The Affordable Care Act, Section 6401 (a), requires enrolled providers to revalidate their Medicare enrollment every five years, and enrolled DME suppliers to revalidate every three years. (Reference 42 CFR 424.515). The second five-year revalidation cycle began in March 2016 for all currently enrolled providers/suppliers.
CMS will post the provider/supplier’s revalidation due date on the Medicare Revalidation List tool.
National Government Services will notify our providers/suppliers by letter when they are scheduled to revalidate. The letter may include the following information:
View a revalidation envelope sample.
You must report changes of information in your Medicare enrollment records within 30 days for:
All other changes to your existing Medicare enrollment records must be reported within 90 days.
The most efficient way to submit your revalidation information is by using PECOS or complete and submit the appropriate CMS-855 Part A or CMS-855 Part B paper applications. Mail the paper application to the address indicated on the revalidation letter. Current copies of the applications are available on this website by selecting Enrollment and then Enrollment Forms.
Use the Revalidation Application Checklist to ensure you have included all information in your revalidation application
While processing the application(s), NGS may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days from the initial development letter date or claims payment will be impacted. If you do not respond within the 30 days, your PTAN may be deactivated.
If deactivated, you must submit a new and complete application to reactivate. You will maintain original PTAN, receive a new effective date and have a gap in billing privileges.
The application fee is required during revalidation for select provider types.
If you are one of the provider types listed below you must pay the $586 application fee via PECOS Application Fee Information page; submit a copy of your payment receipt with the application.
Visit our website under the Enrollment tab for more information about the application fee or to use the NGS Application Fee Decision Tree tool.
Visit our website, select the Enrollment tab then Revalidate My Enrollment for detailed information.
Please contact NGS with questions specific to your revalidation application processing.
Questions specific to DME, prosthetic, orthotic and supply suppliers should be addressed to the National Supplier Clearinghouse at:
Questions specific to PECOS system issues should be addressed to the CMS EUS Help Desk at:
