2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1649597006 M.D.
Verify on CMS →

MICHAEL LERNER, M.D.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in NEW HAVEN, Connecticut. 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
354
Medicare Part D claims · 149 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.5637/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$155.27
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHAEL LERNER, M.D. reported a CMS MIPS final score of 73.5637/100 — below the 83.1 national average — and filed 354 Medicare Part D claims in 2023.

73.5637/100
MIPS score · -10 vs avg
354
Part D claims, 2023
97%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MICHAEL LERNER, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

74 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

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

What does the federal data show about MICHAEL LERNER, M.D.?

Below national average

NPI registry status

Active

Issued 04/26/2010

NPI 1649597006

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

354 7% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

73.5637/100 9.536299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Connecticut

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Connecticut providers

Connecticut providers

Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Connecticut

1. Plastic Surgery within the Head & Neck (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Connecticut

Medicare quality performance — MIPS

MICHAEL LERNER, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

Below national average
MIPS Final Score
73.5637/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 73.5637/100 vs national avg 83.1

0%100%National avg83%73.6%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 73.5637/100 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).

MICHAEL LERNER, M.D. appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding M.D. credentials at 20 YORK STREET T-209, NEW HAVEN, CT, 06510, with a listed phone of (203) 688-2259. NPI 1649597006 was issued on 04/26/2010. 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 354 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $14K in drug spend, split 3% brand-name and 97% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.5637/100 for the 2023 performance year (Quality 75.8435, Cost 51.4318), compared with the national average of 83.1.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

20 YORK STREET T-209
NEW HAVEN, CT 06510

Provider Details

NPI 1649597006
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials M.D.
Gender Male
NPI Issued 04/26/2010

CMS Quality Score (MIPS)

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

73.5637
Final Score
Avg: 83.1
75.8435
Quality
51.4318
Cost
74
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL 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.

YALE UNIVERSITY
NEW HAVEN, CT

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 MICHAEL LERNER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$155

Largest payer

Olympus America 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 · Generic-heavy

MICHAEL LERNER, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 354 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.

354
Total Claims
$14K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
477
Total Day Supply
11,533
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$5K
Generic Drug Cost
$9K
Antibiotic Claims
24

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.29
Gender Split
60% female / 40% male
Age Distribution
<65: 17, 65-74: 70, 75-84: 40, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What MICHAEL LERNER, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Azelastine Hcl
101
Omeprazole
44
Fluconazole
17
Mupirocin
17
Clotrimazole
16
Ipratropium Bromide
15
Famotidine
14
Fluocinolone Acetonide Oil
14
Methylprednisolone
12
Ofloxacin
12

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

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How MICHAEL LERNER, M.D. fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

MICHAEL LERNER, M.D.'s 354 claims are below the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Connecticut

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

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL LERNER, M.D.'s specialty?
MICHAEL LERNER, M.D. specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in NEW HAVEN, Connecticut. Credentials: M.D..
How much does MICHAEL LERNER, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL LERNER, M.D. wrote 354 Medicare Part D claims totaling $14K in drug costs for 149 beneficiaries.
What is MICHAEL LERNER, M.D.'s Medicare quality score?
MICHAEL LERNER, M.D. has a CMS MIPS Final Score of 73.5637/100 (Quality: 75.8435, Cost: 51.4318). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL LERNER, M.D. located?
MICHAEL LERNER, M.D. is located at 20 YORK STREET T-209, NEW HAVEN, CT, 06510. Phone: (203) 688-2259.
What is MICHAEL LERNER, M.D.'s NPI number?
MICHAEL LERNER, M.D.'s National Provider Identifier (NPI) is 1649597006, issued on 04/26/2010.
Does MICHAEL LERNER, M.D. prescribe more brand-name or generic drugs?
MICHAEL LERNER, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $5K in brand drug costs.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does MICHAEL LERNER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL LERNER, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Omeprazole, Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL LERNER, M.D. accept Medicare?
MICHAEL LERNER, M.D. appears in CMS Medicare data with 354 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL LERNER, M.D.'s credentials?
MICHAEL LERNER, M.D.'s NPI is 1649597006 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