Medicare Provider Enrollment Services
New groups, virtual-first clinics, and practices adding providers: MedPrecision runs your entire Medicare enrollment — NPPES, I&A, CMS-855B, CMS-855I, and CMS-588 through PECOS — as a flat-fee, done-for-you service. Your Authorized Official keeps control; we never ask for a PECOS password.
- check_circleFree audit
- check_circleNo contract
- check_circleHIPAA-secure
- check_circleCancel anytime
What Are Medicare Provider Enrollment Services?
Medicare provider enrollment services manage the full sequence that gives a practice Medicare billing privileges: Type 2 NPI registration in NPPES, I&A and Authorized Official setup, organization enrollment through PECOS using CMS-855B, practitioner enrollment and reassignment using CMS-855I, EFT authorization via CMS-588, and MAC follow-up until the PTAN is issued. MedPrecision delivers this as flat-fee packages starting at $1,750.
- Complete NPPES → I&A → PECOS → CMS-855B/855I → CMS-588 sequence, done for you
- Flat-fee packages: group launch $1,750, group + first provider $2,250, virtual clinic $2,750–$3,500
- No credential sharing — your AO keeps control via an I&A surrogate connection
- Built for new groups, telehealth/virtual-first clinics, and practices adding physicians
Medicare provider enrollment — the federal registration that grants a practice or practitioner Medicare billing privileges, not beneficiary enrollment in Medicare coverage — runs through one fixed sequence, and every step gates the next. NPPES assigns the NPI (a Type 2 organizational NPI for the group), the Identity & Access (I&A) Management System establishes the Authorized Official (AO) who signs for the organization, the organization enrolls in Medicare through PECOS using CMS-855B, each practitioner enrolls in Medicare using CMS-855I and reassigns benefits to the group, CMS-588 authorizes electronic funds transfer, and the Medicare Administrative Contractor (MAC) processes the application and issues the PTAN that makes billing possible. The CMS-855B form states its own scope: clinics, group practices, and other suppliers must complete it to enroll in the Medicare program and receive a Medicare billing number, and applicants using it require a Type 2 NPI — so an NPI or I&A error surfaces later as an enrollment development request. The CY 2026 Medicare enrollment application fee is $750 per CMS's MLN Medicare Provider Enrollment page, but physicians, non-physician practitioners, and physician organizations are exempt from it — an exemption worth confirming before anyone pays at the PECOS fee screen. MedPrecision manages this chain end to end for flat fees: entity document review against IRS records, NPPES and I&A setup, PECOS submission of the 855B and each 855I with reassignment, CMS-588 preparation, and MAC follow-up through PTAN issuance. Your AO retains control and signs the initial organization application; MedPrecision works on the provider's behalf through an approved I&A surrogate connection. For section-level form depth, see our CMS-855B enrollment guide and CMS-855I enrollment guide, or start from the provider enrollment checklist.
Who This Service Is For
The State of Medicare Provider Enrollment Services in 2026
Medicare enrollment procedure changed materially in 2023, and outdated instructions still circulate. CMS released the consolidated CMS-855I on September 1, 2023 and discontinued the CMS-855R effective October 31, 2023, per CMS's 2024 Provider Enrollment Compliance Conference keynote; the current CMS-855I form states directly: "All reassignment actions should now be reported via the CMS-855I. The CMS-855R (Reassignment of Medicare Benefits) form has been discontinued." CMS also steers filers toward electronic submission: because PECOS is paperless, nothing is mailed, and "PECOS applications tend to process faster than paper applications," per CMS's PECOS enrollment applications page. For virtual-first clinics, telehealth.hhs.gov confirms that "recent legislation authorized an extension of many of the Medicare telehealth flexibilities through December 31, 2027," and CMS's Telehealth FAQ updated February 26, 2026 answers the enrollment question virtual clinics ask most: virtual-only telehealth practitioners whose only physical practice location is their home must enroll the home address as a practice location, and should mark it as a "Home office for administrative/telehealth use only" location to suppress the street address from Care Compare. On the payment side, 42 CFR 424.521 permits physicians, non-physician practitioners, and physician organizations to retrospectively bill for services furnished up to 30 days before their effective date when program requirements were met — which is often what makes an enrollment gap survivable. As of August 2026, these are the rules a new Medicare enrollment is filed under, and each one changes how the 855B/855I packet should be assembled.
