- Determine if you Will Use PECOS or Paper to Revalidate
- Submit Revalidation Using PECOS
-
Submit Revalidation Using Paper
- Clinics/Group Practices and Other Suppliers
- Physicians and Nonphysician Practitioners in Private Practice (Sole Owner or Sole Proprietor) With or Without any Reassigned Benefits
- Physicians and Nonphysician Practitioners that Reassign All Benefits
- Electronic Funds Transfer Agreement
- Supporting Documents
PECOS Enrollment Process and Advantages
The Internet-based PECOS can be used in lieu of the paper enrollment application.
Submitting the application via PECOS is the preferred method.
Advantages of Online Enrollment:
- Lets you submit CMS-855 form online
- MAC receives application submission faster
- Tailored application process
- Electronic signature method
- E-signature
- Upload (PDF or TIFF) paper certification statement
- Uploading (PDF or TIFF) supporting documentation feature
- Processing time is 50 percent faster than paper application submission
- Fewer submission errors/omissions
- Saves time and money
The system allows you to securely review information currently on file, update and submit via the Internet.
Important: PECOS has two separate enrollment records for sole owners, the group enrollment and the individual enrollment. When submitting a change of information or revalidation verify and update (when applicable), the information on both enrollments.
Related Content
- CMS Educational PECOS Videos
- Getting Started with PECOS for Individual Physicians and Non-Physician Practitioners
- Getting Started with PECOS for Organizations and Institutional providers
- Identity & Access (I&A) Management System ‒Quick Reference Guide
- MLN Educational Tool: Medicare Provider Enrollment
Revised 6/24/2024
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
J6 Mailing Address:
National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475
Interactive Voice Response:
877-908-9499
Contact Enrollment:
877-908-8476
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. CT
Form(s) you'll need:
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
JK Mailing Address:
National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46207-7149
Interactive Voice Response:
877-869-6504
Contact Enrollment:
888-379-3807
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. ET
Form(s) you'll need: