Enrollment in PECOS

PECOS is the enrollment system for Medicare providers and suppliers. CMS will shortly be mailing a letter to all physicians and non-physician practitioners who are currently enrolled in Medicare but who do not have an enrollment record in the Provider Enrollment, Chain And Ownership System (PECOS).

There are three important reasons why you should take the necessary action to establish an enrollment record in PECOS as soon as possible.

1.      Updating your Medicare enrollment record will assist us in ensuring payment accuracy for the services you furnish to Medicare beneficiaries.

2.      You will need an approved enrollment record in PECOS to continue to order or refer items or services for Medicare beneficiaries.

3.      Finally, in accordance with the American Recovery and Reinvestment Act of 2009, Title XIII, known as the “HITECH Act,” incentive payments may be made by Medicare and Medicaid to enrolled “eligible professionals” and certain hospitals that meet the HITECH requirements. More information on Medicare HITECH incentive payments can be found at http://www.cms.hhs.gov/Recovery/11_HealthIT.asp under “Related Links Outside CMS” on the CMS web site. The Centers for Medicare & Medicaid Services (CMS) will use the PECOS enrollment records to verify Medicare enrollment for HITECH incentive payments. Therefore, you will not be eligible to receive incentive payments from Medicare for meaningful use of certified electronic health records if your enrollment information is not maintained in PECOS by CMS.

Please see the CMS letter proforma below: