DR. SHIRA LERNER MD
NPI 1609226869
Family Medicine in Chicago, IL

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
4848 W IRVING PARK RD, CHICAGO, IL 60641(773) 724-6200 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Nov 7, 2023, Jun 20, 2016 (3 updates tracked since 2016).

About Dr. Shira Lerner Md NPPES

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

DR. SHIRA LERNER MD (NPI 1609226869) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.165876) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains a secondary practice location in Lawrence.

NPPES Registry Identity

NPI1609226869
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHIRA LERNERCredential: MD
Location Address4848 W IRVING PARK RDChicago, IL 60641-2718
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 20, 2016
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
NPI 1609226869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036.165876 Licensed in MA · 267880
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.
4848 W IRVING PARK RD, Chicago, IL 60641

Secondary Practice Location 1

Location 134 Haverhill StLawrence, MA 01841-2884 · Phone (978) 725-7410 · Fax (978) 687-2106

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. Shira 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 ID5294029708
PECOS Enrollment IDI20231027002580
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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
63 services47 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.
25 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
23 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60641 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.11 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
2 suppliers13 claims13 services$71.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$36.40 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 12

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

Internal Medicine
4848 W IRVING PARK RD
CHICAGO, IL 60641
Dentist (General Practice)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Internal Medicine
4848 W IRVING PARK RD
CHICAGO, IL 60641
Nurse Practitioner (Family)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Social Worker (Clinical)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Nurse Practitioner (Adult Health)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Nurse Practitioner (Psychiatric/Mental Health)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Nurse Practitioner (Family)
4848 W IRVING PARK RD
CHICAGO, IL 60641

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 Shira Lerner's NPI number?

The NPI number for Shira Lerner is 1609226869. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Shira Lerner located?

Shira Lerner practices at 4848 W Irving Park Rd, Chicago, IL 60641. The listed phone number is (773) 724-6200.

What is Shira Lerner's specialty?

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

Is Shira Lerner enrolled in Medicare?

Yes. Shira 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 Shira Lerner affiliated with any hospitals?

According to CMS data, Shira Lerner is affiliated with Rush University Medical Center and Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Shira Lerner was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.