Railroad Medicare PTAN Lookup and Request Tool FAQs

Question: What is the Railroad Medicare PTAN Lookup and Request Tool?

Answer: The Railroad Medicare PTAN Lookup and Request Tool is an online tool that allows providers to obtain their Railroad Medicare Provider Transaction Access Number (PTAN) or request a new Railroad Medicare PTAN. This tool replaces the "Request for Railroad Medicare PTAN for Electronic Submitters" form. You can access the tool at www.PalmettoGBA.com/RR/PTAN.

Question: What provider information do I enter to look up an existing Railroad Medicare PTAN?

Answer: To look up an existing Railroad Medicare PTAN for an individual provider or supplier (physician, non-physician practitioner, ambulance, laboratory, ambulatory surgical center, etc.), enter the following:

  • PTAN assigned to the individual provider or supplier by the local Part B MAC
  • Individual NPI
  • Last 5-digits of Tax Identification Number (TIN)*

* If the provider is enrolled under a Social Security Number (SSN), please call our Provider Contact Center at 888-355-9165 for assistance. Choose option 3 for Provider Enrollment and then choose option 0 to speak with a Provider Enrollment Specialist.

Look up an existing Railroad Medicare PTAN for a group/practice, enter the following:

  • PTAN* assigned to the group/practice by the local Part B MAC
  • Group/practice NPI
  • Last five digits of Tax Identification Number (TIN)

* If the Railroad Medicare PTAN is linked to multiple NPI numbers, please call our Provider Contact Center at 888-355-9165 for assistance. Choose option 3 for Provider Enrollment and then choose option 0 to speak with a Provider Enrollment Specialist.

If you are employed by a clearinghouse or third-party biller, you must contact the provider to obtain the PTAN.

Question: Why can’t the PTAN Tool find my existing Railroad Medicare PTAN? I verified the Part B MAC enrollment information I am entering is correct.

Answer: Please make sure that both the Part B MAC PTAN and the NPI you are entering are correct for the individual provider or the group provider you are trying to look up. A common error we see is a provider entering a group MAC PTAN with group member’s individual NPI, or an individual MAC PTAN with a group’s NPI. If you are looking up an individual provider, you must enter an individual MAC PTAN and an individual NPI. If you are looking up a group provider, you must enter a group MAC PTAN and a group NPI.

The PTAN Lookup and Request Tool is currently not able to look up an existing Railroad Medicare PTAN in the following circumstances:

  • The provider is enrolled under a Social Security Number (SSN) instead of under a Tax Identification Number (TIN)
  • The provider’s Railroad Medicare PTAN is not active

If one of those scenarios applies to you, please call our Provider Contact Center at 888-355-9165 for assistance. Choose option 3 for Provider Enrollment and then choose option 0 to speak with a Provider Enrollment Specialist.

If you are employed by a clearinghouse or third-party biller, you must contact the provider to obtain the PTAN.

Question: What provider information do I enter to request a new Railroad Medicare PTAN?

Answer: To request a new Railroad Medicare PTAN for an individual provider or supplier (physician, non-physician practitioner, ambulance, laboratory, ambulatory surgical center, etc.), enter the following:

  • PTAN assigned to the provider or supplier by the local Part B MAC
  • NPI linked to the PTAN the request is for
  • Last five digits of Tax Identification Number (TIN)*

*If the provider is enrolled with their Part B MAC under a Social Security Number (SSN), please call our Provider Contact Center at 888-355-9165 for assistance. Choose option 3 for Provider Enrollment and then choose option 0 to speak with a Provider Enrollment Specialist.

Question: I just received my Part B MAC PTAN. How soon can I request a Railroad Medicare PTAN through the PTAN Lookup and Request Tool?

Answer: Please verify the date your Part B MAC PTAN was assigned, and allow 14 business days from that date before requesting a Railroad Medicare PTAN through the PTAN Lookup and Request Tool. Also, remember you should not request a Railroad Medicare PTAN until you have a Part B claim to submit for a Railroad Medicare patient.

Question: Are there some scenarios in which a provider cannot request a new Railroad Medicare PTAN through the PTAN Lookup and Request Tool?

Answer: The PTAN Lookup and Request Tool is currently not able to assign a new Railroad Medicare PTAN in the following circumstances:

  • The provider is enrolled under a Social Security Number (SSN) instead of under a Tax Identification Number (TIN)
  • The provider’s local Part B MAC PTAN is linked to multiple NPIs

If one of those scenarios applies to you, please call our Provider Contact Center at 888-355-9165 for assistance. Choose option 3 for Provider Enrollment and then choose option 0 to speak with a Provider Enrollment Specialist.

If you are employed by a clearinghouse or third-party biller, please advise the provider to contact Provider Enrollment directly.

Question: We are establishing a new group. How do we request a new group PTAN using the PTAN Lookup and Request Tool?

Answer: A new group PTAN will be created when a new group member PTAN is assigned to the first group member. Once enrollment for the new group has been completed with your local Part B MAC, and a group member has seen a Railroad Medicare patient, that provider will need to request a new Railroad Medicare PTAN using their new local MAC PTAN for the group member. We will verify their MAC PTAN enrollment and assign a new Railroad Medicare PTAN to the provider and create a new group PTAN at this time.

Question: I requested a PTAN and received a reference number. Why can’t I retrieve the PTAN through the PTAN Lookup and Request tool?

Answer: Please make sure you have allowed at least 30 days for processing and that you are entering the provider’s local Part B MAC PTAN, NPI and TIN exactly as you entered them on the request. If you are still unable to retrieve the PTAN, call our Provider Contact Center at 888-355-9165 for assistance. Choose option 3 for Provider Enrollment and then choose option 0 to speak with a Provider Enrollment Specialist.

Contact Railroad Medicare

Email Railroad Medicare

Contact a specific Railroad Medicare department

Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

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