DMEPOS Suppliers Must Use Individual Practition​er NPIs to Bill for Ordered/Re​ferred Services
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DMEPOS Suppliers Must Use Individual Practition​er NPIs to Bill for Ordered/Re​ferred Services

Durable Medical Equipment Medicare Administrative Contractors (DME MACS) will be contacting Durable Medical
Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers that submitted claims using both a group name and national provider identifier (NPI) as the ordering NPI for ordered or referred services. The physician's name and NPI, not a group name and NPI, must be used as the ordering name and NPI on the claim. Once CMS turns on the edits for ordering/referring services, claims using a group NPI will be denied.

Physicians may verify their individual NPI using the NPI Registry on the CMS website.

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