Active NPI 1669552063 Individual Practitioner Male Practitioner

Dr. Seth Lerner , MD

Urology • Houston, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Seth Lerner, MD is a certified Urology practicing in Houston, TX. With approximately 42 years of clinical experience since graduating from Baylor College Of Medicine in 1984, Dr. Lerner delivers high-quality medical care to the local community at 6560 FANNIN ST.

Dr. Lerner is affiliated with Baylor College Of Medicine 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, automated urinalysis test, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6560 Fannin St

Houston, TX 770302761

Telephone 7137984001

Fax 7137986005

Associated Practice Facility / Clinic

🏢 Cardioscan, Inc. Facility NPI 1760483630

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +17.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

192 Specialists

Practicing in Houston, TX (1027 Statewide)

Telehealth Adoption Rate

40.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lerner (42 Years) 42 Yrs

Houston Specialty Average (24.3 Years) 24.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	127	90	$252.00	$93.02
81003 Automated urinalysis test	119	88	$9.00	$2.18
52000 Diagnostic exam of bladder and urethra using an endoscope	114	67	$1197.00	$243.44
81002 Urinalysis, manual test	100	74	$11.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	46	$355.00	$128.52
52204 Biopsy of the bladder using an endoscope	33	30	$865.45	$73.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$157.00	$57.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$465.00	$172.21
76775 Limited ultrasound scan behind abdominal cavity	19	19	$200.00	$60.26
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	18	15	$46.00	$16.82
51702 Simple insertion of temporary bladder tube	17	16	$312.00	$63.41
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	13	$1789.07	$247.70
52500 Removal of bladder neck through bladder canal (urethra)	14	14	$2605.86	$501.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$311.00	$114.44
52240 Destruction and/or removal of large growth of bladder using an endoscope	12	11	$2300.67	$339.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,150	11	$9.44	$2.60
81002 Urinalysis, manual test	233	132	$11.00	$3.38
99213 Established patient office or other outpatient visit, typically 15 minutes	130	96	$250.00	$89.10
52000 Diagnostic exam of bladder and urethra using an endoscope	97	66	$1217.00	$248.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	38	$354.00	$131.15
88121 Cell examination of urine, computer-assisted	56	45	$1560.00	$429.84
51720 Instillation of anti-cancer drug into bladder	41	17	$444.00	$75.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	26	$157.00	$58.07
52204 Biopsy of the bladder using an endoscope	27	23	$830.44	$80.30
76775 Limited ultrasound scan behind abdominal cavity	23	23	$200.00	$61.13
51702 Simple insertion of temporary bladder tube	20	17	$311.00	$63.52
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	20	17	$1741.15	$274.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$311.00	$115.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$461.00	$169.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$805.85	$87.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	197	128	$11.00	$3.42
99213 Established patient office or other outpatient visit, typically 15 minutes	151	108	$253.00	$93.98
52000 Diagnostic exam of bladder and urethra using an endoscope	114	73	$1261.00	$260.43
88121 Cell examination of urine, computer-assisted	72	51	$1560.00	$459.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$356.00	$133.73
52204 Biopsy of the bladder using an endoscope	39	30	$834.87	$79.69
76775 Limited ultrasound scan behind abdominal cavity	23	23	$200.00	$61.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$464.00	$174.26
52240 Destruction and/or removal of large growth of bladder using an endoscope	22	18	$2147.23	$388.79
74420 Imaging of urinary tract	17	14	$69.00	$25.69
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	17	15	$1685.88	$264.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$312.00	$116.93
51702 Simple insertion of temporary bladder tube	15	14	$319.00	$65.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$158.00	$59.00
52500 Removal of bladder neck through bladder canal (urethra)	13	12	$2518.52	$437.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	258	149	$11.00	$3.45
99213 Established patient office or other outpatient visit, typically 15 minutes	114	89	$245.00	$95.41
52000 Diagnostic exam of bladder and urethra using an endoscope	108	72	$1203.00	$248.56
88121 Cell examination of urine, computer-assisted	78	54	$1560.00	$466.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	48	$349.00	$135.90
76775 Limited ultrasound scan behind abdominal cavity	38	37	$160.08	$62.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$153.00	$59.04
51720 Instillation of anti-cancer drug into bladder	29	13	$451.00	$85.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$300.00	$117.64
51702 Simple insertion of temporary bladder tube	23	23	$326.00	$67.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$451.00	$176.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	16	$63.00	$23.96
52204 Biopsy of the bladder using an endoscope	18	16	$803.83	$90.11
52500 Removal of bladder neck through bladder canal (urethra)	15	13	$2425.00	$499.40
84153 Psa (prostate specific antigen) measurement, total	14	12	$91.00	$18.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$884.33	$110.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	222	137	$11.00	$3.38
99213 Established patient office or other outpatient visit, typically 15 minutes	115	82	$214.00	$76.93
52000 Diagnostic exam of bladder and urethra using an endoscope	115	70	$1101.00	$222.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	95	$310.00	$111.56
88121 Cell examination of urine, computer-assisted	86	48	$1560.00	$459.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	47	$66.00	$24.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	13	$113.00	$40.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$468.00	$168.09
76775 Limited ultrasound scan behind abdominal cavity	33	31	$168.00	$61.63
52240 Destruction and/or removal of large growth of bladder using an endoscope	32	25	$2236.03	$361.28
52204 Biopsy of the bladder using an endoscope	32	27	$852.05	$67.54
51702 Simple insertion of temporary bladder tube	26	23	$320.00	$64.53
84153 Psa (prostate specific antigen) measurement, total	26	23	$91.00	$17.53
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	18	$877.50	$89.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$307.00	$111.95
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	16	15	$1690.69	$300.53
52500 Removal of bladder neck through bladder canal (urethra)	16	16	$2628.44	$475.86
74420 Imaging of urinary tract	16	12	$73.00	$25.52
38747 Removal of lymph nodes of abdominal organ	12	12	$1417.00	$286.76
44120 Partial removal of small bowel	11	11	$6493.00	$716.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	286	152	$11.00	$3.39
99213 Established patient office or other outpatient visit, typically 15 minutes	141	110	$210.00	$75.78
52000 Diagnostic exam of bladder and urethra using an endoscope	108	67	$983.00	$195.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	78	$308.00	$109.96
51720 Instillation of anti-cancer drug into bladder	50	18	$438.00	$76.02
76775 Limited ultrasound scan behind abdominal cavity	44	43	$166.00	$59.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$465.00	$167.84
52204 Biopsy of the bladder using an endoscope	30	28	$861.80	$65.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	13	$112.00	$40.23
84153 Psa (prostate specific antigen) measurement, total	26	21	$91.00	$20.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$306.00	$107.78
51702 Simple insertion of temporary bladder tube	24	20	$321.00	$63.72
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	23	20	$1603.66	$263.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$821.00	$80.46
52500 Removal of bladder neck through bladder canal (urethra)	16	15	$2577.00	$511.39
86316 Analysis for detection of tumor marker	16	14	$80.00	$22.67
51798 Ultrasound measurement of bladder capacity after voiding	14	13	$66.00	$13.01
88121 Cell examination of urine, computer-assisted	14	14	$1360.00	$490.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	270	157	$11.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	143	113	$207.00	$73.53
52000 Diagnostic exam of bladder and urethra using an endoscope	126	78	$862.00	$169.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	86	$306.00	$107.07
76775 Limited ultrasound scan behind abdominal cavity	52	49	$166.00	$58.14
51720 Instillation of anti-cancer drug into bladder	36	18	$439.00	$82.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$125.00	$44.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$467.00	$166.79
52204 Biopsy of the bladder using an endoscope	24	20	$850.43	$97.36
J9031 Bcg (intravesical) per instillation	23	13	$457.43	$136.62
51702 Simple insertion of temporary bladder tube	22	22	$334.00	$65.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$306.00	$109.68
52240 Destruction and/or removal of large growth of bladder using an endoscope	16	14	$2202.56	$367.09
52500 Removal of bladder neck through bladder canal (urethra)	15	14	$2661.87	$488.39
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	13	12	$1673.83	$270.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	268	177	$11.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	157	129	$206.00	$72.97
52000 Diagnostic exam of bladder and urethra using an endoscope	125	72	$849.00	$167.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	84	$303.00	$106.62
51720 Instillation of anti-cancer drug into bladder	58	25	$456.00	$86.11
88121 Cell examination of urine, computer-assisted	58	45	$1538.00	$541.48
76775 Limited ultrasound scan behind abdominal cavity	54	50	$166.00	$57.40
J9031 Bcg (intravesical) per instillation	34	18	$320.47	$126.05
52204 Biopsy of the bladder using an endoscope	33	27	$807.08	$81.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$463.00	$165.66
51702 Simple insertion of temporary bladder tube	27	27	$325.00	$62.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$123.00	$43.93
74420 Imaging of urinary tract	22	17	$51.00	$17.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$305.00	$108.90
52240 Destruction and/or removal of large growth of bladder using an endoscope	15	12	$2129.70	$369.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$829.37	$67.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	13	$387.00	$138.44
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	12	12	$1636.91	$256.46
52500 Removal of bladder neck through bladder canal (urethra)	12	11	$2556.00	$455.47

