MANUEL SIERRA (M.D.) – Psychiatry Physician, NPI 1861467375

MANUEL SIERRA (M.D.) is a healthcare provider. based in Pocatello, Idaho. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. A85395 (CA). The NPI Number for MANUEL SIERRA (M.D.) is 1861467375

Main info

Male
24 Years Of Experience
Name
MANUEL SIERRA (M.D.)
NPI
1861467375
Phone
(208) 244-2707
Address
300 VALLEYVIEW DR
Enumeration Date
19 February 2006
Last Update Date
28 May 2009

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2082371711
Graduation Year
2002 (24 years ago)
PAC ID
1759330343
Group Practice PAC ID
6709165442
Professional Enrollment ID
I20090610000683
Address ID
ID832025055CH265XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

129 PSYCHIATRY in ID

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Provider Addresses for MANUEL SIERRA (M.D.)

  • 300, Valleyview Drive, Pocatello, Bannock County, Idaho, 83204, United States

    POCATELLO, ID 832044708

    Phone: (208) 244-2707

    Type: Mailing

  • 1740, East 17th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States

    SUITE A

    IDAHO FALLS, ID 834046375

    Phone: (208) 346-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($30).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090610000683IPsychiatryIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90833Psychotherapy with evaluation and management visit, 30 minutes3712$0
99213Established patient office or other outpatient visit, 20-29 minutes2911$0
99214Established patient office or other outpatient visit, 30-39 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 83204)

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Provider's Procedures

MANUEL SIERRA (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYID90833Psychotherapy, 30 minutes with patient and/or family member2312

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709165442View full group profile
NameSpecialtyState
Physician AssistantID
Mental Health CounselorID
Mental Health CounselorID
Mental Health CounselorID
Clinical Social WorkerID
Clinical Social WorkerID
Mental Health CounselorID
Clinical Social WorkerID
Mental Health CounselorID
Mental Health CounselorID

Reviews

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Frequently asked questions

What unique ID ties claims to MANUEL SIERRA (M.D.)?
NPI 1861467375 is assigned to MANUEL SIERRA (M.D.) under the national enumeration system.
Is MANUEL SIERRA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MANUEL SIERRA (M.D.) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for MANUEL SIERRA (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MANUEL SIERRA (M.D.)?
The snapshot lists Pocatello, Idaho for MANUEL SIERRA (M.D.); download NPPES for the complete set.
What if Pocatello, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.