Medicare PECOS enrollment services for physical therapists.

An individual therapist's enrollment and a practice's enrollment are related, but they are not interchangeable. We review the current records, intended billing arrangement, practice locations, and responsible contractor before defining the work. CMS enrollment does not itself establish participation in a Medicare Advantage plan; confirm that plan’s contracting and enrollment requirements separately.

We build an application checklist for the agreed enrollment. Names, identifiers, ownership details, and addresses must stay consistent across records. Missing items stay visible, with an owner and next action.

• Individual and applicable organization NPIs, with the current information attached to each record.
• Legal practice name, tax information, ownership details, and practice locations required for the application.
• Licensure and supporting documents requested for the applicable enrollment.
• Existing Medicare enrollment details, relevant notices, and the people responsible for review and signatures.

PECOS is CMS's online Medicare enrollment system. We help prepare the applicable application and supporting information using authorized access through CMS Identity & Access Management, known as I&A. We do not work by borrowing a provider's login.

1. Step 01

   Confirm access and scope

   Identify the provider or organization, the authorized access relationship, and who must review and sign. Resolve account or permission issues before handling the application.

2. Step 02

   Prepare and review

   Enter the agreed information, identify missing documents, and coordinate a review with the provider or appropriate authorized official. They remain responsible for the application's accuracy and required attestations.

3. Step 03

   Coordinate submission

   Arrange the required signatures and submission, then retain the confirmation and application reference. Permission to prepare an application does not authorize us to sign for a provider.

A submitted application is not an approval. Your Medicare Administrative Contractor, or MAC, processes the enrollment and may request additional information. We track the application, organize those requests, and coordinate responses with your practice.

The work record distinguishes waiting on the contractor from waiting on a document or practice decision. CMS and the MAC control the enrollment determination and applicable effective dates; we do not promise approval, a fixed processing time, or retroactive payment.

• Application reference, submission confirmation, and current status.
• Contractor requests, response requirements, next actions, and responsible contacts.
• Written decision and effective dates to review with the billing team.

You receive the application record, outstanding items, follow-up history, and contractor correspondence. We identify what remains unresolved so your team does not confuse an application in progress with permission to bill.

Revalidation, later enrollment changes, and ongoing record maintenance require a separate agreed scope. A Medicare enrollment engagement does not automatically include commercial payer applications or CAQH profile work.