Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

RAFAEL A PERFECTO VIERA

Allopathic & Osteopathic Physicians General Practice

NPI: 1003205519
CMS profile: 2776437
Location: WINTER GARDEN, FL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2025

CMS publication 2026-06-30

Latest program year · PY2025

$1,601.29

82 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,601.29	82

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Novo Nordisk AS	$282.37	15
ABBVIE INC.	$185.52	13
ITI, Inc.	$185.39	16
Bayer HealthCare Pharmaceuticals Inc.	$179.93	7
Acerta Pharma LLC	$158.17	4
Exact Sciences Corporation	$95.97	4
GlaxoSmithKline, LLC.	$79.42	3
OptiNose US, Inc.	$77.89	3
Almatica Pharma LLC	$53.55	2
Lundbeck LLC	$42.37	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$41.96	2
Amgen Inc.	$40.36	2
Lilly USA, LLC	$33.86	2
Phathom Pharmaceuticals, Inc.	$31.55	1
PFIZER INC.	$29.87	2
AIMMUNE THERAPEUTICS, INC.	$26.33	1
Medtronic, Inc.	$21.91	1
Sumitomo Pharma America, Inc.	$20.44	1
Hikma Pharmaceuticals USA	$14.43	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$96.98	6
PY2020	$307.64	20
PY2021	$579.70	30
PY2022	$685.45	35
PY2023	$904.27	48
PY2024	$1,032.04	41
PY2025	$1,601.29	82

