EMANUEL LERNER MD
NPI 1275692659
Pediatrics in Somerset, NJ

Active since December 08, 2006PECOS Enrolled
93.71/100
CMS Quality Rating
1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET, SOMERSET, NJ 08873(732) 743-5437 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Jul 23, 2021 (2 updates tracked since 2021).

About Emanuel Lerner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMANUEL LERNER MD (NPI 1275692659) is an individual pediatrics provider in Somerset, New Jersey, licensed in New Jersey (25MA05840800) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275692659
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEMANUEL LERNERCredential: MD
Location Address1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSETSomerset, NJ 08873-1344
Mailing Address66 West Gilbert StRed Bank, NJ 07701 · (732) 212-0051 · Fax (732) 212-0713
Sole ProprietorYes
Enumeration DateDecember 8, 2006
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
NPI 1275692659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NJ · 25MA05840800
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 WORLDS FAIR DR, Somerset, NJ 08873

Other Identifiers 1

Medicaid6605800NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emanuel Lerner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier11 claims66 services$3.53 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.77 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.24 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier12 claims24 services$1.27 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.28 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$912.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Student in an Organized Health Care Education/Training Program
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Dermatology
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR, SUITE 1
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Dermatology
1 WORLDS FAIR DR, SUITE 2400
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
SOMERSET, NJ 08873

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 Emanuel Lerner's NPI number?

The NPI number for Emanuel Lerner is 1275692659. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Emanuel Lerner located?

Emanuel Lerner practices at 1 Worlds Fair Dr Robert Wood Johnson University Medical Group - Somerset, Somerset, NJ 08873. The listed phone number is (732) 743-5437.

What is Emanuel Lerner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Emanuel Lerner enrolled in Medicare?

Yes. Emanuel Lerner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emanuel Lerner was last updated on May 2, 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.