Medicare

Medicare Fee-for-Service (CMS)

Credentialing and enrollment guides for Medicare Fee-for-Service (CMS) across 0 states.

45-120 days Re-credential every 5 yrs

About Medicare Fee-for-Service (CMS)

Federal health insurance program. Enrollment via PECOS. CMS-855 forms required. Processed by Medicare Administrative Contractors (MACs).

Website: Visit

Required Documents

Board Certification

Not required for Medicare enrollment but verified during credentialing

DEA License

Required if applicable

Malpractice Insurance

Medical License

NPI Certificate

Enrollment Forms

CMS-855I — Individual Practitioners

For physicians and non-physician practitioners enrolling as individuals who will bill Medicare directly or reassign benefits to a group.

Online Download

CMS-855B — Group Practices / Organizations

For group practices, clinics, and organizations billing Medicare for services rendered by employed/contracted practitioners.

Online Download

CMS-855O — Ordering/Certifying Only

For physicians who ONLY order or certify items/services for Medicare beneficiaries but do NOT bill Medicare directly.

Online Download

CMS-855S — DMEPOS Suppliers

For suppliers of durable medical equipment, prosthetics, orthotics, and supplies.

Online Download

CMS-855R — Reassignment of Benefits

Used when an individual practitioner reassigns their billing rights to a group practice.

Online Download

Select Your State

Choose your state for Medicare Fee-for-Service (CMS)-specific credentialing details including timelines, contacts, and local requirements.

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