tci Medicare Compliance & Reimbursement - 2014 Issue 19

Industry Notes: CMS Explains Difference Between NPI and PTAN

You know just where to list your NPI on your Medicare claims and you have your PTAN handy whenever you call your MAC about a billing issue. But do you know the difference between these two identifiers, and why they both exist? Many providers don’t — and the Centers for Medicare & Medicaid Services (CMS) aims to clear that up in MLN Matters article SE1216, which the agency revised last week. NPI: The National Provider Identifier (NPI) is distributed by CMS and is a unique 10-digit number that identifies your provider to the Medicare program. You’ll list...

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