LAURIE B LERNER M.D.
NPI 1316045313
Internal Medicine - Pulmonary Disease in Rochester, NY
About Laurie B Lerner M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURIE B LERNER M.D. (NPI 1316045313) is an individual pulmonary disease provider in Rochester, New York, licensed in New York (236490) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2003).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
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
Laurie B 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.
Medicare Billing Reassignments
7Medicare enrollment records show Laurie Lerner reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Rochester, NY 14617
- Reassigned Medicare billing, New York enrollment
- 1,442 clinicians in this Medicare group
Newark, NY 14513
- Reassigned Medicare billing, New York enrollment
- 679 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Newburgh, NY 12550
- Reassigned Medicare billing, New York enrollment
- 110 clinicians in this Medicare group
St Augustine, FL 32086
- Reassigned Medicare billing, Florida enrollment
- 9 clinicians in this Medicare group
Ft. Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 393 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.
Areas of Expertise CMS Part B claims 17
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Flagler Hospital
Acute Care Hospitals · Saint Augustine, FLNewark-Wayne Community Hospital
Acute Care Hospitals · Newark, NYRochester General Hospital
Acute Care Hospitals · Rochester, NYClifton Springs Hospital And Clinic
Acute Care Hospitals · Clifton Springs, NYStrong Memorial Hospital
Acute Care Hospitals · Rochester, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14621 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.
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.
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.
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 Laurie Lerner's NPI number?
The NPI number for Laurie Lerner is 1316045313. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is Laurie Lerner located?
Laurie Lerner practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4846.
What is Laurie Lerner's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Laurie Lerner enrolled in Medicare?
Yes. Laurie 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 organizations bill Medicare for Laurie Lerner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Lerner reassigns Medicare benefits to 7 organizations: Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), Newark Wayne Community Hospital (Newark, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY), Critical Care Physician Of New York PC (Newburgh, NY) and 2 more organizations, listed in the Medicare section above. Each 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 Laurie Lerner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Laurie Lerner accept?
Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Laurie 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 Laurie Lerner affiliated with any hospitals?
According to CMS data, Laurie Lerner is affiliated with Flagler Hospital, Newark-Wayne Community Hospital, Rochester General Hospital, Clifton Springs Hospital And Clinic and Strong Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Laurie Lerner was last updated on July 23, 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.
# Laurie B Lerner, M.D. · NPI 1316045313
Pulmonary Disease physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1316045313 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 236490 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, Rochester, NY 14621-3001
- **Phone:** (585) 922-4846 · **Fax:** (585) 922-4833
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Rochester General Hospital (NPI 1063531929, Rochester, NY); The Unity Hospital Of Rochester (NPI 1457395766, Rochester, NY); Newark Wayne Community Hospital (NPI 1346369212, Newark, NY); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); Critical Care Physician Of New York PC (NPI 1316293954, Newburgh, NY); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 2003
## Record status
- **NPPES last updated:** July 23, 2024
- **Other identifiers:** Medicaid 03556594 (NY); Medicaid 01131126-RGH (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1316045313) · Data from the CMS NPPES public registry.