2026 Specialty Measure Set

2026 MIPS Quality Measures for Physical Medicine

The 9 MIPS quality measures designated by CMS for the Physical Medicine specialty set. These are the measures physical medicine specialists are most likely to report on—though any MIPS-eligible measure can be submitted.

9measures
6high priority
9with benchmarks
7topped out
ID Measure eCQMType Status
MIPS 047Advance Care PlanHigh PriorityTopped Out
MIPS 130Documentation of Current Medications in the Medical RecordCMS68v15High PriorityTopped Out
MIPS 155Falls: Plan of CareHigh PriorityTopped Out
MIPS 182Functional Outcome AssessmentHigh PriorityTopped Out
MIPS 226Preventive Care and Screening: Tobacco Use: Screening and CessationCMS138v14ProcessTopped Out
MIPS 317Preventive Care and Screening: Screening for High Blood Pressure and Follow-UpCMS22v14ProcessTopped Out
MIPS 374Closing the Referral Loop: Receipt of Specialist ReportCMS50v14High PriorityTopped Out
MIPS 431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & BriefProcessBenchmark
MIPS 468Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)High PriorityBenchmark

All Specialty Sets

Allergy/Immunology12Anesthesiology4Audiology10Cardiology22Certified Nurse Midwife11Chiropractic Medicine8Clinical Social Work19Dentistry2Dermatology11Diagnostic Radiology6Electrophysiology Cardiac Specialist2Emergency Medicine10Endocrinology16Family Medicine62Gastroenterology11General Surgery10Geriatrics22Hospitalists4Infectious Disease15Internal Medicine57Interventional Radiology13Mental/Behavioral Health20Nephrology17Neurology22Neurosurgical8Nutrition/Dietician8Obstetrics/Gynecology23Oncology/Hematology24Ophthalmology17Optometry6Orthopedic Surgery29Otolaryngology20Pathology7Pediatrics16Physical Medicine9Physical Therapy/Occupational Therapy25Plastic Surgery7Podiatry9Preventive Medicine20Pulmonology14Radiation Oncology4Rheumatology15Skilled Nursing Facility12Speech Language Pathology10Thoracic Surgery10Urgent Care11Urology21Vascular Surgery12

⚠️ ASM Alert: Physical Medicine

Physical Medicine is one of the first specialties subject to the mandatory Ambulatory Specialty Model starting January 2027. ASM quality measures overlap with this specialty set.

ASM Preparation for Physical Medicine

Need help selecting measures?

VBCA's clinical policy team helps practices choose the right measure mix based on patient population, benchmark opportunity, and program requirements.

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