Enrollment
Review a list of physicians and practitioners who have chosen to opt out of the Medicare Part B program as well as the specific rules pertaining to those who enter into private contracts with beneficiaries.
Learn how to confirm a provider’s eligibility to order and refer services and items that will be furnished and billed by another provider or supplier.
- Ordering/referring requirements for Medicare claims
- Learn how to enroll as an ordering/referring provider
- Search or download ordering/referring provider listing -- It includes physicians, non-physician types (PA, NP, LCSW, PhD, CNS, and CNMs), and providers who are part of a Home Health Agency (Note: Part A HHAs will only be able to report the NPI of a physician.)
- Learn more about ordering and referring services
View these resources for instructions on completing your enrollment applications, tips to expedite the process, and more.
- View enrollment-related FAQs
- Learn to complete enrollment applications
- Enrollment Gateway: User guide
- On-demand learning - View the provider enrollment playlist for related educational videos, trainings, and more.
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How to change your practice address: individuals or groups/organizations
- Tips to expedite your Medicare enrollment process
- PECOS resources: Learn more about PECOS and the enrollment process by accessing the following CMS resources and other helpful links.
- NPI-related resources - Learn how to apply for an NPI and additional resources.
- Request a copy of your Medicare certification letter
- Commonly used provider enrollment terms and their definitions
- Determining your effective date
- MLN Educational Tool – Medicare Provider Enrollment: The CMS MLN Educational Tool for Medicare Provider Enrollment provides information you need on enrollment topics including the application fee, PECOS, providers who solely order or certify, and revalidation.
- CMS fingerprinting instruction website: Access the Accurate Biometrics website for more information on completing the provider fingerprinting requirement. Accurate Biometric has been contracted by CMS as the Fingerprint Based Background Check (FBBC) contractor for the Medicare program.
- Provider enrollment: Regulatory changes: CMS made several revisions to provider enrollment processes in the CY 2023 Physician Fee Schedule Final Rule. Affected providers are SNFs, HHAs, DMEPOS suppliers, MDPP suppliers, OTP providers, and other providers billing MACs for services they provide to Medicare patients. [MM12865]
- MEDPARD - View directories of Medicare participating physicians and suppliers.
Need to reach out? Click the button below to view enrollment contact information or submit an online inquiry for general enrollment assistance. Representatives are available Monday-Friday 8 a.m.- 4 p.m. ET/CT* (excluding holiday closings and training dates).