How to get a Florida Medicare Provider Number

Medicare is a federally funded, state-dispensed social health insurance program for citizens age 65 and older. Physicians participating in the Medicare program are issued a unique identification number, called a National Provider Identifier, which is required for Medicare to pay participant claims. Occasionally, a claim form will find its way to Medicare without the NPI requirement, preventing Medicare from paying the claim promptly. If this happens, you will need to locate your doctor’s NPI quickly to avoid delays or potentially be held liable for the full amount of your bill.

Instructions

Online

1 Visit the government’s Medicare website.

2 Click the option titled “Physicians” under “Resource Locator” in the main menu at the top of the first page. Click on “Physician Directory” on the next screen.

3 Select the “primary care physician” option if you are looking for the NPI of your family physician. Select the “Specialist” option if you are looking for the NPI of a referring physician or specialist.

4 Narrow down your results by entering the gender of the physician, primary practice or specialty, or zip code using the “Advanced Search” option. If you know the doctor’s first and / or last name, enter him for even more specific results. Skip this step if you don’t have this information handy.

5 Check the option for “Accept Medicare” at the bottom of the page to reduce the number of search results you receive. Click the “Search Now” button to begin your search.

6 Review your search results on the next screen. Click the link for the name of your doctor to review their profile. If you are positive the profile belongs to your doctor, find your NPI at the bottom of the screen and write the number. If it is not your doctor, click on the “Home Page” to see more options, and continue to review the profiles until you find the correct NPI.

By phone

7 Contact the Medicare Service line toll free at 800-633-4227, available 24 hours a day. Ask to speak to a representative who can look up national provider identification numbers.

8 Provide the representative with the name, gender, address, zip code and / or primary specialty of the physician you need to locate. If you don’t have all of this information, offer what you have. Use your original Medicare claim form for doctor information if you don’t already know it.

9 We invite you to compare the results with the representative until the correct doctor is located. Request NPI from doctor and write it down. The representative may also be able to update your Medicare claim with the NPI if you have your claim information on hand.