Step 1: Check participation requirements

Access our 2025 MIPS reporting options (PDF), with guidance tailored to your practice size and needs.

First, determine if you are exempt from MIPS reporting.

Use the tool below to check whether you are required to participate in MIPS. CMS uses your NPI number to retrieve your reimbursement information.

Are you exempt from MIPS?

Use the CMS Quality Payment Program (QPP) Participation Lookup Tool to enter your NPI number and determine if you are exempt from MIPS reporting.

Check your exemption status

Not exempt?

You may be eligible for an Extreme and Uncontrollable Circumstances (EUC) Exception for 2025. Learn more and apply on the QPP Exception Applications website.

Understanding participation

You must participate in MIPS (unless otherwise exempt) if, in both 12-month segments of the MIPS Determination Period, you:

Bill more than $90,000 for Part B covered professional services, and
See more than 200 Part B patients, and
Provide 200 or more covered professional services to Part B patients, and
This is not your first year as a Medicare participating provider.

The opt-in policy also remains the same. It allows physicians or groups who meet one or two of the low-volume threshold criteria to opt-in to participate in MIPS and receive a final score and payment adjustment.

The Academy’s Qualified Clinical Data Registry DataDerm allows streamlined reporting on MIPS categories, including dermatology-specific measures available nowhere else. Learn more about DataDerm.

Next steps

Are you exempt? Great! You're done!

Not exempt? Go to Step 2: Learn the MIPS categories

Use our online form to contact practice management staff with questions or concerns.

Disclaimer: The information contained in this resource has been developed as educational and reference materials, and is not intended to be legal or accounting advice. Every effort has been made to represent information that is current and accurate. As CMS continues updating the MACRA program, details in this assessment may change. The content within this resource has not been endorsed by CMS nor any other regulatory body. Users are advised that this resource does not replace or supersede local or state laws. This resource is not a substitute for attorney advice regarding your own practice's policies and legal compliance with applicable statutes. The Academy disclaims any liability arising out of the use of this resource or for any adverse outcome from the application of this information for any reason, including but not limited to the reader's misunderstandings or misinterpretations of the information contained within this resource. The information in this resource should not serve as a substitute for consulting with an attorney or other experts.

MIPS 2025 reporting: 3-step guide