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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