CLARE KELLIHER NI CHEILLEACHAIR M.D.
NPI 1154617637
Ophthalmology in Winchester, VA

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
190 CAMPUS BLVD STE 210, WINCHESTER, VA 22601(540) 536-5820(540) 536-5821 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Sep 8, 2021, Oct 26, 2016 (3 updates tracked since 2016).

About Clare Kelliher Ni Cheilleachair M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARE KELLIHER NI CHEILLEACHAIR M.D. (NPI 1154617637) is an individual ophthalmology provider in Winchester, Virginia, licensed in Virginia (0101281618) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154617637
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCLARE KELLIHER NI CHEILLEACHAIRCredential: M.D.
Location Address190 CAMPUS BLVD STE 210Winchester, VA 22601-2872
Mailing Address220 Campus Blvd Ste 320Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235
Fax(540) 536-5821
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 23, 2011
Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1154617637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in VA · 0101281618
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
190 CAMPUS BLVD STE 210, Winchester, VA 22601

Other Names 1

Other Name (5)Clare Cheilleachair M.d.

Secondary Practice Locations 2

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000 · Fax (540) 536-7780
Location 2236 S Main StWoodstock, VA 22664-1452 · Phone (540) 536-5820 · Fax (540) 536-5821

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clare Kelliher Ni Cheilleachair M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274843263
PECOS Enrollment IDI20241016001026
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Clare Ni Cheilleachair reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
190 CAMPUS BLVD STE 210
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Pulmonary Disease
190 CAMPUS BLVD STE 201
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Family Medicine
33699 OLD VALLEY PIKE STE D
Strasburg, VA 22657
  • Reassigned Medicare billing, Virginia enrollment
  • 416 clinicians in this Medicare group
Rural Health
67 RIVERTON COMMONS DR
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group
Multi-Specialty
6190 GEORGETOWN BLVD STE 102
Eldersburg, MD 21784
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
198 services193 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
107 services106 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
99 services99 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
85 services66 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
85 services80 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
70 services58 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
190 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Ophthalmology
190 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Ophthalmology
190 CAMPUS BLVD STE 210
WINCHESTER, VA 22601
Ophthalmology
190 CAMPUS BLVD STE 210
WINCHESTER, VA 22601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clare Ni Cheilleachair's NPI number?

The NPI number for Clare Ni Cheilleachair is 1154617637. It was assigned to this individual provider in the NPPES registry on June 23, 2011. The provider is also known as Clare Cheilleachair M.D..

Where is Clare Ni Cheilleachair located?

Clare Ni Cheilleachair practices at 190 Campus Blvd Ste 210, Winchester, VA 22601. The listed phone number is (540) 536-5820.

What is Clare Ni Cheilleachair's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Clare Ni Cheilleachair enrolled in Medicare?

Yes. Clare Ni Cheilleachair is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Clare Ni Cheilleachair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clare Ni Cheilleachair reassigns Medicare benefits to 5 organizations: Valley Physician Enterprise, Inc. (Winchester, VA), Winchester Medical Center (Winchester, VA), Shenandoah Memorial Hospital, Inc. (Strasburg, VA), Warren Memorial Hospital, Inc. (Front Royal, VA) and Sinai Hospital Of Baltimore Inc (Eldersburg, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clare Ni Cheilleachair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clare Ni Cheilleachair accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource list Clare Ni Cheilleachair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Clare Ni Cheilleachair affiliated with any hospitals?

According to CMS data, Clare Ni Cheilleachair is affiliated with Winchester Medical Center, Warren Memorial Hospital and Shenandoah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Clare Ni Cheilleachair was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.