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2025 Participation
2025 Medicare participation enrollment
• Medicare fee schedule amounts are 5% higher if you participate
• Inclusion in the Medicare Participating Directory (MEDPARD)
• Participants have "one stop" billing for beneficiaries who also have Medigap coverage and who assign their Medigap payments to the participant. When a participating provider bills us, we also automatically advise the Medigap insurer to pay the participant for the beneficiary's co-insurance and/or deductible.
• Direct and timely reimbursement
The annual participation enrollment program for CY 2025 will run through December 31, 2024. Participation agreements cover the period January 1 through December 31, 2025, and may not be changed after December 31, 2024.
To be a participating physician:
• If you are currently participating, do nothing.
• The signed CMS-460 form must be postmarked no later than December 31, 2024.
To be a non-participating physician:
• If you are currently not participating, do nothing.
• If you are currently a participant, submit a written, dated notice that includes:
• Provider’s name and NPI
• A statement indicating that you are rescinding your participation agreement.
• The written notice must be postmarked prior to December 31, 2024.
First Coast Service Options
Provider Enrollment
P.O. Box 3409
Mechanicsburg PA 17055-1849
In addition to educational products, the MLN also offers providers and suppliers opportunities to learn more about the Medicare program through MLN National Provider Calls. These national conference calls, held by CMS for the Medicare fee-for-service provider and supplier community, educate, and inform participants about new policies and/or changes to the Medicare program. Offered free of charge, continuing education credits may be awarded for participation in certain National Provider Calls.
To receive notification of upcoming MLN Connects calls, please
subscribe to the CMS weekly email newsletter
MLN Connects for the latest Medicare Program information, MLN Connects Call announcements, other event announcements, claims and pricer information and MLN educational product updates.
You may receive this postcard in the mail informing you about the annual participation process:
Source: CR 13835
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.