Medicare (CMS)
Part of Centers for Medicare & Medicaid Services
Summary
Medicare (CMS) is a government program, administered by Centers for Medicare & Medicaid Services, across all 50 states + DC, territories. It spans multiple plans and regional payers, so individual plans carry their own payer IDs. Provider enrollment typically takes 45-65 days, with applications through PECOS, and CAQH is not used.
At a glance
- Uses CAQH
- NoApplication route: Payer's own application
- Service area
- All 50 states + DC, territories
This is a payer parent page: the program spans multiple plans, so there is no single clearinghouse payer ID. Each associated payer below carries its own IDs and setup details.
Associated payers127
Plans and payers that operate under Medicare. Each page has its own payer IDs, links, and setup details.
- American Health Advantage of MissouriMMS01
- Blue Medicare PPO/HMO of North Carolina56152
- BlueCross BlueShield of South Carolina00401
- CoreSource (FMH)10311
- Florida Blue MedicareFBM01
- Medicare Advantage Pennsylvania11000
- Medicare Alabama Part A10111
- Medicare Alabama Part B10112
- Medicare Alaska Part A02001
- Medicare Alaska Part B02102
- Medicare American Samoa Part A01211
- Medicare American Samoa Part B01212
- Medicare and Much More Florida Incorporated (MMM Florida)MMMFL
- Medicare Arizona Part A03101
- Medicare Arizona Part B03102
- Medicare Arkansas Part A07101
- Medicare Arkansas Part B07102
- Medicare California Part A01111
- Medicare Colorado Part A04111
- Medicare Colorado Part B04112
- Medicare Connecticut Part A13101
- Medicare Connecticut Part B13102
- Medicare Delaware Part A12M76
- Medicare Delaware Part B00902
- Medicare District of Columbia Part A12301
- Medicare District of Columbia Part A (J12 Highmark)12M63
- Medicare District of Columbia Part BSMDC0
- Medicare Durable Medical Equipment Regional Carrier Jurisdiction A16013
- Medicare Durable Medical Equipment Regional Carrier Jurisdiction B17013
- Medicare Durable Medical Equipment Regional Carrier Jurisdiction C18003
- Medicare Durable Medical Equipment Regional Carrier Jurisdiction D19003
- Medicare Florida Part A09101
- Medicare Florida Part B09102
- Medicare Georgia Part A10211
- Medicare Georgia Part BSMGA0
- Medicare Home Health and Hospice J1515004
- Medicare Idaho Part A12M07
- Medicare Idaho Part B02202
- Medicare Illinois Part A06101
- Medicare Illinois Part B06102
- Medicare Indiana Part A12M09
- Medicare Indiana Part BSMIN0
- Medicare Iowa Part A05101
- Medicare Iowa Part BSMIA0
- Medicare Kansas Part A05201
- Medicare Kansas Part B05202
- Medicare Kentucky Part A15101
- Medicare Kentucky Part B15102
- Medicare Louisiana Part A07201
- Medicare Louisiana Part B07202
- Medicare Maine Part A14011
- Medicare Maine Part B14112
- Medicare Maryland Part BSMMD0
- Medicare Massachusetts Part A14211
- Medicare Massachusetts Part B14212
- Medicare Michigan Part A08201
- Medicare Michigan Part B08202
- Medicare Minnesota Part A06201
- Medicare Minnesota Part B06202
- Medicare Mississippi Part A12M17
- Medicare Mississippi Part B07302
- Medicare Missouri Part A05301
- Medicare Missouri Part B05302
- Medicare Montana Part A03201
- Medicare Montana Part B03202
- Medicare Nebraska Part A05401
- Medicare Nebraska Part BSMNE0
- Medicare Nevada Part A01311
- Medicare Nevada Part B01312
- Medicare New Hampshire Part A14013
- Medicare New Hampshire Part B14312
- Medicare New Jersey Part A12005
- Medicare New Jersey Part B12402
- Medicare New Mexico Part A04211
- Medicare New Mexico Part B04212
- Medicare New York Downstate13202
- Medicare New York Part A13201
- Medicare New York Part B Queens13292
- Medicare New York Part B Upstate13282
- Medicare North Carolina Part A11501
- Medicare North Carolina Part B11502
- Medicare North Carolina Part BSMNC0
- Medicare North Dakota Part A03301
- Medicare North Dakota Part B03302
- Medicare Northern California Part ACNMCR
- Medicare Northern California Part B01112
- Medicare Ohio Part A15201
- Medicare Ohio Part B15202
- Medicare Oklahoma Part A04311
- Medicare Oklahoma Part B04312
- Medicare Oregon Part A12M41
- Medicare Oregon Part B02302
- Medicare Part A J0491104911
- Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)12M88
- Medicare Pennsylvania Part A12501
- Medicare Pennsylvania Part B12502
- Medicare Puerto Rico Part A12M49
- Medicare Puerto Rico Part BSMPR0
- Medicare Railroad00882
- Medicare Rhode Island Part A14411
- Medicare Rhode Island Part B14412
- Medicare South Carolina Part A11001
- Medicare South Carolina Part BSMSC0
- Medicare South Dakota Part A03401
- Medicare South Dakota Part B03402
- Medicare Southern California Part B01182
- Medicare Tennessee Part A12M53
- Medicare Tennessee Part BSMTN0
- Medicare Texas Part A04411
- Medicare Texas Part B04412
- Medicare Utah Part A03501
- Medicare Utah Part B03502
- Medicare Vermont Part A12M26
- Medicare Vermont Part B14512
- Medicare Virgin Islands Part A12M52
- Medicare Virgin Islands Part B09302
- Medicare Virginia Part A11003
- Medicare Virginia Part B11302
- Medicare Washington Part B02402
- Medicare West Virginia Part A12M28
- Medicare West Virginia Part B11402
- Medicare Wisconsin Part A06001
- Medicare Wisconsin Part B06302
- Medicare Wyoming Part A03601
- Medicare Wyoming Part B03602
- MMMPREMD
- MMM HealthcareL0210
Common questions
- How long does Medicare (CMS) provider enrollment take?
- Medicare (CMS) provider enrollment typically takes 45-65 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Medicare (CMS) require CAQH?
- No. Medicare (CMS) does not use CAQH. Applications go through its own enrollment process.
- What states does Medicare (CMS) cover?
- Medicare (CMS) operates in All 50 states + DC, territories. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.