DR. LORI D LERNER D.O.
NPI 1861788648
Family Medicine in Avon, CT

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lori D Lerner D.o. NPPES

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

DR. LORI D LERNER D.O. (NPI 1861788648) is an individual family medicine provider in Avon, Connecticut, licensed in Connecticut (054845) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Park, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2011).

NPPES Registry Identity

NPI1861788648
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LORI D LERNERCredential: D.O.
Location Address339 W MAIN STAvon, CT 06001-4322
Mailing Address1290 Silas Deane Hwy 2nd FloorWethersfield, CT 06109-4337 · (860) 696-2150
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateAugust 2, 2019
NPI 1861788648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CT · 054845 Licensed in IL · 125060231
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.
339 W MAIN ST, Avon, CT 06001

Secondary Practice Location 1

Location 11 Erie Ct Ste 6160Oak Park, IL 60302-2510 · Phone (708) 763-1490 · Fax (708) 763-7232

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. Lori D Lerner D.o. 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 ID4587894357
PECOS Enrollment IDI20160817001904
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 9

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 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.
119 services83 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.
100 services82 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.
90 services90 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.
41 services40 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.
29 services29 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.
27 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06001 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Primary Care)
339 W MAIN ST
AVON, CT 06001
Family Medicine
339 W MAIN ST, HARTFORD MEDICAL GROUP
AVON, CT 06001
Internal Medicine
339 W MAIN ST
AVON, CT 06001
Physician Assistant (Medical)
339 W MAIN ST
AVON, CT 06001
Family Medicine
339 W MAIN ST
AVON, CT 06001
Nurse Practitioner (Family)
339 W MAIN ST
AVON, CT 06001
Physician Assistant
339 W MAIN ST
AVON, CT 06001
Durable Medical Equipment & Medical Supplies
339 W MAIN ST
AVON, CT 06001

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 Lori Lerner's NPI number?

The NPI number for Lori Lerner is 1861788648. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Lori Lerner located?

Lori Lerner practices at 339 W Main St, Avon, CT 06001. The listed phone number is (860) 696-2150.

What is Lori Lerner's specialty?

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

Is Lori Lerner enrolled in Medicare?

Yes. Lori 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.

When was this NPI record last updated?

The NPPES record for Lori Lerner was last updated on August 2, 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.