Dr. David Ray Vierra Jr., MD

  • Napa, CA
  • Internist
NPI1467030619PAC ID8628477718
Medicare services, 2024
111
Medicare patients, 2024
87
Part D claims, 2024
258
MIPS score, 2024
96
Hospital affiliations
4
Practice address
1000 Trancas St, Napa, CA 94558
Practice phone
Call (707) 252-4411
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

See all 5 affiliations

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Dr. David Ray Vierra Jr. is an internist in Napa, California

Dr. Vierra practices at Providence Queen of the Valley Medical Center in Napa, California, part of Providence Health & Services.

Dr. Vierra's NPI, 1467030619, was assigned on March 30, 2021. Dr. Vierra graduated from Ross University School of Medicine in 2020. Dr. Vierra holds California license A197720.

NPI and contact details
Medicare PAC ID
8628477718
NPI enumeration date
March 30, 2021
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(707) 252-4411
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
32
Medical school graduation
2020

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. David Ray Vierra Jr. practices at Providence Queen of the Valley Medical Center in Napa, California

Dr. Vierra's primary practice is Providence Queen of the Valley Medical Center, at 1000 Trancas St, Napa, CA 94558 in Napa County. The practice phone is (707) 252-4411.

Source: Dmand AI Affiliation Data

Dr. David Ray Vierra Jr. is affiliated with 4 sites of care and 1 medical group

Dr. Vierra's primary practice is Providence Queen of the Valley Medical Center in Napa, California, part of Providence Health & Services. Dr. Vierra is also affiliated with Sonoma Valley Hospital. The medical group on file is St. Jude Heritage Medical Group. Dmand AI also links Dr. Vierra to 2 more hospitals, each named with a free account.

See all 5 affiliations for Dr. Vierra

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. David Ray Vierra Jr.'s practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Vierra practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Providence Queen of the Valley Medical CenterAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. David Ray Vierra Jr. is one of 16,751 internists in California

Internal medicine is Dr. Vierra's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Vierra is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Vierra's licenses on file in 2 states: California and Virginia.

Specialties and state licenses

  • Internal medicine, CaliforniaPrimaryLicense A197720 · 2024 to 2026 · taxonomy 207R00000X
  • Virginia license2021 to 2024

Internists near Dr. Vierra

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. David Ray Vierra Jr. billed Medicare for 111 services in 2024

CMS data shows 111 Medicare services from Dr. Vierra across 3 procedure codes in 2024, for 87 Medicare patients. Medicare paid $10,425 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024111
Medicare patients87
Paid by Medicare$10,425
Procedure codes3

Dr. Vierra compared with the California median for internists, 2024

  • Dr. Vierra
  • California median
Medicare services
111vs 36169% below
Medicare patients
87vs 15142% below
Part D claims
62vs 42185% below

Medians across 15,815 internists in California with Dmand AI profiles that report each measure.

Dr. Vierra's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Vierra

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. David Ray Vierra Jr. treated 87 Medicare patients in 2024, average age 78

CMS counts 87 Medicare patients who saw Dr. Vierra in 2024. The largest group is 85 and over, with 32 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 38% are also on Medicaid. Their average risk score is 1.59, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Vierra's median patient age at 72, with 60% women.

Medicare patients, 202487
Average age78
Average risk score1.59
Also on Medicaid38%

Dr. Vierra's Medicare patients by age, 2024

Dr. Vierra's Medicare patients by sex, 2024

  • Women5159%
  • Men3641%

Chronic conditions among Dr. Vierra's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis52%
  4. Heart failure49%
  5. Ischemic heart disease46%
  6. Chronic kidney disease45%
  7. Diabetes41%
  8. Mood disorders39%

Share of Medicare patients with each condition. A patient can have several.

Dr. Vierra's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women60%
  • Men40%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. David Ray Vierra Jr. wrote 258 Medicare Part D claims in 2024

In 2024, Dr. Vierra wrote 258 Medicare Part D claims for 50 patients. 86% of them were for generic drugs. CMS names the drug for 62 of them, across 4 drugs with 11 or more claims each, at $246 in total drug cost. In 2023, CMS named 129 claims across 9 drugs.

Part D claims, 2024258
Drugs named by CMS4
Total drug cost$246
Part D patients50

Dr. Vierra's Part D claims by kind of drug, 2024

  • Generic223 claims86%
  • Brand-name35 claims14%

Dr. Vierra's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1292024: 6252%

Drugs named by CMS: 4 in 2024, 9 in 2023.

