Industry Note:
Beware: NPI Doesn't Equal PECOS Enrollment
Published on Fri Mar 22, 2013
Beware: just because you have a physician’s NPI, doesn’t mean he’s in the PECOS system. Starting in May, your claims will be denied when the ordering physician is not part of PECOS.
How this happens: If the referring/ordering doctor has a valid NPI but has not updated his enrollment in the last five [...]