DR. ROBERT D. LERNER M.D
NPI 1295783181
Internal Medicine - Gastroenterology in Mobile, AL

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
83.85/100
CMS Quality Rating
1700 SPRINGHILL AVE, SUITE 100, MOBILE, AL 36604(251) 435-1200(251) 435-6357 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert D. Lerner M.d NPPES

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

DR. ROBERT D. LERNER M.D (NPI 1295783181) is an individual gastroenterology provider in Mobile, Alabama, licensed in Alabama (14021) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1983).

NPPES Registry Identity

NPI1295783181
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ROBERT D. LERNERCredential: M.D
Location Address1700 SPRINGHILL AVE, SUITE 100Mobile, AL 36604-1407
Mailing Address1700 Springhill Ave, Suite 100Mobile, AL 36604-1407 · (251) 435-1200 · Fax (251) 435-6357
Fax(251) 435-6357
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1983
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 27, 2019
NPI 1295783181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AL · 14021
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1700 SPRINGHILL AVE, Mobile, AL 36604

Accepted 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

Dr. Robert D. 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 ID7517095110
PECOS Enrollment IDI20100430000641
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 27

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services143 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
96 services96 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services68 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
86 services86 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
80 services73 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
63 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36604 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

83.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.59 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims176 services$2.28 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$1.60 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 20

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

Internal Medicine
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine (Gastroenterology)
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine (Pulmonary Disease)
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine (Pulmonary Disease)
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine (Gastroenterology)
1700 SPRINGHILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine
1700 SPRINGHILL AVE
MOBILE, AL 36604

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 Robert Lerner's NPI number?

The NPI number for Robert Lerner is 1295783181. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Robert Lerner located?

Robert Lerner practices at 1700 Springhill Ave Suite 100, Mobile, AL 36604. The listed phone number is (251) 435-1200.

What is Robert Lerner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Lerner enrolled in Medicare?

Yes. Robert 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 Robert Lerner accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Robert 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 Robert Lerner was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.