User Account Information

Fields marked with * are required

* First Name
* Last Name
* Email Address
* Practice / Organization Name
* Street Address
* City
* State/Territory
* Zipcode
* Practice / Organization Phone
(xxx-xxx-xxxx)
* Practice / Organization Fax
(xxx-xxx-xxxx)
* Practice / Organization Specialties
(Press Ctlr on your keyboard to
choose multiple specialties)
* Number of Clinicians
* Submission Type
  • Report as an individual(s) - multiple individual clinicians can use the same account to report MIPS. The MIPS scoring will be based on each individual's performance.

  • Report as a group - Each eligible clinician participating in MIPS via a group will receive the same MIPS score based on the group's performance:

  • Large group (100 or greater NPIs)
    Medium group (25-99 NPIs)
    Small group (2-24 NPIs)
     
    * Choose a username:
    (minimum of 3 characters)
    * Choose a good password:
    (minimum of 8 characters)
    * Re-enter password for verification:
     
    Please create only one account per group
    By clicking 'Continue' you are indicating that you have read and agree to the terms
    and conditions of our "User License Agreement" and "Business Associates Agreement".
    Once an account is created with our registry, MDinteractive should send you a confirmation email.
    If an email is not received, contact MDinteractive at 800-634-4731.

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