Step 1: Apply for accreditation

Find a Centers for Medicare & Medicaid Services (CMS) approved third-party accreditation organization to verify that your business meets their requirements. Once you select the organization, fill out the application and upload all relevant documents. Processes vary between organizations, so pay close attention to the site's instructions. 

Applications can take 4-6 months to be fully reviewed. You can move forward with the next steps in the meantime; however, we recommend waiting for accreditation approval before moving forward in case you are denied. Once approved, the accreditation organization will conduct an unannounced site visit to ensure that you meet the DMEPOS quality standards. 

Step 2: Get an NPI Number

Once your business has been approved, get a National Provider Identifier (NPI) number. Every individual practice location needs a unique NPI. 

This step can be skipped if you already have an NPI number for each location. If you don’t, you can get one through the National Plan & Provider Enumeration System (NPPES) website. 

If you don’t remember your NPI number, or are unsure if you have one, search the NPI registry. 

Step 3: Complete the Enrollment Application and EFT Authorization 

Next, fill out the enrollment application and electronic funds transfer (EFT) agreement through PECOS, the CMS’s online registration system. 

Register to become a PECOS user and follow the tutorials to correctly fill out the enrollment and agreement forms. You will be assigned an enrollment contractor. Find yours to track your application status. 

Step 4: Pay the application fee

After submitting your enrollment application, pay the application fee on the PECOS payment page. 

The fee amount changes annually, so be sure to check the page for the official amount.

Step 5: Purchase surety bond

To complete your accreditation, purchase a surety bond. You are required to file a $50,000 bond for every NPI you register. Visit our DMEPOS bond guide to apply for a free quote today. 

Once you have completed all of these steps, you will be successfully enrolled in the Medicare program and eligible for DMEPOS billing reimbursement. 

How to Renew Your DMEPOS Enrollment

You are required to revalidate your DMEPOS supplier Medicare enrollment every three years through the PECOS system. All of your information will still be uploaded from your initial enrollment. Just follow these simple steps:

• Review and update your information
• Upload any new supporting documents
• Sign your revalidation forms

You can revalidate your accreditation three months before the expiration date. If you receive a revalidation notice before that date, you can start the renewal process early. 

CMS does not grant extensions, so make sure you revalidate your application in time. If you miss the deadline, your reimbursement privileges will be put on hold and your enrollment may be deactivated.