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LAUREN LERNER M.D.
NPI 1285994889
Physical Medicine & Rehabilitation - Pain Medicine in Miami Beach, FL

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
4302 ALTON RD STE 420, MIAMI BEACH, FL 33140(305) 672-1256(305) 672-1266 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lauren Lerner M.d. NPPES

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

LAUREN LERNER M.D. (NPI 1285994889) is an individual pain medicine provider in Miami Beach, Florida, licensed in Florida (ME121274) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285994889
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameLAUREN LERNERCredential: M.D.
Location Address4302 ALTON RD STE 420Miami Beach, FL 33140-2849
Mailing Address4302 Alton Rd Ste 420Miami Beach, FL 33140-2849 · (305) 672-1256 · Fax (305) 672-1266
Phone(305) 672-1256
Fax(305) 672-1266
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 17, 2012
Last NPPES UpdateMarch 15, 2018
✔ NPI 1285994889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in FL · ME121274
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

4302 ALTON RD STE 420, Miami Beach, FL 33140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Lerner M.d. 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.

PECOS PAC ID6800018664
PECOS Enrollment IDI20141111000371
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,420 services219 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
448 services302 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
234 services151 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
153 services147 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services43 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 13

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

Walker, rigid, wheeled, adjustable or fixed height E0141
DME-Other DME · category DE000N
3 suppliers52 claims52 services$62.97 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers51 claims51 services$46.53 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers26 claims26 services$43.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier29 claims29 services$15.25 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers19 claims37 services$25.64 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
2 suppliers19 claims37 services$46.86 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 3

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

LETICIA ADAN MD PA
Internal Medicine (Nephrology)
4302 ALTON RD STE 420
MIAMI BEACH, FL 33140
Miami-Dade County (305) 531-1664
FELICIA WATSON DO
Physical Medicine & Rehabilitation
4302 ALTON RD STE 420
MIAMI BEACH, FL 33140
Miami-Dade County (305) 672-1256
LIPKIN & TOLEDO PA
Physical Medicine & Rehabilitation
4302 ALTON RD STE 420
MIAMI BEACH, FL 33140
Miami-Dade County (305) 672-1256

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 Lauren Lerner's NPI number?

The NPI number for Lauren Lerner is 1285994889. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Lauren Lerner located?

Lauren Lerner practices at 4302 Alton Rd Ste 420, Miami Beach, FL 33140. The listed phone number is (305) 672-1256.

What is Lauren Lerner's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Lauren Lerner enrolled in Medicare?

Yes. Lauren 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.

What insurance does Lauren Lerner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Lauren 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.

Is Lauren Lerner affiliated with any hospitals?

According to CMS data, Lauren Lerner is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Lauren Lerner was last updated on March 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.