2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1225254782
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KIMBERLY LERNER

Endocrinology, Diabetes & Metabolism Physician in BOULDER, Colorado. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 576 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$384.85
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KIMBERLY LERNER is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in BOULDER, Colorado with a Medicare Part D prescribing footprint of 5K claims across 576 beneficiaries — 55% brand-name prescribing . Industry payments of $384.85 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KIMBERLY LERNER filed 4,559 Medicare Part D claims in 2023 across BOULDER, Colorado. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KIMBERLY LERNER practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KIMBERLY LERNER at a glance

Quality data not reported

NPI registry status

Active

Issued 04/17/2007

NPI 1225254782

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

4,559 73% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

Specialty distribution in Colorado

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Colorado providers

Colorado providers

Endocrinology, Diabetes & Metabolism Physician share within Colorado

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within Colorado

Specialty board-certification context

Estimated specialty board-certified rate — Endocrinology, Diabetes & Metabolism Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Endocrinology, Diabetes & Metabolism Physician ABMS/AOA estimate

Est. board-certified rate (Endocrinology, Diabetes & Metabolism Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Endocrinology, Diabetes & Metabolism Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KIMBERLY LERNER is a Endocrinology, Diabetes & Metabolism Physician provider practicing in BOULDER, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1225254782. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KIMBERLY LERNER appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider at 4745 ARAPAHOE AVE STE 200, BOULDER, CO, 80303, with a listed phone of (303) 666-2640. NPI 1225254782 was issued on 04/17/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LERNER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,559 prescription claims written by this provider, covering 576 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, split 55% brand-name and 45% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4745 ARAPAHOE AVE STE 200
BOULDER, CO 80303

Provider Details

NPI 1225254782
Specialty Endocrinology, Diabetes & Metabolism Physician
Gender Female
NPI Issued 04/17/2007

Hospital and facility affiliations

Facilities where KIMBERLY LERNER bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BOULDER MEDICAL CENTER, PC
BOULDER, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KIMBERLY LERNER. Source: openpaymentsdata.cms.gov.

Total received

$385

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

KIMBERLY LERNER — brand share 55.0%
Specialty average (est.)

55% brand-name claims vs 45% generic, on 4,559 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,559
Total Claims
$2.4M
Total Drug Cost
576
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,267
Total Day Supply
305,233
Brand vs Generic
55% brand / 45% generic
Brand Drug Cost
$2.3M
Generic Drug Cost
$43K

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.24
Gender Split
64% female / 36% male
Age Distribution
<65: 25, 65-74: 333, 75-84: 191, 85+: 27

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
546
Trulicity
Dulaglutide
306
Metformin Hcl Er
Metformin Hcl
237
Synthroid
Levothyroxine Sodium
229
Metformin Hcl
225
Jardiance
Empagliflozin
214
Alendronate Sodium
162
Ozempic
Semaglutide
152
Humalog Kwikpen U-100
Insulin Lispro
148
Januvia
Sitagliptin Phosphate
124

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Endocrinology, Diabetes & Metabolism Physician Overview

How KIMBERLY LERNER fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

KIMBERLY LERNER's 4,559 claims are above the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as LERNER.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KIMBERLY LERNER's specialty?
KIMBERLY LERNER specializes in Endocrinology, Diabetes & Metabolism Physician and practices in BOULDER, Colorado.
How much does KIMBERLY LERNER prescribe under Medicare Part D?
In 2023, KIMBERLY LERNER wrote 4,559 Medicare Part D claims totaling $2.4M in drug costs for 576 beneficiaries.
Where is KIMBERLY LERNER located?
KIMBERLY LERNER is located at 4745 ARAPAHOE AVE STE 200, BOULDER, CO, 80303. Phone: (303) 666-2640.
What is KIMBERLY LERNER's NPI number?
KIMBERLY LERNER's National Provider Identifier (NPI) is 1225254782, issued on 04/17/2007.
Does KIMBERLY LERNER prescribe more brand-name or generic drugs?
KIMBERLY LERNER's prescribing is 55% brand-name and 45% generic drugs by claim count, with $2.3M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does KIMBERLY LERNER prescribe most often?
Based on 2023 Medicare Part D data, KIMBERLY LERNER's most frequently prescribed drugs include Levothyroxine Sodium, Trulicity, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KIMBERLY LERNER accept Medicare?
KIMBERLY LERNER appears in CMS Medicare data with 4,559 Part D claims and 576 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KIMBERLY LERNER's credentials?
KIMBERLY LERNER's NPI is 1225254782. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology