One major hurdle has been cleared for businesses looking to provide durable medical equipment, prosthetics, orthotics, or medical supplies to Medicare beneficiaries.

Effective February 27, 2026, certain initial DMEPOS supplier enrollment applications were temporarily restricted by the Centers for Medicare & Medicaid Services (CMS). This six-month moratorium expired on August 27, 2026.

National Provider Enrollment contractors are once again accepting initial Medicare enrollment applications from DMEPOS suppliers.

However, DMEPOS enrollment does not happen automatically just because the moratorium has expired.

A supplier still needs to comply with Medicare enrollment requirements, obtain required accreditation when applicable, hold appropriate state licenses, obtain an NPI, complete the Medicare enrollment application, set up electronic funds transfer, pay the Medicare enrollment fee, and pass Medicare’s enrollment review process.

There are also important accreditation changes that new suppliers should understand before beginning the process.

This guide explains Medicare DMEPOS supplier enrollment after the 2026 moratorium and how businesses can avoid unnecessary delays.

What Was the 2026 DMEPOS Enrollment Moratorium?

CMS implemented a temporary moratorium on certain initial Medicare enrollment applications from DMEPOS suppliers beginning February 27, 2026.

The moratorium remained in effect for six months and expired on August 27, 2026.

Once the moratorium ended, National Provider Enrollment contractors once again began accepting initial DMEPOS supplier applications.

The moratorium did not end the Medicare DMEPOS program or permanently block new supplier enrollments. It temporarily paused new enrollment as part of Medicare’s program-integrity efforts.

Businesses that deferred enrollment while the moratorium was in place may now proceed with the regular Medicare supplier enrollment process.

Timing is also important for suppliers that may wish to participate in future DMEPOS Competitive Bidding Program opportunities. Completing enrollment, licensing, accreditation, and PECOS requirements before applicable deadlines can help suppliers avoid last-minute issues.

What Is a DMEPOS Supplier?

DMEPOS is an acronym for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.

It includes many products used at home or as part of a Medicare beneficiary’s ongoing treatment.

The types of products included under DMEPOS may vary by supplier and product category and may include:

• Durable medical equipment
• Prosthetic devices
• Orthotic devices
• Certain medical supplies
• Mobility equipment
• Respiratory equipment
• Diabetic supplies
• Other medical equipment and supplies covered by Medicare

In general, a business that intends to supply Medicare-covered DMEPOS products and submit claims for reimbursement must enroll specifically as a Medicare DMEPOS supplier.

If an organization is enrolled under another Medicare provider type, that enrollment does not automatically allow the organization to bill Medicare as a DMEPOS supplier.

CMS-855S is the appropriate application for paper enrollment. Suppliers can also complete enrollment electronically through the Provider Enrollment, Chain, and Ownership System, commonly known as PECOS.

Who Processes DMEPOS Medicare Enrollment Applications?

Older DMEPOS enrollment materials may still reference the National Supplier Clearinghouse.

That information is outdated.

The National Provider Enrollment DMEPOS East and DMEPOS West contractors, commonly known as NPE contractors, are now responsible for processing DMEPOS enrollment applications.

The appropriate contractor generally depends on the location associated with the supplier’s Medicare enrollment.

The NPE contractor reviews:

• Enrollment information
• Supporting documentation
• Ownership disclosures
• Licensing
• Accreditation information
• Surety bond documentation
• Practice location information
• Additional information requested during review

The contractor ultimately determines whether the supplier meets Medicare enrollment requirements.

How to Enroll as a DMEPOS Supplier in Medicare in 2026

There are several connected steps in the DMEPOS supplier enrollment process. Completing them in the correct order can help reduce processing errors, delays, and requests for corrections.

1. Ensure Your Business Is Properly Structured and Licensed

Before applying for Medicare enrollment, determine which licenses your business needs to provide its products and services.

Licensing requirements can vary by:

• State
• Supplier type
• Product category
• Practice location
• Professional services offered

A license may cover only a particular product category.

Businesses that intend to operate in multiple states should also review the licensing requirements in each applicable jurisdiction.

Your business name, address, ownership information, and other licensing details should be consistent with the information provided to Medicare.

2. Obtain DMEPOS Accreditation When Required

Most DMEPOS suppliers are required to obtain accreditation from a CMS-approved accreditation organization before enrolling in Medicare.

Accreditation verifies that the supplier complies with applicable DMEPOS Quality Standards.

The accreditation process usually evaluates:

• Business operations
• Patient services
• Product management
• Equipment handling
• Documentation
• Safety procedures
• Complaint processes
• Quality improvement
• Staff responsibilities

The accreditation should also cover the products and services the supplier plans to provide.

A supplier should not assume that accreditation for one type of product automatically applies to all DMEPOS products it intends to supply.

Some supplier types may qualify for accreditation exemptions. Any business that believes it may qualify should confirm its eligibility before completing the Medicare application.

3. Obtain the Appropriate NPI

Most DMEPOS suppliers need a National Provider Identifier, or NPI.

An NPI is obtained through the National Plan and Provider Enumeration System.

Additional NPIs may be required depending on the business structure and number of business locations.

Before Medicare enrollment, the information associated with the NPI should be reviewed carefully.

Make sure details such as the following are consistent:

• Legal business name
• Tax information
• Practice address
• Organization type
• Ownership information
• Contact information

Enrollment may be delayed because of discrepancies between NPPES, PECOS, accreditation records, and licensing records.

4. Prepare Your Enrollment Documents

Having your paperwork ready before applying for Medicare can save significant time.

Common information and documents may include:

• Legal business information
• Employer Identification Number
• Tax documentation
• NPI information
• State licenses
• Local permits, when applicable
• Accreditation documentation
• Ownership details
• Managing employee information
• Practice location details
• Banking information
• Surety bond documentation
• Product and service categories

The specific documents required depend on the business and enrollment circumstances.

Consistency is essential.

The information provided in PECOS should match the information contained in your other official records.

5. Complete PECOS or CMS-855S

DMEPOS suppliers can generally submit their Medicare enrollment electronically through PECOS.

CMS-855S is the paper version of the enrollment application.

PECOS can help suppliers:

• Complete enrollment online
• Upload supporting documents
• Electronically sign enrollment applications
• Update current enrollment records
• Track enrollment activity
• Submit changes later

The enrollment application requests detailed information about the supplier, its owners, practice locations, products offered, accreditation, licensing, and other business details.

Accuracy matters.

Do not rush through the application simply to submit it quickly.

Incorrect or incomplete information can lead to additional development requests and longer processing times.

6. Complete Electronic Funds Transfer Information

Most Medicare payments are made through electronic funds transfer.

DMEPOS suppliers typically provide EFT information through CMS-588 or its electronic equivalent.

The banking information should match the enrolling organization and supporting financial records.

Errors involving bank account information, routing numbers, or entity details can cause delays.

7. Pay the 2026 Medicare Enrollment Application Fee

Most DMEPOS suppliers are required to pay a Medicare enrollment application fee.

For calendar year 2026, the Medicare application fee is $750 for providers and suppliers that are subject to the fee. This amount is listed in CMS’s official Medicare Provider Enrollment guidance for 2026.

The fee may apply when a supplier is:

• Initially enrolling
• Re-enrolling
• Revalidating
• Adding certain new practice locations

The Medicare enrollment application fee is separate from other costs associated with becoming a DMEPOS supplier.

Other costs may include:

• Accreditation fees
• Licensing fees
• Surety bond premiums
• Business registration costs
• Compliance expenses

Suppliers should consider the entire enrollment budget rather than focusing only on the Medicare application fee.

9. Prepare for Medicare Site Verification

Submitting the enrollment application does not mean the process is complete.

Medicare may verify the supplier’s practice location through an unannounced site visit.

A site visit helps determine whether the business actually operates at the address provided during enrollment.

The supplier should make sure the physical location matches the information submitted to Medicare.

This may include reviewing:

• Business signage
• Posted operating hours
• Equipment
• Records
• Physical accessibility
• Staffing
• Business activity
• Practice location information

A supplier should only report a location that is actually being used for legitimate business operations.

The site should meet applicable Medicare requirements and represent a legitimate operating business.

DMEPOS Enrollment Documents Checklist

The exact enrollment paperwork may vary, but suppliers should generally prepare the following information:

Enrollment Requirement	Purpose
Legal business information	Confirms the enrolling entity
EIN or applicable tax information	Verifies tax identity
NPI	Identifies the supplier or location
State licenses	Confirms compliance with applicable licensing requirements
Accreditation	Confirms applicable DMEPOS Quality Standards
Ownership information	Identifies owners and controlling interests
Managing employee information	Supports Medicare disclosure requirements
Practice location information	Identifies where the supplier conducts business
CMS-855S or PECOS application	Serves as the primary DMEPOS enrollment application
CMS-588 or EFT information	Establishes electronic Medicare payments
Surety bond	Satisfies applicable Medicare bond requirements
Product categories	Identifies the DMEPOS products being furnished

These records should not be treated as separate, unrelated documents.

They are connected.

If a legal name, address, ownership percentage, product category, or practice location differs from one record to another, the enrollment contractor may request clarification.

Important DMEPOS Accreditation Changes in 2026

One of the main reasons suppliers should be careful when using older DMEPOS enrollment guides is that accreditation requirements changed in 2026.

Previously, many accredited DMEPOS suppliers went through reaccreditation approximately every three years.

In 2026, CMS began increasing the frequency of accreditation reviews.

As existing accreditation cycles expire, applicable suppliers are moving toward annual resurvey and reaccreditation.

This may require suppliers to prepare for accreditation reviews more frequently than they did under the previous system.

These changes are especially important for businesses operating more than one location.

New locations may also face stricter accreditation and survey requirements before they can be successfully added.

For growing DMEPOS suppliers, accreditation planning should be treated as part of expansion planning rather than something addressed after a new location has already opened.

DMEPOS Accreditation and Medicare Enrollment Are Not the Same

Accreditation is not the same as Medicare enrollment.

An accreditation organization evaluates whether a supplier meets applicable DMEPOS Quality Standards.

The Medicare enrollment contractor determines whether the supplier meets Medicare enrollment requirements.

Passing accreditation does not automatically mean Medicare enrollment will be approved.

Similarly, completing PECOS does not provide accreditation.

A supplier can meet one requirement while still failing to meet another.

For this reason, businesses need to coordinate:

• Accreditation
• Licensing
• NPI information
• PECOS information
• Ownership disclosures
• Practice locations
• Surety bond documentation
• Product categories

Each of these records should accurately represent the same business.

Common Reasons DMEPOS Supplier Enrollment Gets Delayed

Many causes of enrollment delays can be avoided.

Understanding the most common issues can help a supplier prepare a stronger application.

Incomplete Enrollment Applications

One of the most common reasons for enrollment delays is missing information.

Before submitting PECOS or CMS-855S, review each section and make sure all required documentation is included.

Products Do Not Match the Accreditation

The products listed in the Medicare enrollment application should be supported by the supplier’s accreditation.

Adding products that are outside the accreditation scope can create enrollment problems.

Business Information Does Not Match

Any discrepancies between NPPES, PECOS, licensing records, accreditation information, and tax records may need to be corrected before enrollment can proceed.

Even small differences in names or addresses can lead to additional review.

Missing State Licenses

A supplier may be accredited for Medicare but still lack a state license required for a specific product or service.

Medicare enrollment does not replace state licensing requirements.

Incorrect Ownership Information

CMS requires specific information about ownership and control.

Failing to disclose an owner, managing employee, or other required individual may delay enrollment and result in compliance issues.

Surety Bond Problems

An incorrect bond amount, incorrect NPI, expired bond, or missing documentation can delay an application.

The Practice Location Is Not Ready

Medicare may verify the supplier’s location.

If a business cannot demonstrate legitimate operations at the enrolled address, it may experience enrollment problems.

What Happens During a DMEPOS Site Visit?

Medicare may conduct unannounced site visits as part of provider and supplier screening.

The purpose is to verify that the organization actually operates at the address reported in its enrollment application.

A site visit may include reviewing observable details such as:

• Business signage
• Office setup
• Hours of operation
• Equipment
• Inventory
• Business activity
• Accessibility
• Posted information

Other enrollment details may also be checked when necessary.

Suppliers should keep their practice location information accurate and up to date at all times.

How Long Does DMEPOS Medicare Enrollment Take?

There is no single guaranteed processing time for every DMEPOS supplier enrollment application.

Processing time may vary depending on:

• Application completeness
• Licensing verification
• Accreditation
• Surety bond documentation
• Site verification
• Ownership review
• Additional screening
• Contractor workload
• Requests for corrections
• Missing supporting documentation

A complete application generally moves more efficiently than an application that repeatedly requires additional information.

For this reason, suppliers should prepare the entire enrollment package before submitting it through PECOS.

What Happens After DMEPOS Enrollment Is Approved?

Receiving Medicare billing privileges does not end the supplier’s responsibilities.

After approval, a DMEPOS supplier remains responsible for maintaining compliance with Medicare requirements.

Ongoing responsibilities may include:

• Maintaining applicable state licenses
• Maintaining accreditation
• Maintaining the required surety bond
• Updating PECOS information
• Reporting ownership changes
• Reporting address changes
• Reporting adverse legal actions
• Keeping EFT information up to date
• Completing Medicare revalidation

Suppliers should review their Medicare enrollment information throughout the year.

Do not wait until revalidation to correct outdated records.

How Quickly Must DMEPOS Enrollment Changes Be Reported?

DMEPOS suppliers generally have strict reporting requirements.

Certain enrollment changes are typically required to be reported within 30 days.

These may include changes involving:

• Ownership
• Practice location
• Adverse legal actions
• Accreditation
• Certain business information

If Medicare enrollment information is not kept up to date, billing and compliance issues may result.

Businesses should establish an internal review process to determine whether operational changes need to be reported to Medicare.

How Often Do DMEPOS Suppliers Revalidate Medicare Enrollment?

DMEPOS suppliers generally revalidate their Medicare enrollment every three years.

This is different from many other Medicare providers that operate under a longer revalidation cycle.

CMS may also request an off-cycle revalidation when necessary.

During revalidation, suppliers may need to confirm or update:

• Ownership
• Locations
• Licensing
• Accreditation
• NPI information
• Banking information
• Managing employees
• Other enrollment records

Businesses should not assume that information submitted during initial enrollment will remain accurate until the next revalidation date.

Changes should be reported when they occur.

Do You Need Separate Medicare Enrollment for Each DMEPOS Location?

DMEPOS enrollment requirements may apply at the practice-location level.

Suppliers opening new locations should determine whether they need separate Medicare enrollment, an additional NPI, accreditation, licensing, or other requirements.

These requirements should be reviewed before opening the new location.

Expanding first and addressing Medicare enrollment later can leave a supplier with a location that is not properly approved to bill Medicare.

Does the End of the 2026 Moratorium Guarantee Enrollment Approval?

No.

The end of the moratorium simply means that applicable initial enrollment applications can once again be accepted.

It does not waive standard Medicare requirements.

A DMEPOS supplier must still meet applicable requirements involving:

• Accreditation
• Licensing
• Enrollment screening
• Ownership disclosure
• Surety bonds
• Application fees
• Practice locations
• Supplier standards
• Supporting documentation

All enrollment applications are reviewed on a case-by-case basis.

Can DMEPOS Suppliers Enroll Through PECOS?

Yes.

Most DMEPOS suppliers can electronically submit Medicare enrollment information through PECOS.

CMS-855S is the paper application.

PECOS can also be used to update or maintain Medicare enrollment information after approval.

Electronic enrollment makes it easier for many suppliers to upload documents, review application information, and manage future enrollment changes.

What Is the Medicare Enrollment Fee in 2026?

For calendar year 2026, the Medicare enrollment application fee is $750 for providers and suppliers that are subject to the fee.

Most DMEPOS suppliers are among the supplier types required to pay an application fee.

The application fee does not include the costs associated with accreditation, surety bond premiums, state licensing fees, or other expenses involved in becoming a Medicare DMEPOS supplier.

What Is the Cost of the DMEPOS Surety Bond?

The standard Medicare DMEPOS surety bond requirement is generally $50,000 per applicable NPI.

If a supplier has more than one applicable NPI, additional bond requirements may apply.

Before purchasing a bond, businesses should verify the specific requirements that apply to their enrollment.

How to Avoid DMEPOS Enrollment Problems

The strongest enrollment applications are usually prepared before PECOS is opened.

Start by identifying:

• The legal name of the business
• Where the business is located
• Which DMEPOS products will be supplied
• Which licenses are required
• Whether accreditation is required
• Which accreditation categories are needed
• Which NPI will be used
• Whether a surety bond is required
• Which documents are needed for the application

Next, compare all records.

Your NPI record, state licenses, accreditation, PECOS enrollment, tax information, ownership information, practice address, and surety bond should accurately reflect the same organization.

Maintaining a consistent enrollment file reduces the number of issues the Medicare contractor may need to resolve.

DMEPOS Medicare Enrollment Checklist for 2026

Before submitting an application, make sure you have:

• Established the appropriate legal business structure
• Obtained applicable state and local licenses
• Identified the products you plan to provide
• Obtained required accreditation
• Obtained the appropriate NPI
• Updated NPPES information
• Prepared ownership and managing employee information
• Prepared practice location information
• Obtained the applicable surety bond
• Prepared banking and EFT information
• Completed PECOS or CMS-855S
• Paid the applicable Medicare enrollment fee
• Provided the required supporting documentation
• Prepared the practice location for verification
• Reviewed the entire application for consistency

Frequently Asked Questions About DMEPOS Supplier Enrollment

When Did the 2026 DMEPOS Enrollment Moratorium End?

The temporary DMEPOS supplier enrollment moratorium ended on August 27, 2026.

Initial applications for applicable suppliers are once again being accepted.

Which Form Is Used to Enroll as a DMEPOS Supplier?

The paper Medicare enrollment application for DMEPOS suppliers is CMS-855S.

Enrollment can also be completed electronically through PECOS.

Does a Supplier Need DMEPOS Accreditation Before Medicare Enrollment?

Most DMEPOS suppliers need to be accredited by a CMS-approved accreditation organization.

Exceptions may apply depending on the supplier type.

What Is the Medicare Enrollment Fee for 2026?

In 2026, the Medicare enrollment application fee is $750 for providers and suppliers that are required to pay the fee.

Is a Surety Bond Required for DMEPOS Enrollment?

Most DMEPOS suppliers must maintain an applicable Medicare surety bond.

The standard requirement is generally $50,000 per applicable NPI.

Does Medicare Inspect DMEPOS Suppliers?

Medicare may conduct unannounced site visits to confirm that the supplier operates at the address listed in its enrollment information and meets applicable requirements.

How Often Do DMEPOS Suppliers Revalidate?

DMEPOS suppliers generally revalidate their Medicare enrollment every three years.

Can a New DMEPOS Location Use the Same Accreditation?

Suppliers should not assume that an existing accreditation automatically extends to a new location.

Accreditation, surveying, licensing, NPI, and Medicare enrollment requirements may apply separately to new locations.

Can I Bill Medicare Immediately After Submitting PECOS?

No.

Submitting an application does not mean Medicare billing privileges have been granted.

The enrollment contractor must review and approve the application.

Final Thoughts

The end of the DMEPOS enrollment moratorium has reopened an important opportunity for suppliers that want to provide services to Medicare beneficiaries.

However, reopening enrollment does not mean the process is simple.

A DMEPOS supplier must still coordinate licensing, accreditation, NPI registration, PECOS or CMS-855S enrollment, electronic funds transfer, the Medicare enrollment fee, surety bond requirements, ownership disclosures, and Medicare enrollment verification.

With the changes to DMEPOS accreditation in 2026, it is especially important to use current information rather than relying on outdated enrollment guides.

The best approach is to have the entire enrollment file ready before submitting an application.

When licensing, accreditation, NPPES, PECOS, ownership information, practice locations, and other supporting documents all align, the supplier is in a much stronger position to move through the Medicare enrollment process without unnecessary delays.