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CredNet

Medicare (CMS)

Part of Centers for Medicare & Medicaid Services

Government programPayer parent
Typical enrollment turnaround
45-65 days

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.

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 Spot something out of date?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.