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MICHAEL LERNER M.D.
NPI 1649597006
Otolaryngology - Plastic Surgery within the Head & Neck in New Haven, CT

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510(203) 688-2259(203) 688-5599 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Lerner M.d. NPPES

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

MICHAEL LERNER M.D. (NPI 1649597006) is an individual plastic surgery within the head & neck provider in New Haven, Connecticut, licensed in Connecticut (55569) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2010).

NPPES Registry Identity

NPI1649597006
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameMICHAEL LERNERCredential: M.D.
Location Address20 YORK STREET T-209, YALE-NEW HAVEN HOSPITALNew Haven, CT 06510-3220
Mailing Address20 York Street T-209, Yale-new Haven HospitalNew Haven, CT 06510-3220 · (203) 688-2259 · Fax (203) 688-5599
Phone(203) 688-2259
Fax(203) 688-5599
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2010
Enumeration DateApril 26, 2010
Last NPPES UpdateSeptember 17, 2019
✔ NPI 1649597006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in CT · 55569
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
20 YORK STREET T-209, New Haven, CT 06510
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

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 ID1951699099
PECOS Enrollment IDI20191001002588
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Lerner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
0.4 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432
Montefiore Medical Center
57 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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 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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,700 services21 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
251 services175 patients
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.
200 services151 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.
140 services140 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
102 services76 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.
101 services84 patients

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

DR. HJALTI MAR THORISSON MD
Student in an Organized Health Care Education/Training Program
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. ERIKA NICOLE TORJUSEN M.D.
Student in an Organized Health Care Education/Training Program
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. DANIEL FELLER VATNER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. RYAN FRANCIS COUGHLIN M.D.
Emergency Medicine
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. STEPHEN LAWRENCE SHIAO MD
Radiology (Radiation Oncology)
20 YORK STREET T-209, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. NEIL NOEL SRESHTA M.D.
Emergency Medicine
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. FELIX JV SCHLOSSER M.D., PH.D.
Student in an Organized Health Care Education/Training Program
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
NAYELI RODULFO-ZAYAS M.D.
Emergency Medicine (Emergency Medical Services)
20 YORK STREET T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259

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 1649597006. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is Michael Lerner located?

Michael Lerner practices at 20 York Street T-209 Yale-New Haven Hospital, New Haven, CT 06510. The listed phone number is (203) 688-2259.

What is Michael Lerner's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

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.

Which organizations bill Medicare for Michael Lerner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lerner reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Montefiore Medical Center (Bronx, NY). 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 Michael Lerner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lerner accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Lerner was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.