MIPS Eligible Clinicians

The Centers for Medicare & Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2025 performance year, and clinicians can now confirm their final 2025 MIPS eligibility. By entering a National Provider Identifier (NPI) into the tool—or checking the MDinteractive account dashboard—clinicians can see whether they must report for MIPS this year. The tool also provides Advanced APM eligibility information and preliminary MIPS status for 2026. Now that your final status is available, this blog will walk you through what it means, how MIPS eligibility is determined, and what to do once you know your reporting status..

The Centers for Medicare and Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2023 performance year. Clinicians can now verify their final 2023 eligibility for the Merit-based Incentive Payment Program (MIPS) by entering their individual National Provider Identifier (NPI) into the tool or checking their MDinteractive account dashboard. Clinicians can also check their eligibility in an Advanced Alternative Payment Model (APM) and preliminary MIPS status for 2024. This blog will guide clinicians through understanding MIPS eligibility and determining their reporting requirements.

CMS has updated the Quality Payment Program (QPP) Participation Status Tool for clinicians to check their final 2018 eligibility status for the Merit-based Incentive Payment System (MIPS). Clinicians can enter their individual National Provider Identifier (NPI) here to learn if they are required to report MIPS for 2018. It’s important for them to check their eligibility status now to determine if they must report.  MIPS eligible clinicians who do not report MIPS this year will receive an automatic negative 5% penalty on their Medicare Part B payments in 2020.

Before you begin your 2018 MIPS reporting, the first step you should take is to determine if you are required to report this year by checking your participation status on the CMS website. The Quality Payment Program (QPP) Participation Status tool allows clinicians to view their status for each performance year for both the Merit-based Incentive Payment Program (MIPS) and the Alternative Payment Model (APM). Keep in mind if you are not exempt from MIPS participation in 2018, failing to report will result in a 5% penalty on your Medicare Part B payments in 2020.