Submit Enrollment Application

Medicare Participating Physician or Supplier Agreement

Download and complete CMS-460 Medicare Participating Physician or Supplier Agreement.

Note: CMS-460 must have a signature and date of participant or authorized representative of participating organization.

You have 90 days from when you initially enrolled to decide if you want to be a participating provider or supplier. Otherwise, you can only change your participation status during the annual open enrollment, which is mid-November through December 31st of each year which will become effective the first of the following year.

Benefits of Medicare Participation

  • Medicare reimbursement is five percent higher than for those who do not participate.
  • Medicare issues payments directly to you because the claims are always assigned.
  • Claim information is forwarded to Medigap (Medicare supplemental coverage) insurers.

Note: Physician and nonphysician practitioner who have employment arrangements or reassigns benefits to a group/individual, claims will process according to the participating status of the group/individual. The Participating Status on Provider Enrollment Approval Letters will reflect the individuals participating status, not the groups.

Revised 4/29/2021

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS

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:

Enrollment Forms

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:

Enrollment Forms

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS

J6 Mailing Address:

National Government Services, Inc.
P.O. Box 6474
Indianapolis, IN 46206-6474

Contact Enrollment:

855-834-5596

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. CT
9:00 a.m.–5:00 p.m. ET

*Closed for training on the 2nd and 4th Friday of the month
12:00 p.m.-4:00 p.m. ET
11:00 a.m.-3:00 p.m. CT

Form(s) you'll need:

CMS-855A - Medicare Enrollment Application form for Institutional Providers
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form

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 46206-7149

Contact Enrollment:

855-593-8047

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. ET

*Closed for training on the 2nd and 4th Friday of the month
12:00 p.m.-4:00 p.m. ET

Form(s) you'll need:

CMS-855A - Medicare Enrollment Application form for Institutional Providers
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form