Medicare revalidation due dates by NPI
Know when every provider is due to revalidate, without looking them up one at a time. We join your NPI roster to the CMS due date list and alert the people who file. PECOS stays with a person.
| Provider | Adjusted due date | Next |
|---|---|---|
| Sample, Jamie MD | 05/31 | Alert sent |
| Example, Quinn NP | TBD | Do not file yet |
| Test, Reese DO | Not on list | Person reviews |
| Sample, Parker PA | 11/30 | Tracking |
CMS posts dates seven months ahead. TBD means CMS asks providers not to file.
How it runs.
A missed revalidation can hold payments or deactivate billing privileges, and CMS does not grant extensions.
NPI roster
Your providers and groups.
Your dataJoin CMS data
Anyone not found is listed. Each run saved.
AutomatedAlert who files
Who is due, when, and the reassigned groups to include.
AutomatedA person files
Enrollment staff confirm the date and file in PECOS.
A person
CMS Revalidation Due Date List / data.cms.gov API / PECOS (by a person) / CMS-855 / HRIS
The rules and limits.
- The data
- CMS's Revalidation Due Date List on data.cms.gov, by enrollment: NPI, name, state, specialty, due date, adjusted due date, reassignments.
- When dates appear
- Seven months in advance. Contractors send a notice about three to four months before.
- No date yet
- TBD means no date is set. CMS asks providers not to file, and returns unsolicited revalidations.
- Cycles
- Every five years, or three for DMEPOS suppliers. CMS can ask off-cycle.
- Not listed
- Providers enrolled only to order, certify, or prescribe via CMS-855O, and those opted out.
What a person does.
- A person prepares and files every revalidation in PECOS.
- A person confirms the due date against the CMS tool before filing.
- Your enrollment lead decides anything off-cycle or missing.
Where we stand: we have not shipped this. It is a small job, and we will say so if it is not worth building alone.
Common questions.
Can this file the revalidation in PECOS?+
No. We found no approved way to script PECOS, so a person files. We automate tracking the dates.
Why would a provider be missing from the list?+
CMS says those enrolled only to order, certify, or prescribe and those opted out will not appear. Anyone else missing is worth a person's review.
Does it replace our credentialing system?+
No. If your credentialing tool already handles this, you may not need it.
Sources
General information, not legal, tax, or compliance advice. Rules change; confirm against the current source and your own advisers.
Bring us your version of this.
Intro calls are 30 minutes, free, and useful even if we never work together. We'll be honest about whether this is the right fit for your healthcare team.