How Do I Determine If I Am In PECOS?
And, how do I determine if a physician or non-physician who is eligible to order or refer services has a current PECOS enrollment record?
Although enrolled in Medicare, many physicians and non-physician practitioners who are eligible to order items or services or refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in the Provider Enrollment, Chain and Ownership System (PECOS). A current enrollment record is one that is in the PECOS and also contains the National Provider Identifier (NPI). The lack of a current enrollment record in the PECOS is a result of not having submitted any enrollment information updates since November 2003. The purpose of the article on the following website is to provide guidance to assist physicians and non-physician practitioners in determining whether or not they have a current enrollment record in the PECOS, and if not, the necessary follow-up steps to take. See the following website for assistance:
https://www.highmarkmedicareservices.com/enrollment/pecos/determine.html.