Do you need to report MIPS in 2026?
Enter your NPI to see your 2026 MIPS participation status, as an individual and as part of a group, straight from CMS data.
You exceed the low-volume threshold. Reporting is mandatory this year, and not reporting can mean a negative adjustment of up to 9%.
Based on CMS Quality Payment Program data for the 2026 performance year. This check is a guide; the CMS lookup is the official record.
What your status means, and what to do next.
Required to report
You exceed all three low-volume thresholds. Reporting is mandatory, and not reporting can mean a negative adjustment of up to 9% on Medicare Part B payments.
See MIPS ReportingEligible to opt in
You exceed one or two of the thresholds. Reporting is optional, but opting in gives you the chance to earn a positive payment adjustment.
Talk to a specialistNot eligible
You're below the thresholds or exempt, for example if you're newly enrolled in Medicare. You don't need to report MIPS for 2026.
Explore our other solutionsYou're required to report if you exceed all three thresholds.
CMS looks at your Medicare Part B activity. Exceed one or two and you can choose to opt in.
Thresholds for the 2026 performance year, set by CMS. Each figure means “more than”. Exceed all three and reporting is required; exceed one or two and you can opt in.
Where does the result come from?
From the CMS Quality Payment Program's participation status data, looked up with your NPI. It's the same information CMS publishes for every clinician.
What happens if I'm required to report and don't?
You could receive a negative payment adjustment of up to 9% on your Medicare Part B payments in 2028, the payment year tied to the 2026 performance year.
What if I bill under a group?
The check shows your status as an individual and at the group level, so you can see whether to report on your own or with your group.
Is my information safe?
An NPI is public information, so the check doesn't need any patient data. Details you submit in the form are only used to contact you about your results.
Rather talk it through?
Our MIPS specialists can check your status for you and explain your options for 2026.