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PECOS provider validation

PECOS, or Provider Enrollment, Chain and Ownership System, simplifies the Medicare Provider and Supplier enrollment process through an online enrollment system which allows users to securely submit, manage, view, and print Medicare enrollment information. The online PECOS system made Medicare enrollment completely paperless and made it much easier to check and update information. Since January 6, 2014, Medicare has denied claims for services or supplies that require an order/referring provider to be identified, but the provider is not identified, not in Medicare’s enrollment records, or is not of a specialty type that may order or refer the service/item being billed. Stay on top of your PECOS verification to avoid related Medicare denials with our free PECO Provider Validation tool.

PECOS national ID verification below:

This PECOS Provider Validation tool provides a way to verify your referring physician against the most recent CMS public-use file (the date of the file is shown in the table) to make sure they have enrolled before accepting the patient onto your services.

Due to high demand, the PECOS provider validation tool may take a moment to load.

The reports produced by this Web application are based upon the input data entered by your company and our interpretation of the regulations. The accuracy and reliability of these reports is dependent upon the accuracy and reliability of your input data and the accuracy and reliability of the regulations and public use files as provided by CMS.

All reports should be reviewed and interpreted by a competent professional in the context of your particular business situation. The sponsor(s), manager(s), owner(s), and/or any party associated with this service and/or any of its products, in any form or media, shall not have any liability for the accuracy, any conclusions drawn, or decisions made based on such products.

We’re happy to answer questions regarding PECOS. Click here to submit your question and someone from our team will reach out with an answer.

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