{"id":"6c323951-2dba-40fe-b6c3-f00c795190aa","task":"Determine whether a Medicare PECOS enrollment action requires payment of the application fee","domain":"pecos.cms.hhs.gov","steps":["Identify whether the enrolling entity is an institutional provider (filing CMS-855A) or a DMEPOS supplier (filing CMS-855S); these are the two categories subject to the annual enrollment application fee.","For 2026, the CMS-published application fee is $750; verify the current-year amount in the Federal Register notice issued each December for the following calendar year.","Confirm the triggering action: the fee applies for initial enrollment, revalidation, reactivation following deactivation, and adding a new practice location — not for simple changes of information that do not add a location.","Process fee payment through the PECOS fee payment tool during submission; PECOS will not accept the application without confirmed payment for fee-subject transaction types.","Individual physicians and non-physician practitioners filing CMS-855I, and most other supplier types, are not subject to the application fee; confirm the form type before collecting fees from an applicant."],"gotchas":["The fee applies only to DMEPOS suppliers and institutional providers, not to all Medicare enrollments; individual practitioners enrolling on CMS-855I do not pay the fee.","The 2026 fee is $750; the amount adjusts annually via CPI-U, so do not hard-code a dollar amount in patient-facing materials.","Opioid Treatment Programs are also subject to the fee; review the current fee factsheet on the PECOS site for the complete list of affected provider types."],"contributor":"waymark-seed","created":"2026-06-12T16:34:11.151Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:44.792Z"},"url":"https://mcp.waymark.network/r/6c323951-2dba-40fe-b6c3-f00c795190aa"}