Done-for-you Medicare enrollment across the USA — NPI, CMS-855 applications in PECOS, EFT, follow-up and revalidation — so you can bill Medicare Part B without wrestling the paperwork.
Enrollment record
Medicare enrollment goes through PECOS and the CMS-855 forms — completely separate from the CAQH process commercial payers use. Getting it right means the correct application type, an accurate NPPES record, EFT setup and follow-up with your Medicare Administrative Contractor.
We handle every step and keep your enrollment active with revalidation. New to the two systems? See CAQH vs PECOS.
Audit My Medicare FreeMedicare and commercial payers don't share a process. Enrolling with one doesn't enroll you with the other — we run both so you're covered everywhere.
Government program for Medicare Part B patients.
Private insurers like Aetna, BCBS, Cigna and UHC.
From a first-time enrollment to a group reassignment or an overdue revalidation — we file the right CMS form the right way.
New Medicare enrollment for a solo provider.
CMS-855IEnroll a group or clinic and link providers.
CMS-855BReassign a provider's billing to a group.
CMS-855RKeep your enrollment active on CMS's schedule.
Every 5 yrsRestore a deactivated Medicare enrollment.
DeactivatedEnroll to order and refer without billing.
CMS-855OMedicare deactivates providers who don't revalidate on schedule — and reactivation can create a costly gap in payments. We track your due date and file it on time.
We confirm the right application type and what you need.
We confirm or obtain your NPI and clean your record.
We complete and submit your CMS-855 and EFT.
We work your MAC's requests until it clears.
Enrolled with a PTAN and billing-ready.
Medicare, Medicaid & commercial — all handled by one team
PECOS is unforgiving of small errors and easy to let lapse. We file it correctly and keep it active, so Medicare never becomes the reason a payment stops.
Get a Free Audit“We don't just get you enrolled — we keep your revalidation on the calendar so you never get deactivated.”
Our promise to every providerEvery application type filed correctly the first time.
A single point of contact who knows your file end to end.
We watch your 5-year deadline so you're never deactivated.
We run Medicare, Medicaid and commercial enrollment together.
Flat pricing quoted after a free audit — no surprises.
Your data and PHI handled under strict, compliant processes.
No percentage of your revenue, no hidden fees. You get a clear price after a free audit — whether it's a new enrollment, a reassignment or an overdue revalidation.
Enrolling with Medicare is what lets you see and bill for Medicare Part B patients — a large and growing share of many practices' caseloads. Our Medicare provider enrollment services handle the entire process through PECOS: NPI/NPPES, the correct CMS-855 application, EFT setup, follow-up with your Medicare Administrative Contractor, and ongoing revalidation, so you can bill Medicare without the paperwork stalling you.
Whether you're enrolling for the first time, reassigning benefits to a group, or racing a revalidation deadline, a quick free enrollment audit tells you exactly which application you need and what it takes to get approved.
PECOS — the Provider Enrollment, Chain and Ownership System — is the online platform Medicare uses to process provider enrollment. It's where the CMS-855 forms are submitted and where your enrollment record lives. It's entirely separate from CAQH, which commercial payers use, which is why enrolling with Medicare and enrolling with private insurers are two different jobs. For the side-by-side, see CAQH vs PECOS.
The two run on different rails. Medicare uses PECOS and the CMS-855 forms and requires revalidation every five years. Commercial payers pull from CAQH and require re-attestation every 120 days, and their panels can close to new providers. To be fully in-network across the board, most providers need both — which is why we manage Medicare, Medicaid and commercial paneling together rather than as separate projects.
Medicare enrollment isn't one form — the right one depends on your situation:
Choosing the wrong form or missing an attachment is one of the most common reasons Medicare applications get returned, which is exactly what a specialist prevents.
Before you can enroll, you need a National Provider Identifier (NPI) in NPPES, and your NPPES record has to match your application. Medicare also requires electronic funds transfer (EFT) setup so you can be paid. We confirm or obtain your NPI, align your NPPES record, and complete EFT as part of enrollment.
A complete Medicare application typically takes about 60 to 90 days to process, though it varies by contractor and application type. Incomplete forms, mismatched NPPES data and slow responses to contractor requests are what stretch it out — so we submit clean applications and respond to your MAC quickly. For a broader view of credentialing timelines, see our credentialing timeline guide.
Medicare requires providers to revalidate their enrollment roughly every five years. Miss the deadline and CMS can deactivate your billing privileges, creating a gap in payments that's frustrating and slow to fix. We track your revalidation due date and file it on time, and if you've already been deactivated, we can handle the reactivation.
Medicare enrollment doesn't end at approval. Because our billing team works alongside enrollment, the moment you're active we can move into clean claim submission and revenue cycle support — and we keep your Medicare, Medicaid and commercial enrollments current together. One accountable team, from your first application through steady reimbursements.
Ready to get Medicare-enrolled? Request your free audit and we'll confirm your application type, timeline and pricing. You can also explore all of our provider enrollment services to see how it fits together.
Medicare provider enrollment services handle the process of enrolling a provider or group with Medicare so they can bill Medicare Part B. That includes NPI/NPPES setup, the appropriate CMS-855 application through PECOS, EFT setup and follow-up with your Medicare Administrative Contractor until approval.
PECOS (the Provider Enrollment, Chain and Ownership System) is the online system Medicare uses to process provider enrollment applications. It is separate from CAQH, which is used by commercial payers. We handle your enrollment directly in PECOS.
Medicare runs through PECOS and the CMS-855 forms, with revalidation every five years. Commercial payers pull from CAQH and require re-attestation every 120 days. They are separate systems with different rules, and getting fully in-network usually means doing both — which we manage together.
Medicare enrollment typically takes about 60 to 90 days once a complete application is submitted, though it can vary by contractor and application type. A clean, complete submission and active follow-up are the biggest factors in avoiding delays.
Medicare requires providers to revalidate their enrollment on a set schedule, generally every five years. If you miss your revalidation deadline, your billing privileges can be deactivated. We track your due date and file the revalidation so it never happens.
Yes. You need a National Provider Identifier (NPI) in NPPES before you can enroll in Medicare. If you don't have one, we obtain it as part of your enrollment.
Yes. If your Medicare enrollment was deactivated — often due to a missed revalidation — we can file the reactivation and get your billing privileges restored.
Pricing depends on the application type and how many providers you need enrolled. We use transparent, flat pricing with no hidden fees, and start with a free audit of your Medicare enrollment needs.
Tell us about your practice and we'll confirm the right application, map a realistic timeline and quote flat pricing — no cost, no obligation.
Let our specialists run your PECOS enrollment and revalidation while you focus on care.