DMEPOS Surety Bond
A DMEPOS surety bond is the bond Medicare requires from most durable medical equipment, prosthetics, orthotics and supplies suppliers. The standard amount is $50,000 for each National Provider Identifier (NPI). Tell us about your business and we will quote it. Pay only when your bond is issued.
Prefer to talk? Call 1-844-810-2663
Free quote. Pay only when your bond is issued.
All content is researched from official state and federal sources (.gov). BuySuretyBonds.com works with Treasury-listed surety carriers.
- Who requires it: CMS (Medicare), which requires it from most DMEPOS suppliers when they enroll, change ownership or revalidate (42 CFR 424.57(d)).
- Amount: $50,000 for each assigned NPI, plus $50,000 for each adverse legal action in the prior 10 years if the CMS contractor requires it.
- Timing: We submit complete applications to the carrier promptly; most quotes within one business day.
What is a DMEPOS surety bond?
A DMEPOS surety bond is a financial guarantee filed with Medicare. It protects the program, not your business. It names three parties:
- Principal: your supplier business.
- Obligee: CMS.
- Surety: the company that backs the bond.
Under 42 CFR 424.57(d)(10), the bond must name the supplier as principal, CMS as obligee, and the surety. If a claim is paid, you owe the surety under your indemnity agreement.
How much is the bond?
| Situation | Bond amount | Rule |
|---|---|---|
| Standard supplier | $50,000 for each assigned NPI | 424.57(d)(1)(i), (d)(2)(i) |
| Adverse legal history in the prior 10 years, if the CMS contractor requires it | An additional $50,000 for each adverse legal action, on top of the base | 424.57(d)(3) |
The premium is a percentage of the bond amount, not the full $50,000; the carrier sets the final price, and any cost on this page is an estimate only.
Source: 42 CFR 424.57 (rules as of Sep 30, 2026). Confirm the current amount with your Medicare contractor.
Who needs one?
Suppliers submit the bond when they enroll in Medicare, change ownership, or answer a revalidation or reenrollment request (424.57(d)(2)(i)). The requirement applies to each assigned NPI (d)(1)(i).
Are any suppliers exempt?
- Government-operated suppliers with a comparable surety bond under State law.
- Certain orthotic and prosthetic personnel.
- Physicians and nonphysician practitioners, only for items furnished to their own patients.
- Therapists.
Each exception has conditions in 424.57(d)(15)(i). A supplier that loses its exception must submit a bond within 60 days ((d)(15)(ii)).
Key bond terms and how it works
- The bond must be continuous ((d)(4)(i)), and cancellation requires 30 days' written notice ((d)(6)(i)).
- Report adverse legal history accurately; it can change the amount required.
- Request a quote above.
- We shop multiple Treasury-listed surety carriers.
- Pay only when your bond is issued.
- Submit the bond to your Medicare contractor.
See all specialty bonds.
Frequently asked questions
What is a DMEPOS surety bond?
It is a bond that guarantees a supplier’s obligations to Medicare. It names CMS as obligee.
How much is the DMEPOS bond?
The standard amount is $50,000 for each assigned NPI. A supplier with adverse legal history in the prior 10 years may be required to add $50,000 for each adverse legal action, on top of the base (42 CFR 424.57(d)(3)).
Do I pay $50,000?
No. You pay a premium, a percentage of the bond amount; the carrier sets the final price. Any figure on this page is an estimate.
Do I need a bond for each NPI?
Yes. The requirement applies to each assigned NPI (424.57(d)(1)(i)).
Is the bond continuous?
Yes. It must be continuous (d)(4)(i). Cancellation requires 30 days’ written notice (d)(6)(i).
Who is exempt?
Government-operated suppliers with a comparable State-law bond, certain orthotic and prosthetic personnel, therapists, and physicians and nonphysician practitioners for items furnished to their own patients. Each has conditions in (d)(15)(i). A supplier that loses its exception must submit a bond within 60 days (d)(15)(ii).
What if I have a credit or legal issue?
Request a quote anyway. Bond approval and price are assessed individually.
When do I pay?
Only when your bond is issued.
Get my DMEPOS bond quote
We shop multiple Treasury-listed surety carriers. If one can't write your bond, we can take it to another.
Get My DMEPOS Bond QuotePrefer to talk? Call 1-844-810-2663
Free quote. Pay only when your bond is issued.
Sources (rules as of Sep 30, 2026)
Rules as of Sep 30, 2026. Requirements can change; confirm with the agency before you file. General information, not legal advice.