Services

Medicare & Medicaid Provider Enrollment Services

PECOS and state Medicaid enrollment done right the first time — and revalidations tracked so your billing privileges never deactivate.

Medicare doesn’t care that you didn’t get the letter. Enrollment and revalidation run on hard deadlines and unforgiving forms: an NPPES record that doesn’t match your PECOS application, a reassignment filed to the wrong TIN, a revalidation that lapsed during a busy quarter — each one stops your Medicare revenue cold.

We handle the whole government-payer stack: NPI, PECOS, state Medicaid, and the revalidation calendar afterward, so the deadline is our problem instead of yours.

What's included

  • NPI setup or corrections in NPPES (Type 1 and Type 2)
  • Medicare enrollment via PECOS — individual and group
  • State Medicaid enrollment, including Texas TMHP
  • Revalidation tracking and filing before deadlines lapse
  • Reassignment of benefits and group linkage done correctly
  • Deactivation rescue: getting billing privileges reinstated

How it works

  1. Records check

    We verify your NPPES data, existing enrollments, and revalidation dates before touching anything — half of Medicare problems start with stale records.

  2. Applications filed

    PECOS and Medicaid applications submitted with supporting documents complete — the resubmission loop is where months disappear.

  3. Follow-up to approval

    We work the MAC and state queues until you have your approval letters and billing privileges confirmed.

  4. Deadlines on our calendar

    Your revalidation dates go on our tracking calendar, not a sticky note — filed early, every cycle.

Typical timeline: Medicare typically 60–90 days; state Medicaid varies widely (TMHP commonly 90–120 days).

Pricing is quoted per practice — payers, providers, and states drive it — and your exact number goes in writing before you commit.How pricing works →

Common questions

What happens if I miss a Medicare revalidation?
Your billing privileges deactivate and claims stop paying — and reinstatement isn't retroactive to cover the gap. It's the single most expensive administrative miss in this field, and it's fully preventable with deadline tracking.
What's the difference between NPPES, PECOS, and CAQH?
NPPES issues your NPI. PECOS is Medicare's enrollment system. CAQH is the profile commercial payers pull from. They don't sync with each other — inconsistencies across the three are a top cause of stalled applications.
Can you enroll my group as well as me individually?
Yes — Type 2 NPI, group PECOS enrollment, and reassignment of benefits linking each provider to the group correctly. Bad linkage is a classic source of CO-109 denials.
Do you handle Medicaid outside Texas?
Yes, in all states. Texas TMHP is home turf, but we file state Medicaid enrollments nationwide.

Talk it through with a specialist.

Free 20-minute consult — your payers, your timeline, and what it'll cost.