NPPES file of Aug 9, 2026

Andres Lerner, MD

Orthopaedic Hand Surgery Physician · O Fallon, IL

Andres Lerner, MD is an orthopaedic hand surgery physician with a practice address in O Fallon, Illinois, and NPI 1285865204, issued on Aug 7, 2009. Check the license on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1285865204
Name
Andres Lerner
Credential
MD
Primary taxonomy
Orthopaedic Hand Surgery Physician 207XS0106X
License numbers
N4550 TX
A104207 CA
Self-reported in NPPES; status is on the state search
Practice location
670 Pierce Blvd, O Fallon, IL 62269
Phone
(618) 206-2094
Enumerated
Aug 7, 2009
Record last updated
Jan 6, 2022
Medicare enrollment
Enrolled (PECOS I20190426000845); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 670 Pierce Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Saba Bajwa, MDPediatrics Physician1487113478
  2. Amy Buck, APNFamily Nurse Practitioner1053587402
  3. Kimberly Burgess, AGNP-CNurse Practitioner1164956066
  4. Richard Derby, MDSports Medicine (Family Medicine) Physician1295720845
  5. Shaelin Heiman, PA-CPhysician Assistant1336832880
  6. Kody HindmanPhysician Assistant1295378610

Verify Andres Lerner in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional RegulationCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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24% more Medicare Part D claims than the average orthopaedic hand surgery physician in 2024

230 Medicare Part D claims for 185 beneficiaries, against an average of 186 among the 2,203 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 196 claims were for opioids.

  1. Andres Lerner230
  2. Specialty average186

Most prescribed

  1. Tramadol Hcl125 claims
  2. Hydrocodone-Acetaminophen63 claims
  3. Naloxone Hcl22 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,071.82

14 payments; by number, the most common kind was food and beverage; the largest payer was Elite Orthopedics, Llc. The 1,819 providers of this specialty with any payment received $5,529.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Andres Lerner$1,071.82
  2. Specialty average$5,529.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Hshs Medical Group IncO Fallon, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Andres Lerner among 129 orthopaedic hand surgery physician records in Illinois

Andres Lerner, MD is one of 129 orthopaedic hand surgery physician records with a practice address in Illinois. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 65% of them.

  • NPI issued2009 · 65% of these records are older, 30% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 82% of these records are
  • Graduated1999 · median 2004 among the 106 with a school on file
  • Record last updated2022 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0106X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Hand Surgery Physician providers in Illinois

There are 129 orthopaedic hand surgery physician records in Illinois.

The 8 orthopaedic hand surgery physician records with the nearest ZIP codes

  1. Elissa Davis, M.D.Belleville, IL 622261629496203
  2. Timothy Leeburton, M.D.Belleville, IL 622261104823574
  3. Harvey Mirly, M.D.Belleville, IL 622261447203971
  4. Lisa Sasso, MDEffingham, IL 624011790941581
  5. Jeffery Smith, M.D.Decatur, IL 625261104841188
  6. Michael Gainer, M.D.Springfield, IL 627111922068303
  7. Christopher Maender, MDSpringfield, IL 627111376763227
  8. Clifford JohnsonChampaign, IL 618211578585725

Common questions

What is Andres Lerner, MD's NPI number?

Andres Lerner, MD's National Provider Identifier (NPI) is 1285865204, issued on Aug 7, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Andres Lerner, MD located?

The NPPES record lists a practice address at 670 Pierce Blvd, O Fallon, IL, 62269. Phone: (618) 206-2094. Providers update this record themselves, so call before visiting.

How can I verify Andres Lerner, MD's license?

Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Andres Lerner, MD prescribe under Medicare Part D?

In 2024, Andres Lerner, MD had 230 Medicare Part D claims for 185 beneficiaries; the average among orthopaedic hand surgery physician prescribers was 186. Part D covers Medicare prescriptions only.

What is Andres Lerner, MD's MIPS final score?

The 2023 MIPS final score is 94.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.