You must use the CMS Provider Enrollment, Chain and Ownership System (PECOS) website to pay this fee, click here to navigate to the PECOS site.    

For additional questions regarding your application please contact: 1-866-484-8049.

Unfortunately, the Pay.gov Customer Support team cannot process a refund for a payment that was processed using the Pay.gov site. The agency will need to initiate the refund. Please contact the Medicare Contractor for your jurisdiction so they can assist you with the refund process. Contact information for your Medicare Contractor can be found here: https://www.cms.gov/medicare/provider-enrollment-and-certification/medicareprovidersupenroll/downloads/contact_list.pdf.

Accepted Payment Methods:

• Bank account (ACH)
• Debit or credit card

With an account you can:

• See the payments you made since you created an account.
• Store payment information so you don't have to re-enter it.
• Copy a form you already submitted the next time you need to make a payment.

To take advantage of these benefits, you can Sign In . If you don't have an existing account, you will have the option to create an account on the sign-in page. To continue as a guest user, click the 'Continue to the Form' button.