What Is Breaking Right Now
Enrollment packets rejected or developed because the legal name, TIN, or NPI data does not match IRS and NPPES records
Groups enrolled via CMS-855B that still cannot bill because practitioner reassignments were never completed
Billing companies asking for PECOS passwords — CMS strictly prohibits credential sharing; we use I&A surrogate connections instead
MAC development letters sitting unanswered until the application dies
Virtual-first clinics unsure how to report a practice location when the only physical address is a home office
Missed revalidations discovered only after a payment hold or deactivation
Common Medicare Provider Enrollment Services Mistakes to Avoid
Legal business name or TIN that does not match IRS records
The MAC validates the enrollment against IRS documentation. A name or TIN that differs from the IRS CP-575 — a dropped comma, an abbreviated 'PLLC', a DBA used in place of the legal name — triggers development requests or rejection, and the mismatch often traces all the way back to the NPPES record.
Reconcile the exact legal business name and TIN against the IRS CP-575 before the Type 2 NPI is registered, and use that identical name in NPPES, I&A, the CMS-855B, and the CMS-588.
CMS-588 signed by the wrong person
The CMS-588 must be signed by the same Authorized or Delegated Official named on the CMS-855 enrollment application the Medicare contractor has on file. A different signer is a silent rejection — the EFT authorization stalls while the enrollment proceeds, and payment setup fails at the finish line.
Route the CMS-588 to the identical AO or Delegated Official named on the 855, and submit it with the enrollment packet so both are validated against the same record.
Enrolling the group but skipping practitioner reassignments
A group enrolled through CMS-855B still cannot bill for a physician until that physician reassigns benefits to the group — and CMS requires both parties to be enrolled, or concurrently enrolling via CMS-855B and CMS-855I, before the reassignment can take effect. The group has a PTAN and no billable providers.
File each practitioner's CMS-855I with the reassignment concurrently with the group's CMS-855B, so approvals land together and billing can start as soon as they do.
Sharing I&A or PECOS credentials with a billing company
CMS's I&A system states that sharing of login information is strictly prohibited. Handing your PECOS password to a vendor violates the terms of the system that controls your Medicare enrollment, and it strips your organization of control over its own records.
Keep credentials with your Authorized Official and grant vendors an I&A surrogate connection instead — it is the CMS-designed mechanism for a third party to work on the provider's behalf. MedPrecision only ever works this way.
Filing revalidation early without a notice
CMS returns unsolicited revalidation submissions filed when the due date is more than seven months away and no revalidation notice has been received. The filing is wasted work, and the actual due date still arrives on schedule.
Check the due date on the Medicare Revalidation List at data.cms.gov, revalidate through PECOS when you are within the window — and revalidate even without a notice once you are within three months of the due date.
What We Handle
Medicare Organization Enrollment (CMS-855B)
The organization enrolls in Medicare through PECOS using CMS-855B. We prepare every section, reconcile legal name and TIN against IRS records, and submit through PECOS with the supporting documents attached.
Type 2 Organization NPI (NPPES)
NPPES assigns the NPI. We register the group's Type 2 organizational NPI — required before a CMS-855B can be filed — with the exact legal business name the rest of the enrollment will be validated against.
I&A / Authorized Official Setup
We establish the Authorized Official (AO) in the Identity & Access (I&A) Management System, configure staff roles, and set up the surrogate connection that lets us work on the provider's behalf without credential sharing.
Individual Medicare Enrollment (CMS-855I)
Each practitioner enrolls in Medicare using CMS-855I. We review current enrollment status first — an already-enrolled physician needs a different action than a first-time enrollee.
Medicare Reassignment (CMS-855I / PECOS)
The practitioner reassigns benefits to the group through the CMS-855I or PECOS — the CMS-855R is discontinued. Without the reassignment, the group cannot bill for that practitioner's services.
EFT Enrollment (CMS-588)
CMS-588 authorizes electronic funds transfer. We prepare it with the banking documentation the form requires and route it for signature by the same Authorized or Delegated Official named on the CMS-855.
