Application Fee Information

Institutional Providers who are submitting applications for the following reasons are required to pay the Provider Enrollment Medicare Application Fee:

  • Initial Enrollment
  • Revalidation
  • Change of Information - Adding Practice Location
  • Enrolling a New DMEPOS Business Location
  • Change of Ownership via CMS-855A - Buyer not accepting assignment of current Provider Agreement
Providers who are enrolled in Medicare but have not yet established a record in PECOS may be required to submit an Initial Enrollment application to establish a record in PECOS. If the reason for the application submittal is to change the information on the existing Medicare enrollment, and is not for the purpose of adding a practice location, then the Provider is not required to pay the application fee.

Year:  2015

Amount: $553