National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114)

ICR 201711-0938-003

OMB: 0938-0931

Federal Form Document

Forms and Documents
ICR Details
0938-0931 201711-0938-003
Active 201512-0938-003
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114)
Revision of a currently approved collection   No
Approved with change 06/19/2018
Retrieve Notice of Action (NOA) 11/15/2017
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved 06/30/2018
1,418,345 0 608,880
482,238 0 202,960
0 0 0

The National Provider Identifier (NPI) Application and Update Form is used by health care providers to apply for NPIs and furnish updates to the information they supplied on their initial applications. The form is also used to deactivate their NPIs if necessary. The form is available on paper or can be completed via a web-based process. An NPI is expected to last for the "life" of the health care provider (i.e., until the death of an individual or until the dissolution of an organization); therefore, a health care provider applies for an NPI only one time. A health care provider must furnish updates to the required information given in the application whenever changes occur to those data. Updates can be mailed or submitted electronically.

US Code: 31 USC 7701(c) Name of Law: Tax Payer Identification Number
   US Code: 5 USC 522(b)(4) Name of Law: The Freedom of Information Act
   US Code: 45 USC 162.410(a)(1) through (a)(6) Name of Law: Implementation Specifications: Health Care Providers
   EO: EO 12600 Name/Subject of EO: Predisclosure Notification Procedures for Confidential Commercial Information
   PL: Pub.L. 109 - 220 508 Name of Law: Rehabilitation Act of 1973 as incorporated with the Americans With Disabilities Act of 2005

Not associated with rulemaking

  82 FR 32708 07/17/2017
82 FR 49612 10/26/2017

IC Title Form No. Form Name
National Provider Identifier (NPI) Application and Update Form CMS-10114 NPI Application and Update Form
National Provider Identifier (NPI) Application CMS-10114 NPI Application

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,418,345 608,880 0 0 809,465 0
Annual Time Burden (Hours) 482,238 202,960 0 0 279,278 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
The total burden is 482,238 hours. Overall, the burden hours increased by a total of 279,278 hours (from 202,960 to 482,238). This is attributed to both the increased number of respondents and the increased time allotted per response. The number of respondents increased by 809,465 (from 608,880 to 1,418,345). This increase comes as a result of using more reliable data compiled from the National Provider Identifier Application (NPPES). The new estimates for completing the NPPES are now taken directly from the actual applications processed for calendar year 2016 in NPPES and are more accurate than the prior estimates. Previously, CMS relied solely on best guess estimates when estimating respondents. The existing figures are approximately 5 years out of date. Prior burden was based on different timing estimates as to how long it takes to complete the application. Previously, CMS estimated five minutes to complete the application. Based on updated data, CMS has increased the application completion time by 15 minutes (from 5 minutes to 20 minutes) in order for each respondent to read the instructions, review the Privacy Act Statement and complete the application. The time increase per respondent resulted in a burden hour increase of 202,366 hours (.25 hours x 809,464 respondents). In total, the annual cost has increased by $19,695,310 (from $1,622,304 to $21,297,614). Bureau of Labor Statistics (BLS) for May 2016, greatly increased the mean hourly wage for the general categories of "Office and Administrative Support Occupations" and” Health Diagnosing and Treating Practitioners" since the last review of this application form in 2014. The prior estimates did not include costs for “Health Diagnosing and Treating Practitioners” to review and sign the application, which increased the cost per application.

Jamaa Hill 301 492-4190


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

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