MIPS Score Lookup by Physician
Search CMS Quality Payment Program MIPS scores by physician name, NPI, or specialty. Source-provenanced to the CMS QPP PY2023 federal dataset. Free, no signup.
What this tool covers
The CMS Quality Payment Program publishes individual clinician MIPS scores annually. Each record includes the final composite score (0–100), component scores for Quality, Cost, Improvement Activities, and Promoting Interoperability, and the resulting Medicare payment adjustment percentage. Fonteum adds field-level provenance — source identifier, performance year, ingest timestamp — so every record is traceable to its CMS origin.
Score bands
Thresholds reflect CMS QPP PY2023 performance category structure.
Frequently asked questions
- What is a MIPS score?
- MIPS stands for Merit-based Incentive Payment System, part of the CMS Quality Payment Program (QPP). Eligible clinicians receive a composite score from 0 to 100 based on four performance categories: Quality (30%), Cost (30%), Improvement Activities (15%), and Promoting Interoperability (25%). The score determines a Medicare payment adjustment applied two years later — higher scores earn positive adjustments; lower scores receive negative adjustments.
- How do I look up a physician's MIPS score by name?
- Enter the physician's first or last name in the Physician Name tab. Fonteum searches the CMS NPPES registry to find matching providers and overlays their MIPS scores from the CMS Quality Payment Program PY2023 dataset. For an exact match, use the NPI tab with the provider's 10-digit National Provider Identifier. For specialty-wide searches, use the Specialty tab and enter a specialty description such as 'Internal Medicine' or 'Family Practice'.
- What do the MIPS score bands mean — Exceptional, Above Average, Met Threshold, Below Threshold?
- Fonteum classifies MIPS final scores into four bands based on CMS QPP performance thresholds. Exceptional (75+): clinician performance significantly above the national average, typically qualifies for exceptional performance bonus payments. Above Average (60–74.99): above the performance threshold with a positive payment adjustment. Met Threshold (45–59.99): meets the minimum performance threshold with a minimal positive adjustment. Below Threshold (below 45): performance below the minimum threshold; subject to a negative payment adjustment.
- Why might a physician have no MIPS score?
- Not all clinicians participate in MIPS. A physician may not have a MIPS score because: (1) they are not a MIPS-eligible clinician type; (2) they qualified for an exception — small practice, extreme hardship, low-volume threshold; (3) they participate in an Advanced Alternative Payment Model (AAPM) instead of MIPS; or (4) they opted out of Medicare entirely. Fonteum shows the most recent performance year data available in the CMS QPP dataset.
Source & limitations
Data source: CMS Quality Payment Program (QPP) — MIPS Individual Clinician Performance Data, published annually by the Centers for Medicare & Medicaid Services at qpp.cms.gov. Federal public domain (US-Government-Works). Provider name and specialty sourced from the CMS NPPES public registry in real-time.
Limitations: MIPS scores reflect individual clinician performance for PY2023 only. Not all eligible clinicians are included — those with low Medicare volume, small-practice exceptions, or extreme hardship exceptions may be absent. Group practice scores are tracked separately and not shown here. Do not use for credentialing, contracting, or regulatory decisions without verifying at the official CMS QPP portal.
Free to cite with attribution to Fonteum Research and a link to this tool.