Active NPI 1316984636 Individual Practitioner Male Practitioner

Dr. David A Herec , MD

Internal Medicine • Riverside, RI

Professional Overview & Biography Verified Profile Summary

Dr. David Herec, MD is a registered healthcare professional specializing in Internal Medicine in Riverside, RI. Practice services are available at 1275 WAMPANOAG TRL under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1275 Wampanoag Trl
Suite 200

Riverside, RI 029151217

Telephone 4014339880

Fax 4014339838

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Riverside, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

39 Specialists

Practicing in Riverside, RI (1079 Statewide)

Telehealth Adoption Rate

61.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	202	$320.00	$136.62
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$230.00	$96.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$306.00	$140.26
99497 Advance care planning, first 30 minutes	46	46	$180.00	$89.64
83036 Hemoglobin A1C level	38	35	$36.00	$9.71
G0444 Annual depression screening, 5 to 15 minutes	36	36	$53.00	$19.96
36415 Insertion of needle into vein for collection of blood sample	12	12	$15.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	615	342	$320.00	$114.21
99497 Advance care planning, first 30 minutes	191	190	$180.00	$89.60
99213 Established patient office or other outpatient visit, typically 15 minutes	175	138	$230.00	$78.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$306.00	$121.23
G0444 Annual depression screening, 5 to 15 minutes	151	151	$53.00	$19.25
G0008 Administration of influenza virus vaccine	117	116	$79.00	$19.00
90662 Influenza vaccine split virus, preservative free	104	103	$68.00	$60.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	72	72	$270.00	$178.91
83036 Hemoglobin A1C level	63	49	$36.00	$9.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	31	$100.00	$56.20
G0009 Administration of pneumococcal vaccine	31	31	$35.00	$18.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$475.00	$172.28
99496 Transitional care management services for problem of high complexity	20	20	$613.00	$257.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$155.00	$117.12
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$401.00	$174.27
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$65.00	$18.04
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$34.00	$19.17
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$306.67	$114.69
90670 Pneumococcal vaccine for injection into muscle	11	11	$352.00	$230.14
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$75.00	$18.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	365	$320.00	$112.96
99497 Advance care planning, first 30 minutes	237	236	$180.00	$87.97
99213 Established patient office or other outpatient visit, typically 15 minutes	207	159	$230.00	$77.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$306.00	$121.10
G0444 Annual depression screening, 5 to 15 minutes	171	171	$53.00	$18.91
G0008 Administration of influenza virus vaccine	134	133	$79.00	$17.34
90662 Influenza vaccine split virus, preservative free	123	122	$68.00	$53.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$475.00	$170.15
83036 Hemoglobin A1C level	80	56	$36.00	$10.57
36415 Insertion of needle into vein for collection of blood sample	66	59	$15.00	$2.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$270.00	$178.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	34	$100.00	$52.66
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$65.00	$17.38
G0009 Administration of pneumococcal vaccine	28	28	$35.00	$17.82
99496 Transitional care management services for problem of high complexity	27	27	$613.00	$233.83
90670 Pneumococcal vaccine for injection into muscle	20	20	$352.00	$209.02
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	15	$50.00	$15.43
69210 Removal of impacted ear wax	19	19	$153.00	$47.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$401.00	$172.68
81003 Automated urinalysis test	15	14	$9.00	$2.22
99495 Transitional care management services for problem of at least moderate complexity	14	14	$396.00	$171.27
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$34.00	$14.98
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$75.00	$18.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	605	297	$320.00	$111.09
99213 Established patient office or other outpatient visit, typically 15 minutes	268	176	$230.00	$75.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$306.00	$122.09
99497 Advance care planning, first 30 minutes	182	182	$180.00	$87.58
G0444 Annual depression screening, 5 to 15 minutes	140	140	$53.00	$18.76
G0008 Administration of influenza virus vaccine	119	117	$79.00	$22.82
90662 Influenza vaccine split virus, preservative free	114	112	$68.00	$48.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$475.00	$165.32
36415 Insertion of needle into vein for collection of blood sample	39	37	$15.00	$2.86
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$65.00	$17.87
99496 Transitional care management services for problem of high complexity	28	23	$613.00	$243.21
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	16	$100.00	$56.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$401.00	$173.62
G0009 Administration of pneumococcal vaccine	17	17	$35.00	$23.11
83036 Hemoglobin A1C level	14	14	$36.00	$10.99
81002 Urinalysis, manual test	14	13	$10.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	13	13	$352.00	$201.01
99495 Transitional care management services for problem of at least moderate complexity	13	12	$396.00	$171.84
69210 Removal of impacted ear wax	13	13	$153.00	$49.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$270.00	$179.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	208	$320.72	$109.86
99213 Established patient office or other outpatient visit, typically 15 minutes	193	109	$230.00	$74.72
G0008 Administration of influenza virus vaccine	85	85	$79.00	$26.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$475.00	$169.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$301.03	$119.76
90662 Influenza vaccine split virus, preservative free	71	71	$68.00	$48.05
99496 Transitional care management services for problem of high complexity	30	25	$597.90	$238.97
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$65.00	$17.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	19	$106.82	$55.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$350.00	$112.06
36415 Insertion of needle into vein for collection of blood sample	22	22	$15.00	$2.94
G0009 Administration of pneumococcal vaccine	17	17	$38.82	$27.13
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$34.00	$16.23
90670 Pneumococcal vaccine for injection into muscle	13	13	$280.77	$186.17

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD05953

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 50883

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Laurie Grauel , MD

Pediatrics

NPI 1962456186

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2012

Registered at 1275 WAMPANOAG TRL, SUITE 200, RIVERSIDE, RI 029151217 (Tel: 4014339880)

📍

Updated Business Mailing Address October 04, 2012

Registered at 17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 029054406

👤

Provider Name / Credentials Updated October 04, 2012

Recorded as DAVID HEREC, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2012

Internal Medicine (License #MD05953 in RI)

🟢

Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316984636

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 02, 2006

Last Update: October 04, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17 Virginia Ave, Suite 107

Providence, RI 029054406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.