidation request letter by entering your NPI or PTAN.
Enrollment status lookup: Help guide -- this guide includes detailed instructions and images to help you take advantage of the search options available through FCSO’s Enrollment status lookup.
The Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) facilitates the Medicare provider enrollment process by furnishing health care providers and suppliers with an easier, faster, and more efficient alternative to paper-based enrollment in the Medicare program. Registered users may use the system for initial enrollment as well as to change, reactivate, or voluntarily terminate an existing enrollment record. Users may also add, change, or terminate reassignment of Medicare benefits.
Learn how to safeguard and update your records in the National Plan & Provider Enumeration System (NPPES), search the National Provider Identifier (NPI) Registry, avoid errors on the CMS-1500 form, and learn which information is needed when contacting the provider contact center or IVR to obtain claim information.
Review a list of physicians and practitioners who have chosen to opt out of the Medicare program as well as the specific rules pertaining to those who enter into private contracts with beneficiaries.
An ordering/referring provider is the individual who orders or refers an item or service for a Medicare beneficiary (e.g., laboratory diagnostic tests, imaging services, specialty services, durable medical equipment) that will be furnished and billed by another provider or supplier (e.g., laboratory, imaging center, specialist, DME supplier). Learn how to verify an ordering/referring provider’s eligibility.
Learn the answers to commonly asked questions regarding the provider enrollment and revalidation process.
Find out whether you have been sent a revalidation request with our easy-to-use lookup; learn the answers to providers’ frequently asked questions regarding how to recognize and respond to a revalidation request; and learn the latest news about CMS’ revalidation initiative.
Learn the definitions of commonly used provider enrollment terms, find provider/supplier specialty codes, review provider enrollment FAQs, and more.
Find ways to expedite the enrollment process, tips on completing CMS-855 forms, and suggestions for recent graduates of academic medical institutions who are interested in becoming Medicare providers.
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Provider Enrollment
