NPPES

NPPES User Name and Password Information

PI and NPPES User Name and Password Information

Q: Who do I contact if I cannot remember my NPPES password?

A: Contact the NPI Enumerator at 1-800-465-3203 or send an e-mail to customerservice@npienumerator.com.

Q: How do I change my NPPES password?

A: Go to https://nppes.cms.hhs.gov/NPPES/Welcome.do and select the "Reset Password Page" under the NPPES Application help page. Note: CMS recommends that you change your NPPES password before accessing Internet-based PECOS for the first time and at least once a year thereafter.

Q: How long does it take to change my NPPES password?

A: In most cases, a password change can be made in less than 5 minutes.

Q: Are my NPPES User ID and password the same as ones that I will use for Internet-based PECOS?

A: Yes

Q: Can I change my NPPES User ID?

A: For security reasons, you cannot change your NPPES User ID.

Enrollment submission of PECOS

who is new patient - Medicare rule of group practice

The Medicare Claims Processing Manual (Chapter 12, Section 30.6.7) now defines “new patient” for the E/M visit code and reads as follows.

Interpret the phrase “new patient” to mean a patient who has not received any professional services, i.e., evaluation and management service or other face-to-face service (e.g., surgical procedure) from the physician or physician group practice (same physician specialty) within the previous three years. For example, if a professional component of a previous procedure is billed in a 3-year time-period, e.g., a lab interpretation is billed and no E/M service or other face-to-face service with the patient is performed, then this patient remains a new patient for the initial visit. An interpretation of a diagnostic test, reading an x-ray or EKG etc., in the absence of an E/M service or other face-to-face service with the patient does not affect the designation of a new patient.