PECOS Revalidation
A provider revalidates enrollment on the cycle CMS sets. We track due dates on the Medicare Revalidation List and file through PECOS inside the window — never as an unsolicited early submission, which CMS returns.
PECOS Change of Information
Practice location moves, banking changes, new ownership, AO changes — we file the change through PECOS so the enrollment record never drifts out of sync with reality.
Development-Letter Response
When the MAC issues a development request, the response clock is short and the stakes are the whole application. We draft and submit the response with the exact documentation requested.
Medicare Enrollment Audit
A record-by-record review of your existing PECOS enrollments: practice locations, reassignments, EFT, AO and surrogate access, and revalidation exposure — with a written gap list.
Additional-Provider Enrollment
Adding a physician to an enrolled group: CMS-855I status review, enrollment where required, reassignment to the group, and practice-location association — priced per provider.
Ongoing Enrollment Management
Continuous management of the Medicare enrollment lifecycle: revalidation tracking, change-of-information filings, new-provider additions, and MAC correspondence, on a monthly retainer.
Free Billing Audit · No obligation
Get a Flat-Fee Medicare Enrollment Quote
Tell us your entity type, state, and provider count, and we will scope your exact package — group launch, first provider, or full virtual-clinic setup — with the flat fee in writing before you commit.
Prefer to talk? Book a 15-minute callOur Medicare Provider Enrollment Services Methodology
Medicare Group Enrollment Launch — $1,750 Flat
The complete organization enrollment: Type 2 NPI registration, I&A and Authorized Official setup, CMS-855B organization enrollment through PECOS, full document review, CMS-588 EFT preparation, submission tracking, and one MAC development-request response included.
Medicare Group + First Provider Launch — $2,250 Flat
Everything in the Group Enrollment Launch, plus one physician's CMS-855I enrollment status review, individual enrollment if required, reassignment of benefits to the group, practice-location association, and a final configuration review before billing starts.
Virtual Clinic Medicare Launch — $2,750–$3,500
Built for telehealth and virtual-first clinics: enrollment readiness review, Type 2 NPI, I&A and AO setup, group PECOS enrollment, first physician enrollment and reassignment, EFT setup, telehealth practice-location documentation review (including home-office reporting), billing-readiness handoff, and 90 days of application tracking.
Additional Physicians — $450–$600 Each
Per-provider pricing for groups adding physicians after launch: CMS-855I status review, enrollment where required, reassignment to the group, and practice-location association.
Ongoing Enrollment Management — $500–$1,500/Month
Retainer-based lifecycle management scaled to group size: revalidation due-date tracking, change-of-information filings, new-provider enrollments, EFT updates, and all MAC correspondence handled as it arrives.
Medicare Provider Enrollment Services: MedPrecision vs Alternatives
| Feature | verified MedPrecision | In-House | Other Providers |
|---|---|---|---|
| Sequencing (NPI → I&A → 855B → 855I → 588) | check_circle One coordinated sequence — each step verified before the next is filed | Steps discovered one rejection at a time; forms filed out of order | Forms filed, but sequencing and record reconciliation vary by vendor |
| PECOS credential security | check_circle I&A surrogate connection; your AO keeps the credentials — CMS prohibits sharing them | Staff often share one login, against CMS's stated I&A terms | Some vendors still ask for the provider's PECOS username and password |
| Document reconciliation before filing | check_circle Legal name, TIN, NPI, and banking checked against IRS and NPPES records pre-submission | Mismatches usually surface later as MAC development requests | Intake forms collected, but source-document reconciliation is uneven |
| Reassignment completeness | check_circle Every practitioner's reassignment filed with the group enrollment, so the group can bill as soon as the MAC approves | Reassignments commonly missed — the group is enrolled but cannot bill | Handled when scoped, often billed as a separate line item |
| MAC development requests | check_circle Response drafted and submitted for you; one response included in both group launch packages | Letters sit in the mail pile while the response window runs out | Response support varies; frequently an hourly extra |
| Pricing model | check_circle Flat-fee packages published up front, from $1,750 | Staff hours plus the cost of every restart after a rejection | Often hourly or per-form pricing that grows with each complication |
How the Transition Works
How we deliver medicare provider enrollment services for your practice.
