DAVID KYLE LERNER
NPI 1225531031
Otolaryngology in Miami, FL
About David Kyle Lerner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID KYLE LERNER (NPI 1225531031) is an individual otolaryngology provider in Miami, Florida, licensed in Florida (ME167986) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2018).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Kyle Lerner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show David Lerner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Lerner's NPI number?
The NPI number for David Lerner is 1225531031. It was assigned to this individual provider in the NPPES registry on March 18, 2018.
Where is David Lerner located?
David Lerner practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (513) 379-2815.
What is David Lerner's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is David Lerner enrolled in Medicare?
Yes. David Lerner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for David Lerner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Lerner reassigns Medicare benefits to University Of Miami (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Lerner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Lerner accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list David Lerner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David Lerner was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David Kyle Lerner · NPI 1225531031
Otolaryngology physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since March 18, 2018.
## Identity
- **NPI:** 1225531031 (Entity type: Individual)
- **Enumerated:** March 18, 2018
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** ME167986 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1475 NW 12TH AVE, Miami, FL 33136
- **Phone:** (513) 379-2815
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Miami (NPI 1689624108, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 2018
## Record status
- **NPPES last updated:** May 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225531031) · Data from the CMS NPPES public registry.