See all prescribing by Dr. Vierra

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. David Ray Vierra Jr. scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Vierra for performance year 2024, reported through an alternative payment model (APM). Dr. Vierra accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Vierra's MIPS scores, performance year 2024

  • 96of 100Final score
  • 84.3of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. David Ray Vierra Jr. received $32 in industry payments in 2024

CMS Open Payments shows 2 general payments to Dr. Vierra from 1 drug or device company in 2024. Food and beverage make up the largest share, 100% of the total. Amgen Inc. paid the most, $32.

Companies that paid Dr. Vierra the most, 2024 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Vierra

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. David Ray Vierra Jr. graduated from Ross University School of Medicine

Dr. Vierra graduated from Ross University School of Medicine in 2020.

  1. Medical schoolRoss University School of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. David Ray Vierra Jr. accepts plans from 12 insurance carriers

Dr. Vierra is in network with 12 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and HCSC. PPO plans come from the most carriers, 7. Check the plan with the practice before a visit.

  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Aetna
  • Blue Cross Blue Shield of Massachusetts
  • Elevance
  • Regence Health Plans
  • Alliant Health Plans
  • +4 more carriersWith a free account

Plan types Dr. Vierra accepts, by number of carriers

  1. PPO7
  2. HMO6
  3. Medicare6
  4. EPO3
  5. POS2

Source: Dmand AI Insurance Network Data

Sources for Dr. David Ray Vierra Jr.'s profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. David Ray Vierra Jr.

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. David Ray Vierra Jr.'s NPI number?

Dr. David Ray Vierra Jr.'s NPI number is 1467030619. It was assigned on March 30, 2021, and it is active in the NPI Registry.

What kind of doctor is Dr. David Ray Vierra Jr.?

Dr. David Ray Vierra Jr. is an internist in Napa, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. David Ray Vierra Jr. practice?

Dr. Vierra practices at 1000 Trancas St, Napa, CA 94558. Dr. Vierra's primary practice is Providence Queen of the Valley Medical Center in Napa, California, part of Providence Health & Services. Dmand AI also links Dr. Vierra to 2 hospitals.

What is Dr. David Ray Vierra Jr.'s office phone number?

The practice phone on file for Dr. Vierra is (707) 252-4411.

What is Dr. David Ray Vierra Jr.'s medical license number?

Dr. Vierra holds California license A197720, one of the licenses on file in 2 states.

Which states has Dr. David Ray Vierra Jr. been licensed in?

Dmand AI has state licenses on file for Dr. Vierra in California (2024 to 2026) and Virginia (2021 to 2024).

Which hospitals is Dr. David Ray Vierra Jr. affiliated with?

Dr. Vierra practices at Providence Queen of the Valley Medical Center in Napa, California. Dr. Vierra is also affiliated with Sonoma Valley Hospital. Dmand AI links Dr. Vierra to 2 more hospitals.

What medical group is Dr. David Ray Vierra Jr. part of?

Dr. Vierra is linked to St. Jude Heritage Medical Group.

Does Dr. David Ray Vierra Jr. accept Medicare?

Yes. CMS data shows Dr. Vierra billed Medicare for 111 services in 2024, and Dr. Vierra accepts Medicare assignment.

What is Dr. David Ray Vierra Jr.'s MIPS score?

Dr. Vierra's MIPS final score for performance year 2024 is 96 out of 100, reported through an alternative payment model (APM).

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. David Ray Vierra Jr. see?

CMS counts 87 Medicare patients who saw Dr. Vierra in 2024, with an average age of 78.

Is Dr. David Ray Vierra Jr. board certified?

Yes. Dr. Vierra is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. David Ray Vierra Jr. bill to Medicare?

In 2024, Dr. Vierra's most billed Medicare services were hospital inpatient care (99222), hospital inpatient care (99232) and hospital inpatient care (99239).

Where did Dr. David Ray Vierra Jr. go to medical school?

Dr. Vierra graduated from Ross University School of Medicine in 2020.

What drugs does Dr. David Ray Vierra Jr. prescribe most?

In 2024 Medicare Part D data, Dr. Vierra's most prescribed drugs by claims were Furosemide, Atorvastatin Calcium and Amlodipine Besylate.

Has Dr. David Ray Vierra Jr. received payments from drug or device companies?

CMS Open Payments shows $32 in general payments to Dr. Vierra from 1 company from 2024 to 2024. The largest total came from Amgen Inc.

How long has Dr. David Ray Vierra Jr. been practicing?

Dr. Vierra graduated from medical school in 2020, 6 years ago.

What insurance does Dr. David Ray Vierra Jr. accept?

Dr. Vierra is in network with 12 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and HCSC. PPO plans come from the most carriers, 7. Check the plan with the practice before a visit.

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