Kickoff Within One Business Day
We start within one business day of engagement: intake of entity documents (IRS CP-575, formation documents, bank letter), verification of any existing NPI, I&A, or PECOS records, and a written enrollment plan for your entity type.
Document Review — 2–3 Business Days
Every document is reconciled before anything is filed: legal business name against IRS records, practice locations, ownership and managing control, AO eligibility, and banking details for the CMS-588. Mismatches get fixed here, not in a MAC development letter.
Submission ~5–7 Business Days After a Complete Package
With a complete document package, we submit within about 5–7 business days: Type 2 NPI through NPPES if needed, then the CMS-855B, each CMS-855I with reassignment, and the CMS-588 through PECOS, e-signed by your AO.
MAC Follow-Up & Tracking Through PTAN Issuance
The MAC processes the application and issues the PTAN on its own timeline — MACs publish processing goals, not guarantees, and we never promise a MAC date. We track status, answer development requests, and confirm the PTAN and effective date in the approval letter.
What Reporting and Visibility Looks Like
Transparency is built into every engagement. You will always know where your revenue stands and what actions are being taken on your behalf.
Monthly KPI Dashboards
Track collection rates, denial trends, days in A/R, and payer-level performance with dashboards delivered on a fixed schedule.
Real-Time Claim Tracking
See claim status updates in real time so you never have to wonder where a payment stands or when follow-up is happening.
Quarterly Business Reviews
Detailed reviews with actionable recommendations covering denial root causes, payer trends, and revenue recovery opportunities.
Proactive Alerts
Automated alerts when key metrics shift, so issues are caught and addressed before they affect your bottom line.
Medicare Provider Enrollment Services Key Terms
- PECOS
- The Provider Enrollment, Chain and Ownership System — CMS's national database of Medicare provider, physician, and supplier enrollment information, used to collect and maintain the data submitted on CMS-855 enrollment forms. Registered users submit, e-sign, and manage Medicare enrollment applications in PECOS instead of on paper.
- Identity & Access (I&A) Management System
- The CMS system that controls who may log in to PECOS and NPPES and in what role. I&A is where the Authorized Official is established, staff roles like Access Manager are assigned, and surrogate connections are requested and approved. CMS strictly prohibits sharing I&A login credentials.
- Authorized Official (AO)
- An appointed official of the organization with the authority to legally bind it and conduct business on its behalf — typically a CEO, CFO, partner, chairman, or owner. In I&A, the AO can initiate or accept surrogacy connections and manage staff; on enrollment applications, the AO signs the initial application.
- PTAN
- The Provider Transaction Access Number — a Medicare-only number the MAC issues upon enrollment approval, communicated in the approval letter. A provider has one NPI and one or more PTANs tied to it; together, the NPI and PTAN identify the provider in the Medicare program.
- Reassignment of benefits
- Authorization by an individual practitioner allowing an eligible organization or group to submit claims and receive payment for Medicare Part B services the practitioner furnished as a member of that group. Since the CMS-855R was discontinued, all reassignment actions are reported through the CMS-855I or PECOS.
- Medicare Administrative Contractor (MAC)
- The regional contractor that processes Medicare enrollment applications, issues development requests when information is missing, approves or rejects the enrollment, and issues the PTAN. MACs publish processing-time goals, and enrollment timelines ultimately run on the MAC's clock.
Common Questions
Common questions about medicare provider enrollment services.
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your collections.
Get a Free Billing Audit arrow_forwardHow much do Medicare provider enrollment services cost?
MedPrecision publishes flat fees: Medicare Group Enrollment Launch at $1,750 flat, Medicare Group + First Provider Launch at $2,250 flat, and Virtual Clinic Medicare Launch at $2,750–$3,500. Additional physicians are $450–$600 each, and ongoing enrollment management runs $500–$1,500/month by group size. CMS's own application fee — $750 for CY 2026, where owed — is separate and paid to CMS, but physicians, non-physician practitioners, and physician organizations are exempt from it, so a typical physician group filing a CMS-855B owes no CMS fee at all.
