Help the AANPA Inform Medicare About Remaining NPI Problems

May 15, 2008


The Centers for Medicare & Medicaid Services (CMS) has indicated that the National Provider Identifier (NPI) deadline will remain May 23rd with no chance for an extension. That’s less than two weeks away!

During a recent exercise Medicare conducted, clearinghouses "stripped off" legacy numbers contained on any claims they received and forwarded them onto Medicare with just the NPI numbers. Medicare reported that this drill resulted in a low claims rejection rate. The purpose of the exercise was to determine what the situation may look like after May 23rd when just the NPI number will be the only identifier permitted on claims.

The American Medical Association (AMA) is concerned that while this drill may have been helpful, it does not include the numerous physicians who are presently unable to bill Medicare and thus are sitting on their claims due to being required to re-enroll or other NPI matching problems and has asked for the AANPA’s help to gather information on:

  • Names of physicians who are unable to submit claims now due to enrollment / NPI matching problems
  • Where they are located (city / state)
  • The dollar amount of claims they are sitting on
  • A phone number (Medicare has said it will not be able to reach out to everyone)
  • Their Medicare legacy number(s) / NPI number(s) if you are able to get it

If you are still having NPI problems, please send an email including the above information by 10am CDT, on Monday, May 19 to so that it can be forwarded to CMS.