42 CFR §424.520
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)Surveyed, certified or accredited providers and suppliers. The effective date for billing privileges for providers and suppliers requiring State survey, certification or accreditation is specified in § 489.13 of this chapter. If a provider or supplier is seeking accreditation from a CMS-approved accreditation organization, the effective date is specified in § 489.13.
- (b)Independent Diagnostic Testing Facilities. The effective date for billing privileges for IDTFs is specified in § 410.33(i) of this chapter.
- (c)DMEPOS suppliers. The effective date for billing privileges for DMEPOS suppliers is specified in § 424.57(b) of this subpart and section 1834(j)(1)(A) of the Act.
- (d)Additional provider and supplier types.
- (1)The effective date of billing privileges for the provider and supplier types identified in paragraph (d)(2) of this section is the later of—
- (2)The provider and supplier types to which paragraph (d)(1) of this section applies are as follows:
- (i)Physicians.
- (ii)Non-physician practitioners.
- (iii)Physician organizations.
- (iv)Non-physician practitioner organizations.
- (v)Ambulance suppliers.
- (vi)Opioid treatment programs.
- (vii)Part B hospital departments.
- (viii)Clinical Laboratory Improvement Amendment labs.
- (ix)Intensive cardiac rehabilitation facilities.
- (x)Mammography centers.
- (xi)Mass immunizers/pharmacies.
- (xii)Radiation therapy centers.