How long does Medicare provider enrollment take?
MAC processing time is external to any enrollment service, and MACs publish goals, not guarantees. National Government Services states that all MACs have a goal to finalize an internet-based PECOS application within 15 days and a CMS-855 paper application within 30 days, if all required information is available. Novitas Solutions publishes CMS-defined timeframes under which 95% of PECOS initial enrollments not requiring a site visit, development, or fingerprinting are completed within 15 calendar days of receipt and 100% within 50 calendar days. Development requests pause that clock, which is why complete first submissions matter. MedPrecision's own commitments are contractual: kickoff within one business day, document review in 2–3 business days, and submission about 5–7 business days after a complete document package.
Can a telehealth-only clinic enroll in Medicare?
Yes. CMS's Telehealth FAQ (updated February 26, 2026) states that virtual-only telehealth practitioners whose only physical practice location is their home must enroll the home address as a practice location, marking it as a 'Home office for administrative/telehealth use only' location to keep the street address off Care Compare. Practitioners who have a physical practice location and furnish telehealth from home generally do not need to report the home address at all. Medicare telehealth flexibilities have been extended through December 31, 2027, per telehealth.hhs.gov. Our Virtual Clinic Medicare Launch package handles the practice-location documentation this setup requires.
Do you need our PECOS username and password?
No — and you should refuse any vendor who asks. CMS's Identity & Access (I&A) Management System states that sharing of login information is strictly prohibited. Your Authorized Official retains control of the organization's credentials and signs the initial organization application; MedPrecision works on the provider's behalf through an approved I&A surrogate connection, the mechanism CMS built for billing agencies and credentialing consultants to access, view, and modify enrollment information without ever holding your password.
What is a PTAN and when do we get one?
A PTAN (Provider Transaction Access Number) is a Medicare-only number issued by Medicare Administrative Contractors upon enrollment — when the MAC approves the enrollment, the approval letter includes the PTAN assigned to the provider or supplier, per CMS's MLN glossary. A provider has one NPI and one or more PTANs related to it: separate PTANs are typically assigned per medical-group relationship or per MAC, and together the NPI and PTAN identify the provider in the Medicare program. See our full PTAN guide for lookup and recovery paths.
Can we bill for services furnished before the enrollment is approved?
Often, yes — within limits set by regulation. Under 42 CFR 424.521, physicians, non-physician practitioners, and physician organizations may retrospectively bill for services furnished up to 30 days before their enrollment effective date, provided all program requirements (including state licensure) were met and the services were provided at the enrolled practice location; the window extends to 90 days when a Presidentially-declared disaster precluded earlier enrollment. This retrospective-billing window is frequently what keeps an enrollment gap from becoming a write-off.
Do we have to pay the $750 Medicare application fee?
Probably not, if you are a physician practice. CMS's MLN Medicare Provider Enrollment page sets the 2026 enrollment application fee at $750 and states that physicians, non-physician practitioners, physician organizations, non-physician organizations, and MDPP suppliers do not pay it. The fee generally applies to institutional providers and suppliers — DMEPOS suppliers and opioid treatment programs, for example — when enrolling, re-enrolling, revalidating, or adding a practice location. We confirm fee applicability for your entity type before anything is paid through the PECOS fee-payment screen.
Related Services
Related Resources
- arrow_forward CMS-855B: How an Organization Enrolls in Medicare
- arrow_forward CMS-855I: What the Form Itself Requires, Section by Section
- arrow_forward CMS-855R Discontinued: How Medicare Reassignment Works Now
- arrow_forward Medicare PTAN: What It Is, Who Issues It, and How to Find Yours
- arrow_forward Provider Enrollment Checklist (2026): Every Document You Need
- arrow_forward PECOS Enrollment: Step-by-Step Guide for Providers (2026)
Get a Flat-Fee Medicare Enrollment Quote
Tell us your entity type, state, and provider count, and we will scope your exact package — group launch, first provider, or full virtual-clinic setup — with the flat fee in writing before you commit.
- check_circleNo contract
- check_circleNo setup fees
- check_circleReply within 1 business day