1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Otolaryngology
  6. NPI Profile

DON N. LERNER MD
NPI 1548230170
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Jacksonville, FL

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
836 PRUDENTIAL DR, SUITE 1802, JACKSONVILLE, FL 32207(904) 398-5301(904) 398-1286 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Don N. Lerner Md NPPES

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

DON N. LERNER MD (NPI 1548230170) is an individual otolaryngology/facial plastic surgery provider in Jacksonville, Florida, licensed in Florida (ME65425) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1988).

NPPES Registry Identity

NPI1548230170
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDON N. LERNERCredential: MD
Location Address836 PRUDENTIAL DR, SUITE 1802Jacksonville, FL 32207-8334
Mailing Address836 Prudential Dr, Suite 1802Jacksonville, FL 32207-8334 · (904) 398-5301 · Fax (904) 398-1286
Phone(904) 398-5301
Fax(904) 398-1286
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1988
Enumeration DateJanuary 25, 2006
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1548230170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in FL · ME65425
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
836 PRUDENTIAL DR, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE37633FL
Medicare PIN23196AFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Don N. Lerner Md 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 ID3274558234
PECOS Enrollment IDI20051008000146
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 11

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.
297 services233 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
208 services208 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
175 services155 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.
142 services103 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
114 services97 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.
97 services97 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval 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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

e-Prescribing
93%208 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
63%738 patients3/55-star benchmark: 100%
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.

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.

REPRODUCTIVE MEDICINE ASSOCIATES, P.A.
Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR, SUITE 902
JACKSONVILLE, FL 32207
Duval County (904) 399-5620
HECTOR EDWARD JAMES MD
Neurological Surgery
836 PRUDENTIAL DR, UFJP NEUROSURGERY - PEDIATRICS
JACKSONVILLE, FL 32207
Duval County (904) 398-5201
DR. ALAN RONALD ECKELS M.D.
Specialist
836 PRUDENTIAL DR, SUITE 1606
JACKSONVILLE, FL 32207
Duval County (904) 396-3700
ERIN M MOORE MD
Surgery (Vascular Surgery)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Duval County (904) 398-3888
HAYDEN POTTER APRN
Nurse Practitioner (Family)
836 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 000-0000
JOSEPH DAVID ALLEN PA-C
Physician Assistant (Medical)
836 PRUDENTIAL DR, SUITE 801
JACKSONVILLE, FL 32207
Duval County (904) 288-0433
JEFFREY D RICKETTS PA
Physician Assistant (Surgical)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Duval County (904) 398-3888
ALEXANDER TUAN ROSE M.D.
Surgery
836 PRUDENTIAL DR, SUITE 1001
JACKSONVILLE, FL 32207
Duval County (904) 398-0033

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 Don Lerner's NPI number?

The NPI number for Don Lerner is 1548230170. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Don Lerner located?

Don Lerner practices at 836 Prudential Dr Suite 1802, Jacksonville, FL 32207. The listed phone number is (904) 398-5301.

What is Don Lerner's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Don Lerner enrolled in Medicare?

Yes. Don 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 Don Lerner accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Don 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 Don Lerner affiliated with any hospitals?

According to CMS data, Don Lerner is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Don Lerner was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.