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Healthcare Data GlossaryProvider

PECOS: Definition and Healthcare Context

Full name: Provider Enrollment, Chain, and Ownership System

The Provider Enrollment, Chain, and Ownership System (PECOS) is the CMS enrollment database for Medicare providers and suppliers. PECOS stores enrollment records for practitioners, group practices, and suppliers who have applied to participate in Medicare. The system records enrollment status, effective dates, practice locations, and reassignment of billing rights. The PECOS Public Extract (PPEF) is a periodically released public file enabling external verification of Medicare enrollment status by NPI.

Last updated: 2026-05-31Reviewed by: Dr. Jennifer Montecillo, MD — Gullas College of Medicine, 2019. Non-practicing medical reviewer.

How it’s used

  • CMS PECOS Medicare Provider Enrollment: the PPEF file provides Medicare enrollment status, enrollment type, and practice state for all active Medicare enrollees.
  • CMS NPPES NPI Registry: NPPES and PECOS are joined via NPI to correlate Medicare enrollment with provider taxonomy and address data.
  • CMS QPP MIPS: MIPS eligibility determination references PECOS enrollment to confirm a provider participates in Medicare fee-for-service.

Frequently asked questions

What does PECOS stand for?
PECOS stands for Provider Enrollment, Chain, and Ownership System — CMS's database for Medicare provider and supplier enrollment records.
Is PECOS data public?
A public extract (PPEF) is released periodically by CMS, covering active Medicare enrollment status, NPI, and practice information.
How is PECOS different from NPPES?
NPPES assigns and maintains NPIs for all health care providers. PECOS tracks which of those providers are actively enrolled in Medicare.

Related terms

  • NPI Number
  • NPPES
  • PTAN
  • Provider Enrollment
  • UPIN
  • CMS

Authoritative sources

  • CMS: PECOS overview↗
  • CMS: Medicare enrollment data↗
← All glossary terms

Compliance posture

Methodology · Corrections log · Editorial policy

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