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A clinician is required to participate in MIPS (i.e., is MIPS-eligible) if he/she is an eligible clinician type and meets all of the following criteria: Has enrolled as a Medicare provider before January 1, 2025 Is NOT a Qualifying Participant in an Advanced APM Meets all the following low-volume threshold criteria: Sees more than 200 Medicare Part B patients Performs 200 or more covered professional services to Part B patients Has $90,000 or more in Medicare Part B covered professional services If a clinician does not meet the eligibility requirements due to the low-volume threshold criteria, but meets at least one of those three criteria, he/she can opt-in to MIPS or voluntarily report