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
  • Change of Ownership via CMS-855A - Buyer not accepting assignment of current Provider Agreement
All DMEPOS suppliers (including physicians and non-physician practitioners) are required to pay the fee for:
  • New Applications
  • Enrolling an additional location
  • Revalidations
  • Reactivations, unless the deactivation was a result of non-submission of claims for four consecutive quarters
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:  2024

Amount: $709