CMS Data Payment Form
Description: Please use this form to pay your public use files, limited data sets, and research identifiable files fees. Also use this form to pay all other recovery of data processing fees from the Centers for Medicare & Medicaid Services. This form is NOT to be used for submitting the CMS 855 Application Fee. If you need to submit a new enrollment or revalidation fee, please use the following link: https://pecos.cms.hhs.gov/pecos/feePaymentWelcome.do
Form Number: CMS DATA Payment

We're here to help!

Expand

We're Available We're Available Monday - Friday 7 a.m. - 7 p.m. Eastern Open Send A Message Send Us A Message You will hear from us by the end of the next business day. Toll Free Number Call Us Toll Free Inside U.S.A. only 800-624-1373 International Number International Number Outside the U.S.A. +1-216-579-2112

Minimize