Medical Specialties & State Licenses

CMS Verified: 2020-11-20

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX G8900

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

123401502 (TX)

Hospital & Practice Group Affiliations

Baylor College Of Medicine

2 Greenway Plz, Houston, TX 770460205

Baylor College Of Medicine

1919 Old Spanish Trl, Houston, TX 770542003

Baylor College Of Medicine

7200 Cambridge St, Houston, TX 770304202

Baylor College Of Medicine

6720 Bertner Ave, Houston, TX 770302604

Baylor College Of Medicine

6770 Bertner Ave, Houston, TX 770302604

Phone: 7137981000

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Samit Soni , MD

Urology

NPI 1073753091

Doctor of Medicine (M.D.)

Dr. Dominic Lee , MD

Student in an Organized Health Care Education/Training Program

NPI 1104114420

Doctor of Medicine (M.D.)

Dr. Gal Saffati Grunhaus , MD

Student in an Organized Health Care Education/Training Program

NPI 1114711991

Doctor of Medicine (M.D.)

Dr. Christopher Smith , MD

Urology

NPI 1154401818

Doctor of Medicine (M.D.)

Dr. Gilad Amiel , MD

Urology

NPI 1164593869

Doctor of Medicine (M.D.)

Dr. Shannon Dunnam , DO

Urology

NPI 1205455359

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2007

Registered at 6560 FANNIN ST, HOUSTON, TX 770302761 (Tel: 7137984001)

📍

Updated Business Mailing Address September 28, 2007

Registered at 6560 FANNIN ST, HOUSTON, TX 770302761 (Tel: 7137984001)

👤

Provider Name / Credentials Updated September 28, 2007

Recorded as SETH LERNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2007

Urology (License #G8900 in TX)

🟢

Initial NPI Registration & Enumeration October 17, 2006

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: 1669552063

Entity Type:

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

Enumeration Date: October 17, 2006

Last Update: November 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6560 Fannin St

Houston, TX 770302761

Phone: 7137984001

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.