How to Search on the Medicare Revalidation List Tool for Due Date

Table of Contents

• How to Search on the Medicare Revalidation List Tool for Due Date
• Find a Provider
  • By NPI
  • By Name
  • Associated Datasets

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How to Search on the Medicare Revalidation List Tool for Due Date

Access the Medicare Revalidation List tool.

Providers with TBD “to be determined” as the revalidation due date, means CMS has not set the date yet.

Find the last and next time the data will be refreshed by CMS, as well as other pertinent information under “information about this tool” on the home page.

Determined due date will not be removed from the Medicare Revalidation List tool during a five year revalidation cycle. The due date will continue to display on the website even after a provider has revalidated successfully.

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Find a Provider

By NPI

• Enter NPI of organization or individual provider in the “NPI” field, then click “Find Provider.”
  • Provider may have more than one Medicare enrollment due to specialty type, type of enrollment or state.
  • The revalidation due date for each record is found to the right of the provider’s name.
• Click on name to open a record if the “Total Providers Receiving Reassigned Benefits” or “Reassigned Providers” field is greater than “0”, the next screen will either list all individuals in that organization or list all organizations an individual provider belongs to.

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By Name

• Enter either the organization name or first and/or last name of an individual provider, then click “Find Provider.”
  • Provider may have more than one Medicare enrollment due to specialty type, type of enrollment or state.
  • Verify accuracy of the NPI.
  • The revalidation due date for each record is found to the right of the provider’s name.
• Click on name to open a record if the “Total Providers Receiving Reassigned Benefits” or “Reassigned Providers” field is greater than “0”, the next screen will either list all individuals in that organization or list all organizations an individual provider belongs to.

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Associated Datasets

Associated datasets can help large groups create and download a list of providers that belong to the group (Revalidation Reassignment List). You can also determine the revalidation due date from an entire list of providers/suppliers (Revalidation Due Date List) or determine the names of the organization the individual providers belong to (Revalidation Clinic Group Practice Reassignment).

For affiliated providers that belong to a group:

• Select dataset, Revalidation Reassignment List
• Select “view data”
• Search Field
  • Type “legal business name” or “enrollment ID” and hit enter
• Manage Columns
  • Once familiar with this dataset, remove unwanted columns before you export
• Filter
  • Groups that work in different states may need to filter by “Group State Code” or “Group Enrollment ID" if several enrollments exist. If multiple filters are needed, select the “add new filter condition” button.
    • Review Data results by using the scroll bar at the bottom of the chart, scroll to the right to locate the column labeled “Individual Due Date.”
  • Once filtered, use the enrollment ID in the “Search” field, to skip this step for future searches
• Export
  • Select the export button to download entire list of reassignments information to a personal computer and save as an excel spreadsheet.

Reviewed 7/30/2024