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Revalidation record

Bicycle Health Medical Group Pa — revalidation due 2026-09-30

past duemay be stale

NPI 1194342162 · Non-DME Part B · WA · Enrollment ID O20201228002478

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 10 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20201228002478WA855B2026-09-30
O20220328001428OR855BTBD
O20220412001974AZ855BTBD
O20220413000994MT855BTBD
O20220414000713WY855BTBD
O20240821003733NC855BTBD
O20240924002878MI855BTBD
O20241001000739TX855BTBD
O20241122000039NM855BTBD
O20250515003001FL855BTBD
Revalidation due
2026-09-30
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-09-30 (29 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-09-30

Not an official CMS system. Verify before filing.

All WA revalidation dates for October 2026Where this date comes from