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MIPS Eligible Practitioners are licensed physicians including doctors of medicine, doctors of osteopathy, osteopathic practitioners, doctors of dental surgery, doctors of dental medicine, doctors of podiatric medicine, doctors of optometry, chiropractors, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, clinical psychologists, physical therapists, occupational therapists, qualified speech-language pathologists, qualified audiolo- gists, registered dieticians and nutrition professionals, and clinicians who have billed more than $90,000 in Medicare Part B allowable charges, consult more than 200 Part B patients, and provide 200 or more covered professional services to Medicare Part B patients.
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MIPS Exempt Practitioners are those that are not included in any of the eligible clinician types, clinicians who enroll in Medicare for the first time in 2019, who participate in APM, are either a qualifying APM participant or partial qualifying participant, those who are not in a MIPS eligible specialty, clinicians or groups that have billed $90,000 or less in Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries (including Railroad Retirement Board and Medicare secondary payer), clinicians or groups that have 200 or fewer Medicare Part B FFS beneficiaries, and clinicians or groups that have provided less than 200 covered professional services to Medicare Part B patients.
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