Individual provider Active NPI

Randy Edward Lerner, AU.D.

  • Audiologist
  • McMinnville, OR
National Provider Identifier
1962603738
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23563 Issued in OR
Practice address
2700 SE Stratus Ave Unit 402
McMinnville, OR 97128-6258
Phone
(503) 434-1110
Fax
(503) 434-1119
NPI assigned
May 30, 2007
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23563 OR Primary
Audiologist-Hearing Aid Fitter 237600000X NU

Addresses

Primary practice location

2700 SE Stratus Ave Unit 402
McMinnville, OR 97128-6258

Mailing address

2521 Boone Rd SE
Ste 120
Salem, OR 97306-9675
Phone (971) 701-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120214000936 OR Practitioner - Qualified Audiologist 6305997719 Reassigns benefits to 2 organizations
I20190307003133 WA Practitioner - Qualified Audiologist 6305997719

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Northwest LLCGroup PAC ID 8921413527, 2 clinicians

Practice addresses (Care Compare)

2025 Madrona Ave SE
Suite 100
Salem, OR 97302-1149
Phone (503) 980-1950

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23563ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Northwest LLC CurrentSince Jul 1, 2024 Accepting new patients
Willamette Valley Clinics LLC CurrentSince Apr 1, 2020 Accepting new patients
MLM USA LLC Audiologist PastSince Aug 14, 2025 Accepting new patients
Hearing Rehab Center West Hills LLC Audiologist Past Accepting new patients

Locations

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

2025 Madrona Ave SE
Ste 100
Salem, OR 97302
Phone (503) 980-1950

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1962603738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 BOONE RD SE",
            "address_2": "STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069675",
            "telephone_number": "971-701-6322",
            "fax_number": "971-915-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE UNIT 402",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286258",
            "telephone_number": "503-434-1110",
            "fax_number": "503-434-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "RANDY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "23563",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.