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How to Use the Medicare Revalidation List Tool on the CMS Website

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

Find A Provider

By Name

  • Enter either the organization name or enter the first and last name of an individual provider. Use the drop-down box to select the state, 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 in the blue box to the right of record(s).
    • The revalidation due date for each record is found under the provider’s name. 
  • If you hoover over and click a record, the next screen will either list all individuals in that organization or list all organization an individual provider belongs to.
    • The last date this tool was updated is indicated in the “Last Updated Date” field at the top of the screen.

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 under the provider’s name. 
  • If you hoover over and click a record, the next screen will either list all individuals in that organization or list all organization an individual provider belongs to.
    • The last date this tool was updated is indicated in the “Last Updated Date” field at the top of the screen.

Online Tables

Online tables can help large groups create and download a list of providers that belongs to the group. You can also determine the revalidation due date from an entire list of providers/suppliers or determine the names of the organization the individual providers belong to.

  1. Group Practice Members Only
      • Select the correct letter section (A‒D, E‒L, M‒R, S‒Z) according to the first letter of the group’s Legal Business Name from the IRS document.
      • Located near the top of the screen; select “View Data.”
      • Enter Legal Business Name in the “Find in this Dataset” field at the top of the screen and hit enter.
        • If your group works in multiple states, you may need to filter by “Group State Code” or even “Group Enrollment ID” if multiple enrollments exist, use the filter selection to “add a new filter condition” to narrow list, select column name from drop down and enter data to filter, then check box to apply.
      • Using the scroll bar at the bottom of the page, scroll to the right to locate each individual due date in the column labeled “Individual Due Date.”
      • Select the Menu icon at the top of that column, then select sort ascending to view the chronological order beginning with earliest date providers are due for revalidation.
      • Select the export button (below the search bar) to download information to personal computer and save.
  1. Entire List of Providers and Suppliers
      • Select “Search list of all provider and supplier enrollment records,”        
      • Located near the top of the screen; select “View Data.”
      • Enter NPI of provider or supplier in the “Find in this Dataset” field, at the top of the screen and hit enter.
      • Using the scroll bar at the bottom of page, scroll to the right to locate the provider revalidation due date in the column labeled “Revalidation Due Date.”
        • Multiple lines indicate separate enrollment records for that NPI.
  1. Reassignments and PA Employments Relationships
      • Select “Search list of all reassignments and employment relationships.”
      • Located near the top of the screen; select “View Data.”
      • Enter Legal Business Name in the “Find in this Dataset” field at the top of the screen and hit enter.
        • If your group works in multiple states, you may need to filter by “Group State Code” or even “Group Enrollment ID" if multiple enrollments exist, use the filter selection to “add a new filter condition” to narrow list, select column name from drop down and enter data to filter, then check box to apply.
      • Using the scroll bar at the bottom of the page, scroll to the right to locate each individual due date in the column labeled “Individual Due Date.”
      • Select the Menu icon at the top of that column, then select sort ascending to view the chronological order beginning with earliest date providers are due for revalidation.
      • Select the export button (below the search bar) to download information to personal computer and save.

Posted: 1/14/2019

How to Use the Medicare Revalidation List Tool on the CMS Website
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