Office Hours

8AM – 4PM Monday through Friday
We are closed for lunch 12– 1:30PM
We are closed on holidays and the Friday after Thanksgiving

Preventative Health Care

We consider preventive health care to be a team approach between the patient and the physician. As the physician, we utilize evidence-based guidelines set forth by the U.S. Preventive Services Task Force and other evidence-based information. That information assists us in recommending appropriate screening tests when indicated and providing patient education and health counseling on a variety of adult conditions and concerns. The idea is that prevention of disease is just as important, if not more important, than the treatment. With the above in mind, a "Complete Physical Exam (CPE)" at our office is a "wellness visit," when we focus on age-appropriate cancer screening, lifestyle choices, habits, and the prevention of illnesses and injuries. This can include:

  • A review and evaluation of a patient's risk for disease based on his/her personal medical history, lifestyle and habits, and family medical history
  • A physical exam
  • Basic blood work
  • Appropriate radiologic and other screening tests when indicated
  • Referrals to particular specialists when indicated

The Patient is the other critical part of the team. As such, we expect our patients to similarly invest in their health as we do. Investing in their own health is accomplished by many things, including striving to make healthy lifestyle choices, following recommended treatments such as medications and supplements, and making routine follow-up visits as indicated.

Given the generous amount of information and preventive health counseling covered during our Complete Physical Exams, 45 minutes are allotted for this visit. As such, these appointments need to be scheduled well in advance (sometimes between 1 to 6 months ahead).

Women's Preventive Health

In addition to general adult health needs, we recognize that women require additional care and screening specific to certain female conditions. All of our physicians offer gynecologic appointments (known as the "Gyn exam"), wherein we offer routine screening such as breast and pelvic exams. Additional evaluation for more specific gynecologic complaints can also be addressed. More specialized gynecologic care can be performed by one of many great Ob/Gyn physicians in the area to whom we refer our patients. Also, acknowledging that heart disease is the #1 killer of women as well as men in the United States, our physicians keep vigilant for a wide variety of symptoms which may indicate the need for referral to a Cardiologist.

Chronic Conditions

The focus of Internal Medicine is the prevention, diagnosis, and management of adult disease. Our physicians specialize in the complete care of the patient, including patients with multisystem disease processes.

Chronic conditions most commonly treated include:

  • Hypertension (high blood pressure)
  • Hyperlipidemia (high cholesterol or other lipid disorders)
  • Coronary Artery Disease
  • Peripheral Arterial Disease
  • Diabetes Mellitus
  • Asthma/COPD
  • Osteoporosis
  • Osteoarthritis
  • Depression/Anxiety

When needed, our physicians also collaborate with specialists to ensure that your chronic illnesses are managed appropriately.

In-Office Procedures

Some patient conditions may require referral to a specialist for further evaluation and treatment. In many instances however, procedures can be performed in our office by Dr. Neria as part of the diagnosis and management of common adult problems.

Some examples include:

  • Incision & drainage of skin abscesses
  • Excision or biopsy of a variety of skin lesions and moles
  • Surgical removal of ingrown nails and sebaceous cysts
  • Removal of skin tags
  • Cryotherapy, such as for the treatment of actinic keratosis, genital warts, & common warts
  • Simple laceration repairs
  • Suture removal & staple removal

Electronic Medical Records

Our medical records are now maintained under EHR (Electronic Medical Records). The EHR product is Intergy by Vitera and offers the physician the ability to manage all aspects of your health concerns and provide you with a summary of each visit.

Electronic Prescribing

Our office has the ability to send your prescriptions electronically to your local or mail pharmacy. This should mean less time spent waiting for prescriptions at the pharmacy. Before you leave our office, the prescription is already at the pharmacy ready to be filled.

Secure Online Messaging & Patient Portal

To access the patient portal, please click here or select the option in the menu. You will be redirected to a secure login.

Our office offers limited access to your medical information through our patient portal. After seeing the doctor and having laboratory work done, look it up on your computer! The doctor can correspond with you securely through the portal, send you documents and receive documents from you. You can request appointment times, prescriptions and give demographic and insurance changes through the portal. This is available to all active patients who register for the use.

On-Call Physician & Answering Service

Our office uses an "after hours" phone answering service through Virginia Hospital Center, after office hours and on the weekends. If you are having a medical emergency, please call 911. If you have an urgent matter that cannot wait until the next business day, you can call our office and the phone service will contact the physician on-call. The physician will return the call and speak directly to you regarding your concerns.

Please Note: Should our patients require hospitalization at Virginia Hospital Center, their care during that time is provided by hospitalists there, as well as specialists as needed. Hospitalists are physicians who specialize in hospital (inpatient) medicine.