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Edit this profileAt a glance
- 201 W Ridgeway Ave, Waterloo, IA 50701
About Dr. Lerch
Britton Lerch, DNP is a nurse practitioner — gerontology practicing in Waterloo, IA. Britton is also listed as specializing in nurse practitioner — primary care. According to Medicare claims data, Britton cared for 722 Medicare patients across 1,903 services. The services billed most often include subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes, and prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif. This provider record is associated with NPI 1881337806.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (319) 234-7777
- Email not available
Practice Locations
201 W RIDGEWAY AVE
Waterloo, IA 50701
Conditions and Services Within This Provider's Scope
Within Nurse Practitioner - Gerontology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Back & Spine
Bladder & Urinary
Brain & Memory
- Agitation and Sundowning
- Delirium
- Dementia
- Memory loss
- Parkinson's disease
Brain & Nerves
- Dizziness and vertigo
- Shaky Hands and Tremors
- Stroke Aftercare
Breathing & Lungs
- Shortness of breath
Digestive & Gut
- Acid reflux
- Fecal incontinence
- Poor Appetite In Seniors
Digestive Health
- Constipation
- Swallowing difficulties
Endocrine & Hormones
- Underactive Thyroid
Endocrine & Metabolic
General Health
- Elderly Frailty
General Senior Health
- Anemia of chronic disease
- Managing multiple medications
- Severe dehydration
- Short stature and growth concerns
- Unexplained Weight Loss
Heart & Circulation
- AFib
- Congestive heart failure
- High blood pressure
- High cholesterol
- Poor Circulation and Swollen Legs
Infections
- Seasonal Flu and Viruses
- Shingles
Joints & Bones
Kidney & Urinary
Lung & Respiratory
Mental Health
- Senior Depression
Mobility & Balance
- Frequent falls
- Orthostatic hypotension
Nerves & Sensation
Pain
Sensory
Skin
- Dry Itchy Skin in Elderly
- Unexplained Bruising
Skin & Wounds
- Non-Healing Wounds
- Thinning and Tearing Skin
Sleep
Procedures & services
Bladder & Urinary
- Incontinence Evaluation
Brain & Memory
- Cognitive and memory screening
Care Planning
- Advance Care Planning
- Caregiver Support and Counseling
- Comfort care transition
- Hospice Care Evaluation
Diagnostic Tests
- Heart Monitor Referral
General Health
- Pre-surgery medical clearance
General Senior Health
- Post-hospital transitional care
- Senior Nutrition Evaluation
Heart & Circulation
Home & Facility Care
- Home Doctor Visit
- Senior Living Medical Care
In-Office Treatments
- Nebulizer Breathing Treatment
Lab & Monitoring
- Complete Blood Count
- Hemoglobin A1c Test
Lab Tests & Screening
- Cholesterol screening
- Comprehensive Metabolic Panel
- Thyroid Blood Test
- Urinalysis
Medication Management
- Tapering Off Psychiatric Medication
Mental Health
- Depression screening
Minor Procedures
- Bladder Catheter Placement and Care
- Earwax removal
Mobility & Safety
- Fall risk assessment
- Home Safety Evaluation
- Senior Driving Safety Evaluation
- Walker and Wheelchair Prescription
Pain Management
- Knee Joint Injections
Preventive Care
- Bone Density Scan Referral
- Chronic disease management
- Diabetic Foot Care
- Medicare annual wellness visit
Referrals & Care Coordination
- At-Home Sleep Study Order
- Hearing Test Referral
- Home Health Care Referral
- Occupational Therapy Referral
- Speech and Swallowing Therapy Referral
Referrals & Coordination
- Physical Therapy Referral
Specialized Care
- Nursing Home Admission Exam
Vaccines & Injections
- COVID-19 Booster
- Flu shot
- Routine Vaccines
- RSV vaccine
- Tetanus Booster Shot
- Vitamin B12 Injection
Vaccines & Prevention
Wound Care
- Bedsore and Wound Dressing
- Skin Tear Treatment
Procedures Most Often Billed to Medicare
1,903 services · 722 patients · 13 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Office visit | 99310 |
614 | More than most peers in Nurse Practitioner — Gerontology |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99309 |
570 | More often than most peers in Nurse Practitioner — Gerontology |
| Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | Billing code | G0317 |
174 | More than most peers in Nurse Practitioner — Gerontology |
| Advance care planning, first 30 minutes | Office visit | 99497 |
108 | More than most peers in Nurse Practitioner — Gerontology |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Office visit | 99310 |
107 | More than most peers in Nurse Practitioner — Gerontology |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99309 |
85 | More often than most peers in Nurse Practitioner — Gerontology |
| Advance care planning, first 30 minutes | Office visit | 99497 |
56 | More than most peers in Nurse Practitioner — Gerontology |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | Office visit | 99308 |
49 | Less often than most peers in Nurse Practitioner — Gerontology |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
46 | Less often than most peers in Nurse Practitioner — Gerontology |
| Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | Billing code | G0317 |
44 | More than most peers in Nurse Practitioner — Gerontology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 2
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other nurse practitioners in Waterloo 4
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
More connections — 8 related providers in 1 group
Class of 2020 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What is Britton Lerch's specialty?
Britton Lerch is a nurse practitioner in Waterloo, IA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Gerontology”.
NPI registry
Where can I find Britton Lerch?
Britton Lerch is listed at 201 W Ridgeway Ave, Waterloo, IA 50701. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Britton Lerch?
The number on file is (319) 234-7777. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Britton Lerch's NPI number?
Britton Lerch's National Provider Identifier is 1881337806. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Britton Lerch's education?
Britton Lerch attended Other, graduating in 2020. This comes from the CMS National Downloadable File.
CMS public data
How long has Britton Lerch been practicing?
Britton Lerch has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.
CMS public data
What is Britton Lerch known for?
According to Medicare billing data, Britton Lerch the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Britton Lerch confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Britton Lerch. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.