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DR. NIPUN CHHABRA M.D.
NPI 1861687584
Otolaryngology in Leesburg, VA

Active since September 06, 2007PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
19490 SANDRIDGE WAY, SUITE 230, LEESBURG, VA 20176(703) 858-5885(703) 858-5001 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2023, Jan 5, 2021, Dec 30, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Nipun Chhabra M.d. NPPES

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

DR. NIPUN CHHABRA M.D. (NPI 1861687584) is an individual otolaryngology provider in Leesburg, Virginia, licensed in Virginia (0101260169) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and maintains a secondary practice location in Westlake.

NPPES Registry Identity

NPI1861687584
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. NIPUN CHHABRACredential: M.D.
Location Address19490 SANDRIDGE WAY, SUITE 230Leesburg, VA 20176
Mailing Address224-d Cornwall Street, Nw., Suite 403Leesburg, Va, VA 20176-2704 · (703) 737-6010
Phone(703) 858-5885
Fax(703) 858-5001
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2007
Enumeration DateSeptember 6, 2007
Last NPPES UpdateSeptember 29, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1861687584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in VA · 0101260169✔ Licensed in IL · 036133003
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19490 SANDRIDGE WAY, SUITE 230, Leesburg, VA 20176
Open in Google Maps ↗

Secondary Practice Location 1

Location 129099 Health Campus Dr Ste 250Westlake, OH 44145-5255 · Phone (440) 617-4737

Other Identifiers 2

Medicaid1861687584VA
Medicaid30017661150001VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Nipun Chhabra 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 ID3870734403
PECOS Enrollment IDI20161219001071
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 Reassignment

Medicare enrollment records show Nipun Chhabra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Metrohealth System
277 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

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 8

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
150 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services113 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
119 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services75 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
86 services82 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MRS. KIMBERLY PAIGE JOHNSON AU.D., CCC-A
Audiologist
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
LOUDOUN MEDICAL GROUP, PC
Otolaryngology
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
ESTHER PAK
Physician Assistant
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
KELLI DANIELLE WILLINGHAM FNP
Nurse Practitioner (Family)
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
JOANNA SCHACHTNER AU.D.
Audiologist
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885

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 Nipun Chhabra's NPI number?

The NPI number for Nipun Chhabra is 1861687584. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Nipun Chhabra located?

Nipun Chhabra practices at 19490 Sandridge Way, Suite 230, Leesburg, VA 20176. The listed phone number is (703) 858-5885.

What is Nipun Chhabra's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nipun Chhabra enrolled in Medicare?

Yes. Nipun Chhabra 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 organization bills Medicare for Nipun Chhabra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nipun Chhabra reassigns Medicare benefits to The Metrohealth System (Cleveland, OH). The 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 Nipun Chhabra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nipun Chhabra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Nipun Chhabra 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 Nipun Chhabra affiliated with any hospitals?

According to CMS data, Nipun Chhabra is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Nipun Chhabra was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.