MICHAEL A LERNER M.D.
NPI 1508849308
Family Medicine in Frederick, MD

Q: What is Michael Lerner's NPI number?

The NPI number for Michael Lerner is 1508849308. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Q: What is Michael Lerner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Lerner was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment

63 THOMAS JOHNSON DR, SUITE E, FREDERICK, MD 21702(301) 694-7600(301) 228-2500 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael A Lerner M.d. NPPES

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

MICHAEL A LERNER M.D. (NPI 1508849308) is an individual family medicine provider in Frederick, Maryland, licensed in Maryland (D0041619) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of University Of Maryland School Of Medicine (1988).

NPPES Registry Identity

NPI1508849308

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL A LERNERCredential: M.D.

Location Address63 THOMAS JOHNSON DR, SUITE EFrederick, MD 21702-4384

Mailing Address610 Solarex CtFrederick, MD 21703-8624

Phone(301) 694-7600

Fax(301) 228-2500

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1988

Enumeration DateNovember 25, 2005

Last NPPES UpdateAugust 2, 2016

✔ NPI 1508849308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D0041619

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

63 THOMAS JOHNSON DR, Frederick, MD 21702

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Other Identifiers 7

Medicaid926580507MD

Medicare PIN451LMD

Medicare PINCD8143MD

Medicare PIN080119738MD

Medicare UPINE83636MD

Medicaid926580505MD

Medicare PIN261CMD

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

Michael A 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 ID2961535562

PECOS Enrollment IDI20100803000979

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 16

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

442 services308 patients

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.

429 services261 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

274 services274 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.

208 services158 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

140 services139 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

134 services132 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

36 services35 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

33 services29 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

31 services31 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

30 services30 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

30 services30 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services24 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

20 services20 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

16 services15 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

15 services15 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%13,435 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

83%120 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

96%491 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

57%7,092 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

97%6,801 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

49%6,801 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

46%6,801 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers36 claims75 services$5.82 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier11 claims22 services$1.03 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers11 claims66 services$1.81 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

2 suppliers13 claims13 services$14.72 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers14 claims14 services$23.81 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers28 claims32 services$76.49 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 15

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

DR. CHARLES JACKSON VANMETER JR. MD

Dermatology (Dermatopathology)

63 THOMAS JOHNSON DR, STE A
FREDERICK, MD 21702

Frederick County (301) 663-0400

WARNER & VANMETER M.D.PA

Dermatology

63 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

Frederick County (301) 663-0400

JESSIE E. MALLALIEU P.A.-C.

Physician Assistant

63 THOMAS JOHNSON DR, SUITE B
FREDERICK, MD 21702

Frederick County (301) 698-2424

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

Podiatrist

63 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702

Frederick County (301) 696-0818

DR. WYATT CLARENCE TO MD

Plastic Surgery (Plastic Surgery Within the Head and Neck)

63 THOMAS JOHNSON DR, SUITE
FREDERICK, MD 21702

Frederick County (301) 698-2424

AMANDA M BAILEY CRNP

Nurse Practitioner (Family)

63 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 694-7600

MRS. HILLARY ANN BORSA CRNP

Nurse Practitioner (Family)

63 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 694-7600

PHYSICIAN'S FOOTWEAR

Durable Medical Equipment & Medical Supplies

63 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702

Frederick County (301) 696-0600

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 Michael Lerner's NPI number?

The NPI number for Michael Lerner is 1508849308. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Michael Lerner located?

Michael Lerner practices at 63 Thomas Johnson Dr Suite E, Frederick, MD 21702. The listed phone number is (301) 694-7600.

What is Michael Lerner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Lerner enrolled in Medicare?

Yes. Michael 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.

Is Michael Lerner affiliated with any hospitals?

According to CMS data, Michael Lerner is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lerner was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.