6 focused guides in this cluster. Use the individual articles for the exact transaction rather than treating the entire payer/onboarding workflow as one status.
Use CMS-855I or PECOS to build the individual Medicare practitioner record without confusing personal enrollment, group reassignment, organization identity, and practice locations.
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How a new clinic or group practice should build the organization Medicare record with CMS-855B or PECOS, including legal identity, ownership, locations, banking, and 2026 form changes.
READ GUIDE ↗CMS merged the paper CMS-855R reassignment application into CMS-855I. Update old Medicare SOPs and track practitioner-to-group relationships separately from individual and group enrollment.
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The Medicare enrollment application fee is $750 in calendar year 2026 for institutional providers and suppliers subject to the fee. Physicians, non-physician practitioners, and their organizations are generally exempt.
READ GUIDE ↗CMS-855O is for eligible physicians and practitioners enrolling in Medicare solely to order or certify covered items and services, not to submit claims for their own furnished services.
READ GUIDE ↗Medicare opt-out status and ordering/certifying recognition can coexist in defined circumstances, but the practice must track affidavits, renewal periods, NPI identity, and the clinician’s non-billing role carefully.
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