---
kind: "section"
citation: "42 C.F.R. § 424.520"
title: "42"
number: "424.520"
heading: "Effective date of Medicare billing privileges."
url: "https://uscodex.org/cfr/42/424.520"
---

# §424.520. Effective date of Medicare billing privileges.

- (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](/cfr/42/489.13.md) 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](/cfr/42/489.13.md).
- (b) **Independent Diagnostic Testing Facilities.** The effective date for billing privileges for IDTFs is specified in [§ 410.33(i)](/cfr/42/410.33.md?p=i) of this chapter.
- (c) **DMEPOS suppliers.** The effective date for billing privileges for DMEPOS suppliers is specified in [§ 424.57(b)](/cfr/42/424.57.md?p=b) of this subpart and [section 1834(j)(1)(A)](/cfr/42/1834.md?p=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)](#d-2) of this section is the later of—
    - (i) The date of filing of a Medicare enrollment application that was subsequently approved by a Medicare contractor; or
    - (ii) **The date that the provider or supplier first began furnishing services at a new practice location.**
  - (2) The provider and supplier types to which [paragraph (d)(1)](#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.**
    - (xiii) **Home infusion therapy suppliers.**
    - (xiv) **Physical therapists.**
    - (xv) **Occupational therapists.**
    - (xvi) **Speech language pathologists.**

## Notes

### Amendments

[73 FR 69940, Nov. 19, 2008, as amended at 75 FR 50418, Aug. 16, 2010; 79 FR 72531, Dec. 5, 2014; 84 FR 63203, Nov. 15, 2019; 85 FR 70355, Nov. 4, 2020; 86 FR 62419, Nov. 9, 2021]

### Source

Source: 71 FR 20776, Apr. 21, 2006, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.

### Amendments

[73 FR 69940, Nov. 19, 2008, as amended at 75 FR 50418, Aug. 16, 2010; 79 FR 72531, Dec. 5, 2014; 84 FR 63203, Nov. 15, 2019; 85 FR 70355, Nov. 4, 2020; 86 FR 62419, Nov. 9, 2021]