Dr. Elizabeth Vierra, MD
15525 Pomerado Rd, Suite A-2, Poway, CA 92064 • +1-493-555-8757
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Poway Percentiles
NPI #1669470167 • CBSA Regional • Dermatology
CMS Medicare Part B utilization records credit Dr. Elizabeth Vierra (MD, NPI 1669470167) at 15525 Pomerado Rd, Suite A-2 in Poway with 11,163 annual clinical services (1,557 beneficiaries), corresponding to a +0.29σ regional deviation and upper-quartile active clinical volume (80th Poway percentile) with sub-specialty concentration in 55 Active CMS HCPCS Codes.
Procedural volume for Dr. Vierra is led by HCPCS 17000 (Cryotherapy Destruction of Premalignant Actinic Lesion — 3789 annual services, $95–$130 GPCI cash estimate), followed by CPT 99213 (Focused Cutaneous & Dermoscopic Examination, 3454/yr) and CPT 11102 (Tangential Diagnostic Skin Biopsy of Single Lesion, 2117/yr).
Cash-pay intake data for NPI 1669470167 (15525 Pomerado Rd, Suite A-2, Poway) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 13-minute average reception wait and 4.60/5 biomarker openness.
Clinical background for Dr. Vierra (MD, NPI #1669470167) includes accredited doctoral training (1999, 27 yrs in practice) and virtual + in-office availability across CA.
Compared against Poway, CA Dermatology peers
11,163 annual services across 1,557 beneficiaries
Standard deviations from CA Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 3,789 | 80th | $95 – $130 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 3,454 | 85th | $106 – $145 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 2,117 | 81th | $139 – $190 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 1,114 | 84th | $195 – $267 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 669 | 81th | $150 – $206 |
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Dr. Elizabeth Vierra, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Vierra National Provider Identifier | NPI #1669470167 (MD) | CMS NPPES Registry (92064) |
| Dr. Vierra Poway CMS Volume Rank | 80.00th Pct (11,163 CMS svcs; Z +0.289σ) | CMS Medicare Part B (CA Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Poway, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 13 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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