What does Pecos stand for?

Welcome to the Medicare Provider Enrollment, Chain, and Ownership System (PECOS)

What is a Pecos account?

PECOS is the online Medicare enrollment management system which allows you to: Enroll as a Medicare provider or supplier. Revalidate (renew) your enrollment. Withdraw from the Medicare program. Review and update your information.

Do I need to enroll in Pecos?

Internet-based PECOS

All other physicians and practitioners who furnish services to Medicare beneficiaries must enroll in the Medicare program to receive reimbursement and order/refer in the Medicare program..

Why was Pecos I&A created?

CMS created the PECOS Identify & Access (I&A) Management System to help you manage provider enrollment under a PECOS surrogacy login that is specific to you. Unfortunately, many practices don't take advantage of this functionality. In reality, you're not supposed to use your providers usernames and passwords.

What is Pecos and Nppes?

Accordingly, the Centers for Medicare & Medicaid Services (CMS) uses enrollment systems, including the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) and the National Plan & Provider Enumeration System (NPPES), to manage provider information and identifiers.

What is PECOS and Why Should I Care?

What is a Pecos ID number?

The PECOS system is a database of providers who have registered with CMS. A National Provider Identifier (NPI) is necessary to register in PECOS. Use that identifier to search for the provider in the database. If you don't know the provider's NPI number, you can search for their information in the NPI registry.

What is CAQH and credentialing?

CAQH is an online data repository of credentialing data. Practitioners self report demographic, education and training, work history, malpractice history, and other relevant credentialing information for insurance companies to access.

How do you become a delegated Pecos official?

How do I access Pecos?

To access Internet-based PECOS, individual practitioners must have an active user account in the National Provider and Plan and Provider Enumeration System (NPPES). Individual practitioners must have an active NPI in NPPES.

What is CMS I&A?

I&A allows Authorized and Delegated Officials to add and remove Staff from their Organization, and control the functions accessible to those staff. Work in CMS Systems on behalf of Individual or Organizational Providers.

Who needs to register for Pecos?

If you are one of these professionals then you must register with PECOS: Physician Assistants, Certified Clinical Nurse Specialists, Nurse Practitioners, Clinical Psychologists, Certified Nurse-Midwives, Clinical Social Workers.

Can residents enroll in Pecos?

CMS requires that all providers, to include residents, and fellows, must be enrolled as a Medicare provider to order/refer items or services to Medicare beneficiaries.

How long does Pecos application take?

How long does it take? Depending on the type of enrollment record, you can expect it to take anywhere from 60-90 days for individual and new practice enrollment records(submitted through PECOS) and approximately 120 days for DMEPOS or part A (855s and 855a) enrollment applications.

How often is Pecos updated?

In general, providers and suppliers revalidate every five years but DMEPOS suppliers revalidate every three years. CMS also reserves the right to request off-cycle revalidations. PECOS is the most efficient way to submit your revalidation.

How do you reassign benefits in Pecos?

1. The User will go to the PECOS web site at https://pecos.cms.hhs.gov, enter their I&A User ID and Password, and select "Log In." Page 2 Page 3 2. The User selects "My Associates." Page 4 Page 5 3. The User selects "View Enrollments" beside the application where they need to add or remove a reassignment of benefits.

How do I find my Ptan number for Pecos?

Locating Your PTAN Number

Log in to the PECOS online portal. Click on the “My Enrollments” button, then “View Enrollments.” Locate the applicable enrollment and click on the “View Medicare ID Report” link. This will list all of PTANs active providers and suppliers.

Can you opt out of Medicare?

If you do not want to use Medicare, you can opt out, but you may lose other benefits. People who decline Medicare coverage initially may have to pay a penalty if they decide to enroll in Medicare later.

Is Medicare ID same as Ptan?

The Provider Transaction Access Number (PTAN) is your unique Medicare identification number. This number is assigned to providers once their enrollment has been approved.

What is a Medicare pin?

What is the PIN used for? The Provider Identification Number (PIN) is the additional validation of an enrolled provider's identity that is used when a provider conducts business transactions with the Medi-Cal program and the fiscal intermediary, Xerox State Healthcare, LLC (Xerox).

Where is Pecos?

Pecos is a small town in North Central New Mexico, situated on the Pecos River in the southernmost reaches of the Sangre de Cristo Mountains, east of Santa Fe.

Who can be an authorized official with Medicare?

The delegated official must be an individual with an ownership or control interest in (as that term is defined in section 1124(a)(3) of the Social Security Act), or be a W-2 managing employee of, the provider or supplier.

Is CAQH the same as NPI?

It is still your number and stays with you wherever you go just like your NPI number does. Once you've determined you have a CAQH ID which is often by contacting CAQH, you will now need your CAQH userid which is often different than your ID number.

What is NPI and CAQH?

and Password, please call the NPI (NPPES) toll free number: 1-800-465-3203 for assistance. • CAQH (Council for Affordable Quality Healthcare): This is a Universal Provider DataSource. that allows healthcare professionals to provide an online credentialing application for health.

Does Medicare use CAQH?

Most local/regional health plans do not access it and none of the government payers use it. Note that CAQH is not used by Medicare, Medicaid, or Tricare.