- Determine if you will use PECOS or paper to enroll
- Enroll Using PECOS
- Enroll Using Paper
- Determine your Business Structure
- Individual (Group Member) Reassigning Benefits Only
- Individual Medicare Enrollment Private Practice (Sole Proprietor) via SSN
- Individual Medicare Enrollment Private Practice (Sole Proprietor) via EIN
- Individual Medicare Enrollment Sole Owner of a Corporation via Tax ID
- Physician Assistant
- New Provider Corporation or Group (Multiple Owners)
- Ordering/Referring Provider Only
- Adding a New Reassignment of Benefits Using the CMS-855I
- Electronic Funds Transfer Agreement
- Medicare Participating Physician or Supplier Agreement
- Supporting Documents
For First Time Users: Request a User ID and Connection
Instructions for accessingPECOS:
- If you are unsure if you have a user ID, select “Forgot User ID?” from PECOS.
- Connect to the Identity & Access (I&A) Management System, select “Retrieve Forgotten User ID” and follow the instructions in the I&A Quick Reference Guide to Retrieve Forgotten User ID.
- If you do not have a user ID and password, become a registered user by selecting “Register for a user account” from PECOS.
- Connect to the Identity & Access (I&A) Management System, select “Create account now” and follow the instructions in the I&A Quick Reference Guide to Create an Account.
- If you already have or after you create a user ID and password and need to establish a connection to an enrollment record (employer), select “Manage/Update User Profile” from PECOS.
- Connect and login to the Identity & Access (I&A) Management System and follow the instructions in the I&A Quick Reference Guide to Register as an Authorized Official, Access Manager or Staff End User for your employer.
- If you have any questions during this registration/connection process, you may call the EUS help desk for assistance at 866-484-8049
- Once you have a user ID and password, established a connection to the enrollment record (individual, organization), you may proceed to create and submit an initial, change or revalidation application in PECOS.
Related Content
- MLN Educational Tool ®:Medicare Provider Enrollment – PECOS Users, Technical Help & FAQs
- PECOS User Account Issues and Help
Revised 5/4/2021
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:
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:
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