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What is PECOS?

What is PECOS?

PECOS is the CMS Provider Enrollment, Chain, and Ownership System used to submit and maintain Medicare enrollment information. CMS's Medicare Fee-For-Service Public Provider Enrollment landing page, modified 2026-06-30, describes one quarterly public extract derived from PECOS. The extract is not real-time and does not publish PTANs or decide billing eligibility.

Published
2026-07-21
Retrieved
Not reported
Snapshot
sha256:2d4347254b9eb48cd3095f59f63557381309b9f05c325089696efd6b1ddfd20f
Data as of
2026-06-30

Source artifact receipts

Each receipt below describes its exact retained artifact or live source. Dates and digests never cross artifact boundaries.

Scope and material limitation

What this answer covers

This answer covers CMS Medicare fee-for-service enrollment and the public extract. The official PECOS portal remains the place to submit or maintain an enrollment.

Dated source facts

What the cited record says

Source-snapshot manifest receipt

Reproducible lineage, explicitly unsigned

This receipt attests the source snapshot manifest, not any individual fact.

The answer-series chain record is unsigned. It does not authenticate a person, organization, eligibility state, or individual fact.

Snapshot manifest SHA-256
80a779ae5a9e2fb3e54593508b4236f6872732e6166fcebc5985988564699fa0
Previous chain SHA-256
f23ea67d69ed2a0bdd247438a98218193b0075f4ac1e013d9ff31b6af122bada
Current chain SHA-256
3587c343852eb8a15892dd754b23ddf36e6e2a6c87a684cb351304cb593b8c08
signature_linked_facts
0
Answer-series chain status
unsigned

Primary-source chain

Follow the answer to its source

  1. Medicare Fee-For-Service Public Provider EnrollmentCenters for Medicare & Medicaid Services (CMS)Agency release:

    Limitation: The quarterly public extract is not real-time, omits PTANs and protected fields, and does not independently decide present billing eligibility or application acceptance.

Re-derive this answer from the named source and dated scope; no Fonteum account is required.

Methodology and limitations

How to interpret this answer

Methodology version: citation-answer/v1

  • Public-extract presence is not a present billing or application decision.
  • This aggregate public-record answer is not a consumer report, person-level dossier, eligibility decision, or risk score.
Read the methodology

Frequently asked questions

Questions about this answer

Is PECOS the same as NPPES?
No. NPPES maintains NPIs; PECOS maintains Medicare enrollment information.
Is the public PECOS extract real-time?
No. CMS describes the files as quarterly and not intended for real-time reporting.

What’s on file, by the numbers

Platform snapshot · 2026-08-23

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
70fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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