Medicare Revalidation Due Date API

Medicare Revalidation Due Date List API

Medicare Providers must validate their enrollment record every three or five years. CMS sets every Provider’s Revalidation due date at the end of a month and posts the upcoming six to seven months of due dates online. A due date of ‘TBD’ means that CMS has not set the due date yet. These lists are refreshed every two months and two months’ worth of due dates are appended to the list.

The Revalidation Due Date List dataset contains revalidation due dates for Medicare providers who are due to revalidate in the following six months. If a provider’s due date does not fall within the ensuing six months, the due date is marked ‘TBD’. In addition the dataset also includes subfiles with reassignment information for a given provider as well as due date listings for clinics and group practices and their providers. This dataset is based on information gathered from the Provider Enrollment, Chain and Ownership System (PECOS).

• Medicare Revalidation Due Date API
• Medicare Revalidation Due Date - Data Dictionary

revalidation_date(enroll_id = "I20031110000070", npi = 1184699621)
#> Error in revalidation_date(enroll_id = "I20031110000070", npi = 1184699621): could not find function "revalidation_date"

revalidation_date(first_name = "Eric", last_name = "Byrd")
#> Error in revalidation_date(first_name = "Eric", last_name = "Byrd"): could not find function "revalidation_date"

revalidation_date(state = "FL", type_code = "3", specialty = "General Practice")
#> Error in revalidation_date(state = "FL", type_code = "3", specialty = "General Practice"): could not find function "revalidation_date"

API Data Dictionary

Variable	Term	Definition
enrollment_id	Enrollment ID	Enrollment ID
national_provider_identifier	National Provider Identifier	National Provider Identifier (NPI)
first_name	First Name	First name of individual provider
last_name	Last Name	Last name of individual provider
organization_name	Organization Name	Legal business name of organizational provider
enrollment_state_code	Enrollment State Code	Enrollment state
enrollment_type	Enrollment Type	Provider type code (1 if Part A; 2 if DME; 3 if Non-DME Part B)
provider_type_text	Provider Type Text	Provider type description
enrollment_specialty	Enrollment Specialty	Enrollment specialty
revalidation_due_date	Revalidation Due Date	Previously assigned revalidation due date (blank if not previously assigned a due date)
adjusted_due_date	Adjusted Due Date	Next revalidation due date (blank if not yet assigned)
individual_total_reassign_to	Individual Total Reassign To	Number of individual enrollment associations that are reassigning benefits to or are employed by the organizational provider
receiving_benefits_reassignment	Receiving Benefits Reassignment	Number of organizational enrollment associations to which the individual provider reassigns benefits or is employed by