Active NPI 1477536142 Individual Practitioner Male Practitioner

Dr. Richard S Lerner , MD

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Richard Lerner, MD is a certified Internal Medicine practicing in Worcester, MA. With approximately 37 years of clinical experience since graduating from Tufts University School Of Medicine in 1989, Dr. Lerner delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Lerner is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083342731

Fax 7744424672

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +17.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lerner (37 Years) 37 Yrs

Worcester Specialty Average (19.4 Years) 19.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	112	66	$619.29	$88.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	81	$445.00	$66.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$389.00	$48.51
99213 Established patient office or other outpatient visit, typically 15 minutes	59	52	$300.00	$48.10
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	38	31	$47.00	$16.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	23	$214.00	$54.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$389.00	$46.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	93	$406.70	$69.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	109	63	$504.88	$90.00
99213 Established patient office or other outpatient visit, typically 15 minutes	68	65	$288.47	$38.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$214.00	$53.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	135	77	$482.00	$94.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$389.00	$53.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	100	$359.00	$75.21
99213 Established patient office or other outpatient visit, typically 15 minutes	74	67	$244.00	$51.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	25	$214.00	$56.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	132	$355.03	$79.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$385.11	$46.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	113	63	$473.56	$98.44
99213 Established patient office or other outpatient visit, typically 15 minutes	104	90	$240.25	$50.14
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	11	$166.00	$43.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	18	$214.00	$56.08
99495 Transitional care management services for problem of at least moderate complexity	16	14	$624.25	$89.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	128	$316.00	$82.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$348.00	$123.64
99213 Established patient office or other outpatient visit, typically 15 minutes	69	65	$214.00	$53.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	40	$429.00	$116.48
99443 Telephone medical discussion with physician, 21-30 minutes	28	27	$309.14	$83.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$214.00	$56.85
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$195.80	$54.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	160	$314.72	$82.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	67	$427.80	$115.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$348.00	$122.78
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$212.50	$52.04
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	11	$166.00	$43.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	19	$214.00	$56.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	174	$296.00	$81.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	102	84	$420.00	$114.67
99213 Established patient office or other outpatient visit, typically 15 minutes	55	52	$199.00	$53.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$348.00	$122.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	24	$214.00	$56.32
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	12	$166.00	$43.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	161	$296.00	$80.29
99213 Established patient office or other outpatient visit, typically 15 minutes	86	74	$199.00	$52.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	68	$417.77	$113.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$345.29	$119.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	16	$214.00	$55.77

Medical Specialties & State Licenses

CMS Verified: 2020-11-04

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 76439

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3095461 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Adepeju Champion , MD

Internal Medicine

NPI 1003090499

Doctor of Medicine (M.D.)

Dr. Julia Andrieni , MD

Internal Medicine

NPI 1003869926

Doctor of Medicine (M.D.)

Dr. Farah Mullah , DO

Family Medicine

NPI 1013935329

Doctor of Osteopathic Medicine (D.O.)

Ashley Cahill , FNP-C

Nurse Practitioner

NPI 1043010606

Family Nurse Practitioner (Certified)

Victor Acosta-Rivera

Internal Medicine

NPI 1043876634

Dr. Tracey Mohr , PsyD

Psychologist - Clinical

NPI 1053564955

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location February 07, 2020

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083342731)

✅

NPI Profile Active April 15, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2009

Registered at 55 LAKE AVE N, DEPARTMENT OF PRIMARY CARE, WORCESTER, MA 016550002 (Tel: 5088561370)

📍

Updated Business Mailing Address April 15, 2009

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 15, 2009

Recorded as RICHARD LERNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2009

Internal Medicine (License #76439 in MA)

🟢

Initial NPI Registration & Enumeration November 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477536142

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 27, 2005

Last Update: November 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.