Medicare Enrollment and Revalidation Data MCP server

Read the current validated public preview of behavioral-health NPIs newly present in CMS pending first-time Medicare enrollment files, check up to 100 NPIs for public Medicare revalidation due dates, or retrieve exact pay-per-result automation and Medicare Roster Watch terms. The server is remote, read-only, unauthenticated, and dependency-free for clients.

Connect

Claude Code:

claude mcp add --transport http pending-medicare https://actablesite.com/mcp/pending-medicare/

For another MCP client, add a Streamable HTTP server using https://actablesite.com/mcp/pending-medicare/. No API key or authorization header is required.

Open the full client setup guide for Claude web, desktop, mobile, Cowork, VS Code, Claude Code, and manual Streamable HTTP configuration.

Claude web, desktop, mobile, or Cowork: open Customize → Connectors → Add custom connector, name it Medicare revalidation, and paste https://actablesite.com/mcp/pending-medicare/. No advanced authentication settings are needed.

VS Code user or workspace configuration:

{
  "servers": {
    "medicare-revalidation": {
      "type": "http",
      "url": "https://actablesite.com/mcp/pending-medicare/"
    }
  }
}

Try it without installing anything

List the live tools:

curl -sS https://actablesite.com/mcp/pending-medicare/ \
  -H 'content-type: application/json' \
  -H 'accept: application/json, text/event-stream' \
  --data '{"jsonrpc":"2.0","id":1,"method":"tools/list","params":{}}'

Check public Medicare revalidation dates for one or more NPIs:

curl -sS https://actablesite.com/mcp/pending-medicare/ \
  -H 'content-type: application/json' \
  -H 'accept: application/json, text/event-stream' \
  --data '{"jsonrpc":"2.0","id":2,"method":"tools/call","params":{"name":"check_medicare_revalidation_due_dates","arguments":{"npis":["1003002296"]}}}'

Both calls are read-only. They require no account, API key, checkout, or purchase.

Or inspect and connect through the automatically indexed canonical Glama connector. Glama currently reports the endpoint healthy and exposes its tool schema without requiring a manual submission.

The MCP Server Spot listing provides a public setup guide, exact tool description, compatibility metadata, and the same source and interpretation boundaries.

Related MCP server: NPPES MCP Server

Tools

get_pending_medicare_behavioral_health_preview returns:

• the current 10-row public sample, optionally filtered by up to 10 two-letter state or territory codes;

• current and prior CMS snapshot dates;

• the validated national record count, state counts, and specialty counts;

• official methodology, the public source receipt, and material limitations; and

• an optional $12 full-edition handoff to the buyer-funded Apify Actor.

The tool cannot create an Apify token, start a run, open checkout, contact an applicant, send data elsewhere, or purchase anything. The full edition remains a separate intentional event; buyer-paid Apify platform usage is separate.

check_medicare_revalidation_due_dates returns:

• every current CMS enrollment associated with up to 100 submitted NPIs;

• the established due date, adjusted date, or TBD state for each enrollment;

• provider name, state, enrollment type, specialty, source file revision, and checked time;

• explicit limits separating a public deadline from submission or case status; and

• an optional $9 monthly handoff for change-only monitoring of up to 20 NPIs.

The result also includes a bounded pay-per-result automation handoff for teams that explicitly ask for an Apify task, schedule, API integration, platform export, or authenticated Apify MCP workflow.

The free lookup remains primary. The monitoring handoff is informational and requires explicit user confirmation before any separate checkout or purchase action. The tool cannot open PECOS, submit a revalidation, upload documents, open checkout, or purchase monitoring.

For software that needs the same source-dated lookup over a quota-managed HTTP API, use the Medicare Revalidation Due Date API. It includes 25 requests per month free; the Pro plan is $19 per month for 1,000 requests. Both plans have hard limits and no soft overages. The API preserves the same CMS source receipt and non-PECOS interpretation boundary.

get_medicare_revalidation_automation_offer returns:

• the exact $0.01 USD price per returned NPI result and 100-NPI run limit;

• the Apify Store path and direct authenticated endpoint https://mcp.apify.com?tools=actablesite/medicare-revalidation-lookup-actor;

• the buyer-paid platform-usage condition and Apify OAuth boundary;

• ready task templates for recurring comparison, credentialing, and medical-billing workflows; and

• the automatic-fulfillment expectation and public-CMS-data limits.

This is an informational offer tool. It cannot authenticate, create a task, start a run, or purchase. The client must present the exact price, platform-usage condition, scope, authentication boundary, and limitations and obtain explicit user confirmation before any separate paid action.

get_medicare_roster_watch_offer returns:

• the exact $9 monthly price and 20-NPI limit;

• the dated baseline, 120/90/60/30/14/7/1/0-day reminder schedule, and change-only delivery contract;

• the public CMS signals checked every 15 minutes;

• the Stripe checkout and cancellation paths, monthly renewal, and automatic-fulfillment expectation; and

• the boundary separating public list evidence from live PECOS or contractor case status.

This is an informational offer tool. It cannot open checkout, subscribe, or purchase. The client must present the price, renewal, scope, delivery, cancellation, and limitations and obtain explicit user confirmation before any separate checkout or purchase action.

Interpretation boundary

Pending means a first-time Medicare enrollment application is still under Medicare Administrative Contractor review. It does not prove approval, enrollment, billing privileges, credentialing, licensure, a new practice, availability, interest, or buying intent. Public NPPES contact fields may be old, shared, or operational. Verify every record before relying on it.

A public revalidation due date does not prove that a revalidation was submitted, received, accepted, or completed. A TBD result means CMS has not established a due date for that enrollment in the current public list. Use PECOS and the responsible enrollment contractor for official submission and case status.

Verify

npm test
npm run verify:live

The live verifier initializes the endpoint, confirms the four-tool read-only inventory, retrieves the free preview, revalidation results, pay-per-result automation offer, and Roster Watch offer, and checks their source dates, counts, price boundaries, delivery, authentication, cancellation, and limitations. It does not authenticate, start a paid run, open checkout, or create a purchase.

Registry

The server is published through GitHub OIDC as io.github.unitedideas/pending-medicare-behavioral-health-provider-enrollment. The release workflow needs no publishing secret.

License

MIT