The Affordable Care Act, Section 6401 (a), requires enrolled providers to revalidate their Medicare enrollment every five years, and enrolled durable medical equipment 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.
The Centers for Medicare & Medicaid Services (CMS) will post the provider/supplier’s revalidation due date on the Medicare Revalidation List tool at https://data.cms.gov/revalidation.
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.
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 at https://pecos.cms.hhs.gov/pecos/login.do#headingLv1 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 our 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 the Medicare Application Fee Information page at https://pecos.cms.hhs.gov/pecos/feePaymentWelcome.do#headingLv1. 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 Medicare Enrollment 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:
Updated 2/14/2019
