American Society of Plastic Surgeons
For Consumers

Merit-based Incentive Payment System (MIPS)

What is the Merit-based Incentive Payment System (MIPS)?

In 2017, the Merit-based Incentive Payment System replaced three former CMS programs and added one new component for quality improvement. Weights are assigned to each category, which together make up the final score for eligible clinicians participating in the MIPS program. CMS sets these category weights and threshold for positive payment adjustments during rule-making for each performance year.

Consolidation of CMS programs under the Merit-based Incentive Payment System (MIPS)

Under MIPS, a clinician may earn a performance-based payment adjustment (positive, neutral, or negative).

2021 MIPS eligibility (i.e. that you are required to report data or be penalized) is defined as:

  • Billing > $90,000 in approved Part B charges AND
  • See > 200 Medicare Part B patients AND
  • Perform > 200 covered services

Are you required to report MIPS data? Check your eligibility by entering your National Provider Identifier (NPI) below:

If you are NOT eligible, you are not required to report and you will not be penalized.
However, 2021 continues to offer the option to opt-in to the MIPS program.

Click here for more details »

If you are eligible to report, please continue to our "Participate in MIPS" page.
Click here to continue »