DR. BENJAMIN MICHAEL LERNER M.D.
NPI 1629167622
Surgery - Vascular Surgery in Milwaukee, WI

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215(414) 649-3370(414) 385-2461 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Apr 22, 2024, Jan 19, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Benjamin Michael Lerner M.d. NPPES

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

DR. BENJAMIN MICHAEL LERNER M.D. (NPI 1629167622) is an individual vascular surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (46881) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629167622
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. BENJAMIN MICHAEL LERNERCredential: M.D.
Location Address2801 W KINNICKINNIC RIVER PKWYMilwaukee, WI 53215-3669
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(414) 385-2461
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 28, 20244 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1629167622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in WI · 46881 Licensed in KY · 50044
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 101470-875 (WI), MD60164818 (WA)
2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Secondary Practice Locations 2

Location 13 Audubon Plaza Dr, Suite 220Louisville, KY 40217-1300 · Phone (502) 636-7242 · Fax (502) 636-7130
Location 2613 23rd St Ste 520Ashland, KY 41101-2878 · Phone (606) 326-1675 · Fax (606) 326-1436

Other Identifiers 1

Medicaid100268005WI

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. Benjamin Michael 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 ID4284828740
PECOS Enrollment IDI20240307001806
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.

Hospital Affiliations CMS Care Compare 3

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims131 services$7.09 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.

Registered Nurse
2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215
Orthopaedic Surgery
2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215
Anesthesiology
2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215
Internal Medicine (Clinical Cardiac Electrophysiology)
2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215

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 Benjamin Lerner's NPI number?

The NPI number for Benjamin Lerner is 1629167622. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Benjamin Lerner located?

Benjamin Lerner practices at 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215. The listed phone number is (414) 649-3370.

What is Benjamin Lerner's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Benjamin Lerner enrolled in Medicare?

Yes. Benjamin 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 Benjamin Lerner accept?

Health plans from Aspirus Health Plan, CareSource, CareSource (Common Ground Healthcare), HealthPartners and Molina Healthcare and 3 other insurers list Benjamin 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 Benjamin Lerner affiliated with any hospitals?

According to CMS data, Benjamin Lerner is affiliated with Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Benjamin Lerner was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.