Subpart P—Requirements for Establishing and Maintaining Medicare Billing Privileges

1. CFR
2. ›
3. Title 42
4. ›
5. Chapter IV
6. ›
7. Part 424
8. ›
9. Subpart P

Sections

Section numbering in the official eCFR can be non-consecutive. Omitted section numbers are not treated here as reserved unless the source explicitly labels them that way.

• 424.500
  § 424.500 Scope.
• 424.502
  § 424.502 Definitions.
• 424.505
  § 424.505 Basic enrollment requirement.
• 424.506
  § 424.506 National Provider Identifier (NPI) on all enrollment applications and claims.
• 424.507
  § 424.507 Ordering covered items and services for Medicare beneficiaries.
• 424.510
  § 424.510 Requirements for enrolling in the Medicare program.
• 424.514
  § 424.514 Application fee.
• 424.515
  § 424.515 Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information.
• 424.516
  § 424.516 Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program.
• 424.517
  § 424.517 Onsite review.
• 424.518
  § 424.518 Screening levels for Medicare providers and suppliers.
• 424.519
  § 424.519 Disclosure of affiliations.
• 424.520
  § 424.520 Effective date of Medicare billing privileges.
• 424.521
  § 424.521 Request for payment by certain provider and supplier types.
• 424.522
  § 424.522 Additional effective dates.
• 424.525
  § 424.525 Rejection of a provider's or supplier's application for Medicare enrollment.
• 424.526
  § 424.526 Return of a provider's or supplier's enrollment application.
• 424.527
  § 424.527 Provisional period of enhanced oversight.
• 424.530
  § 424.530 Denial of enrollment in the Medicare program.
• 424.535
  § 424.535 Revocation of enrollment in the Medicare program.
• 424.540
  § 424.540 Deactivation of Medicare billing privileges.
• 424.541
  § 424.541 Stay of enrollment.
• 424.542
  § 424.542 Prohibition on ordering, certifying, referring, or prescribing based on felony conviction.
• 424.545
  § 424.545 Provider and supplier appeal rights.
• 424.546
  § 424.546 Deactivation rebuttals.
• 424.547
  § 424.547 Deactivation based on ordering, certifying, or referring services and items.
• 424.550
  § 424.550 Prohibitions on the sale or transfer of billing privileges.
• 424.551
  § 424.551 DMEPOS supplier changes in majority ownership.
• 424.555
  § 424.555 Payment liability.
• 424.565
  § 424.565 Overpayment.
• 424.570
  § 424.570 Moratoria on newly enrolling Medicare providers and suppliers.
• 424.575
  § 424.575 Rural emergency hospitals.