Determine/Pay Application Fee

How to Pay the Application Fee

The application fee must be paid electronically.

Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately.

To pay the application fee using PECOS:

  • Under "Helpful Links"
  • Click on "Pay Application Fee"

Pay by electronic check, credit card or by debit from your checking or savings account.

Upon completion, save your payment confirmation receipt as proof of payment.

Related Content

Revised 1/2/2024

Helpful Resources

Medicare Provider Enrollment Application Fee Decision Tree Tool
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:

Enrollment Forms

Helpful Resources

Medicare Provider Enrollment Application Fee Decision Tree Tool
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

Medicare Provider Enrollment Application Fee Decision Tree Tool
Enroll Online with PECOS
Pay Application Fee
Check Provider Enrollment Application Status

Helpful Resources

Medicare Provider Enrollment Application Fee Decision Tree Tool
Enroll Online with PECOS
Pay Application Fee
Check Provider Enrollment Application Status