2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1285994889 M.D.
Verify on CMS →

LAUREN LERNER, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in MIAMI BEACH, Florida. 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
229
Medicare Part D claims · 78 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
What the federal data reveals: LAUREN LERNER, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in MIAMI BEACH, Florida with a Medicare Part D prescribing footprint of 229 claims across 78 beneficiaries . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: LAUREN LERNER, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 229 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LAUREN LERNER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LAUREN LERNER, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/17/2012

NPI 1285994889

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

229 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Florida

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Florida providers

Florida providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

Medicare quality performance — MIPS

LAUREN LERNER, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 0/100 vs national avg 83.1

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).

LAUREN LERNER, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in MIAMI BEACH, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1285994889. 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.

LAUREN LERNER, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 4302 ALTON RD STE 420, MIAMI BEACH, FL, 33140, with a listed phone of (305) 672-1256. NPI 1285994889 was issued on 05/17/2012. 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 229 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $13K in drug spend, with an opioid prescribing rate of 5.7%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

4302 ALTON RD STE 420
MIAMI BEACH, FL 33140

Provider Details

NPI 1285994889
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Female
NPI Issued 05/17/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where LAUREN LERNER, M.D. 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.

LIPKIN AND TOLEDO PA
MIAMI BEACH, FL
REHABCLINICS PTA INC
NORTH MIAMI BEACH, FL

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

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to LAUREN LERNER, M.D.. To verify LAUREN LERNER, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

229
Total Claims
$13K
Total Drug Cost
78
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
236
Total Day Supply
5,920
Generic Drug Cost
$3K
Opioid Claims
13 (5.7% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
2.35
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pantoprazole Sodium
17
Atorvastatin Calcium
16

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How LAUREN LERNER, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

LAUREN LERNER, M.D.'s 229 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Florida

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAUREN LERNER, M.D.'s specialty?
LAUREN LERNER, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in MIAMI BEACH, Florida. Credentials: M.D..
How much does LAUREN LERNER, M.D. prescribe under Medicare Part D?
In 2023, LAUREN LERNER, M.D. wrote 229 Medicare Part D claims totaling $13K in drug costs for 78 beneficiaries.
What is LAUREN LERNER, M.D.'s Medicare quality score?
LAUREN LERNER, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LAUREN LERNER, M.D. located?
LAUREN LERNER, M.D. is located at 4302 ALTON RD STE 420, MIAMI BEACH, FL, 33140. Phone: (305) 672-1256.
What is LAUREN LERNER, M.D.'s NPI number?
LAUREN LERNER, M.D.'s National Provider Identifier (NPI) is 1285994889, issued on 05/17/2012.
Does LAUREN LERNER, M.D. prescribe opioids?
Yes, LAUREN LERNER, M.D. had 13 opioid claims in 2023 with an opioid prescribing rate of 5.7%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does LAUREN LERNER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LAUREN LERNER, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREN LERNER, M.D. accept Medicare?
LAUREN LERNER, M.D. appears in CMS Medicare data with 229 Part D claims and 78 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREN LERNER, M.D.'s credentials?
LAUREN LERNER, M.D.'s NPI is 1285994889 with credentials M.D.. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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