DMEPOS Suppliers Must Use Individual Practitioner NPIs to Bill for Ordered/Referred 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.