Payment records · PY2025 (82)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2019 2020 2021 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Bayer Healthcare Pharmaceuticals Inc.	$32.98	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1225699296	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.01	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1241380260	CMS
Bayer Healthcare Pharmaceuticals Inc.	$28.27	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1225699292	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$8.72	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1241380258	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.20	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1222870136	CMS
Novo Nordisk Inc	$13.12	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1188864290	CMS
Sumitomo Pharma America, Inc.	$20.44	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1176704219	CMS
ABBVIE INC.	$17.52	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1203580713	CMS
GlaxoSmithKline, LLC.	$23.84	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1190652082	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.75	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1241380256	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.16	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1241380254	CMS
Amgen Inc.	$21.61	10/27/2025	Food and Beverage	No dispute reported	06/30/2026	1228349814	CMS
PFIZER INC.	$15.42	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1229367303	CMS
Novo Nordisk Inc	$20.41	10/16/2025	Food and Beverage	No dispute reported	06/30/2026	1188332610	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.55	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1225699288	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.06	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1241380252	CMS
Novo Nordisk Inc	$21.70	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1188254009	CMS
Bayer Healthcare Pharmaceuticals Inc.	$34.16	09/25/2025	Food and Beverage	No dispute reported	06/30/2026	1225699284	CMS
AstraZeneca Pharmaceuticals LP	$19.89	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1206852058	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$10.52	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1241380250	CMS
ABBVIE INC.	$0.63	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1203580708	CMS
Novo Nordisk Inc	$20.53	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1188487007	CMS
Novo Nordisk Inc	$24.41	09/15/2025	Food and Beverage	No dispute reported	06/30/2026	1189011740	CMS
Exact Sciences Corporation	$23.09	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1235698413	CMS
GlaxoSmithKline, LLC.	$29.90	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1191684842	CMS
AstraZeneca Pharmaceuticals LP	$21.97	08/26/2025	Food and Beverage	No dispute reported	06/30/2026	1207310067	CMS
ABBVIE INC.	$27.48	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1203580699	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.35	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1241380248	CMS
Lilly USA, LLC	$14.36	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1186928856	CMS
Novo Nordisk Inc	$6.61	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1188942464	CMS
Lundbeck LLC	$24.53	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1251834727	CMS
Novo Nordisk Inc	$24.89	08/13/2025	Food and Beverage	No dispute reported	06/30/2026	1188254620	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.24	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1241380246	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.40	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1225699280	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$7.71	08/04/2025	Food and Beverage	No dispute reported	06/30/2026	1241380244	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$7.66	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1241380242	CMS
Novo Nordisk Inc	$10.19	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1188588808	CMS
Optinose US, Inc.	$25.24	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1163266548	CMS
GlaxoSmithKline, LLC.	$25.68	07/28/2025	Food and Beverage	No dispute reported	06/30/2026	1190699256	CMS
Novo Nordisk Inc	$23.01	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1188246734	CMS
Novo Nordisk Inc	$13.66	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1188246431	CMS
Amgen Inc.	$18.75	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1228349812	CMS
Exact Sciences Corporation	$26.81	07/14/2025	Food and Beverage	No dispute reported	06/30/2026	1235698409	CMS
Medtronic, Inc.	$21.91	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1219868736	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.70	07/07/2025	Food and Beverage	No dispute reported	06/30/2026	1241380240	CMS
Bayer Healthcare Pharmaceuticals Inc.	$30.09	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1225699272	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$10.26	06/23/2025	Food and Beverage	No dispute reported	06/30/2026	1241380238	CMS
ABBVIE INC.	$15.85	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1203580693	CMS
AstraZeneca Pharmaceuticals LP	$23.50	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1206524906	CMS
Novo Nordisk Inc	$21.82	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1188676112	CMS
ABBVIE INC.	$17.21	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1203580688	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.60	06/05/2025	Food and Beverage	No dispute reported	06/30/2026	1241380236	CMS
ABBVIE INC.	$25.78	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1203580682	CMS
Novo Nordisk Inc	$13.70	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1188559712	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.14	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1241380234	CMS
ABBVIE INC.	$2.55	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1203580677	CMS
Exact Sciences Corporation	$23.79	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1235698405	CMS
Lundbeck LLC	$17.84	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1251834725	CMS
ABBVIE INC.	$16.42	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1203580671	CMS
Almatica Pharma LLC	$24.05	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1209935475	CMS
ABBVIE INC.	$2.14	04/21/2025	Food and Beverage	No dispute reported	06/30/2026	1203580665	CMS
Lilly USA, LLC	$19.50	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1186788039	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.48	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1225699276	CMS
Exact Sciences Corporation	$22.28	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1235698401	CMS
Novo Nordisk Inc	$24.13	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1188213545	CMS
Aimmune Therapeutics, Inc.	$26.33	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1249666361	CMS
ABBVIE INC.	$21.02	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1203580660	CMS
Almatica Pharma LLC	$29.50	03/13/2025	Food and Beverage	No dispute reported	06/30/2026	1209935473	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$12.57	03/13/2025	Food and Beverage	No dispute reported	06/30/2026	1241380232	CMS
Optinose US, Inc.	$28.78	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1163266546	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.76	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1222870132	CMS
Phathom Pharmaceuticals, Inc.	$31.55	03/04/2025	Food and Beverage	No dispute reported	06/30/2026	1219304849	CMS
PFIZER INC.	$14.45	02/27/2025	Food and Beverage	No dispute reported	06/30/2026	1231368296	CMS
ABBVIE INC.	$9.53	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1203580654	CMS
Novo Nordisk Inc	$20.53	02/10/2025	Food and Beverage	No dispute reported	06/30/2026	1188524961	CMS
Optinose US, Inc.	$23.87	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1163266544	CMS
ABBVIE INC.	$11.61	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1203580649	CMS
AstraZeneca Pharmaceuticals LP	$92.81	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1206400336	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.94	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1241380230	CMS
Hikma Pharmaceuticals USA	$14.43	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1248216612	CMS
Novo Nordisk Inc	$23.66	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1188224333	CMS
ABBVIE INC.	$17.78	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1203580643	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1003205519

Plain: RAFAEL A PERFECTO VIERA, NPI 1003205519. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1003205519.
APA 7: IndustryPayments. (2026). RAFAEL A PERFECTO VIERA, NPI 1003205519 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1003205519
Bluebook: RAFAEL A PERFECTO VIERA, NPI 1003205519, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1003205519.

Source: Centers for Medicare & Medicaid Services, Open Payments.