DR. ALICE NELSON HERLIHY MD
NPI 1902013196
Internal Medicine - Pulmonary Disease in North Chesterfield, VA

Q: What is Alice Herlihy's NPI number?

The NPI number for Alice Herlihy is 1902013196. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Alice Herlihy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Alice Herlihy was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment

76.5/100

CMS Quality Rating

1000 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225(804) 320-4243(804) 622-0552 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Alice Nelson Herlihy Md NPPES

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

DR. ALICE NELSON HERLIHY MD (NPI 1902013196) is an individual pulmonary disease provider in North Chesterfield, Virginia, licensed in Virginia (0101243949) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1902013196

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. ALICE NELSON HERLIHYCredential: MD

Location Address1000 BOULDERS PKWY, SUITE 200North Chesterfield, VA 23225-5545

Mailing Address1000 Boulders Pkwy, Suite 102North Chesterfield, VA 23225-5545 · (804) 320-4243 · Fax (804) 282-1486

Phone(804) 320-4243

Fax(804) 622-0552

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 17, 2007

Last NPPES UpdateMay 20, 2021

NPPES CertifiedMay 20, 2021

✔ NPI 1902013196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in VA · 0101243949

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0101243949 (VA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101243949 (VA)

1000 BOULDERS PKWY, North Chesterfield, VA 23225

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alice Nelson Herlihy Md 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 ID4183792468

PECOS Enrollment IDI20081014000609

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.

Areas of Expertise CMS Part B claims 36

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.

Injection, omalizumab, 5 mg J2357

Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.

15,736 services58 patients

Injection, mepolizumab, 1 mg J2182

Mepolizumab is a medication given via injection to help manage severe asthma and certain other conditions. It works by reducing the number of specific white blood cells that contribute to inflammation, thus aiding in symptom control.

10,101 services36 patients

Injection, tezepelumab-ekko, 1 mg J2356

Tezepelumab-ekko is a medication given via injection to help manage severe asthma. It works by blocking a specific protein in your body that triggers asthma symptoms. This injection is typically administered under medical supervision.

8,400 services19 patients

Injection, benralizumab, 1 mg J0517

Benralizumab is a medication given via injection to help manage severe asthma. It works by reducing the number of eosinophils, a type of white blood cell that can contribute to asthma symptoms.

1,230 services26 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.

941 services541 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

672 services140 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

482 services74 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

434 services69 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

424 services81 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.

206 services174 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

197 services32 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

173 services45 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

154 services147 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

153 services147 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.

131 services131 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

128 services125 patients

Evaluation of use of breathing device 94664

The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.

57 services57 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

54 services42 patients

Treatment of swallowing and feeding disorder 92526

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

49 services41 patients

Therapy procedure for a range of mental processes, initial 15 minutes 97129

This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.

48 services40 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

47 services45 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

44 services44 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

34 services32 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

25 services17 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services20 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

21 services21 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

21 services21 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

21 services21 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

20 services20 patients

Exam of lung airways using an endoscope 31623

This procedure, known as a bronchoscopy, involves a doctor examining your lung airways with a thin tube called an endoscope. It helps detect any issues in your lungs or airways, such as infections or blockages. It's a safe, routine procedure.

17 services17 patients

Evaluation of speech sound production with evaluation of language comprehension and expression 92523

This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.

15 services15 patients

Evaluation of swallowing function 92610

Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.

15 services15 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

13 services13 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

11 services11 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490059

Location5801 Bremo RdRichmond, VA 23226 · Richmond City County

Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490118

Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County

Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23225 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

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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.

76.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.31

Promoting Interoperability

Improvement Activities

Cost

56.87

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers22 claims43 services$1.13 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

6 suppliers41 claims41 services$12.86 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

4 suppliers30 claims30 services$1.19 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers108 claims113 services$15.34 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers25 claims25 services$817.32 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers188 claims209 services$4.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers418 claims442 services$71.63 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers234 claims247 services$31.37 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

5 suppliers17 claims17 services$39.46 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

4 suppliers27 claims1,620 services$3.65 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

13 suppliers84 claims14,968 services$0.03 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

6 suppliers13 claims2,646 services$0.04 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

15 suppliers89 claims7,530 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

10 suppliers49 claims3,090 services$0.74 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

6 suppliers39 claims204,750 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

27 suppliers190 claims190 services$24.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

LINDSEY E. JONES MHS, PA-C

Physician Assistant (Medical)

1000 BOULDERS PKWY, SUITE 200
NORTH CHESTERFIELD, VA 23225

Richmond City (804) 320-4243

MRS. KATHI K ANDERSON L.P.C.

Counselor (Professional)

1000 BOULDERS PKWY, SUITE 202
RICHMOND, VA 23225

Richmond City (804) 320-7881

MR. ROBERT L SEWARD M.D.

Psychiatry & Neurology (Psychiatry)

1000 BOULDERS PKWY, SUITE 202
RICHMOND, VA 23225

Richmond City (804) 320-7881

MUHAMMAD NAUMAN ATHAR MD

Internal Medicine (Pulmonary Disease)

1000 BOULDERS PKWY, SUITE 102
NORTH CHESTERFIELD, VA 23225

Richmond City (804) 320-4243

MS. SANDRA E. ROBERTS LCSW

Social Worker (Clinical)

1000 BOULDERS PKWY, SUITE 202
RICHMOND, VA 23225

Richmond City (804) 320-7881

DR. CULLEN B. RIVERS M.D.

Internal Medicine (Pulmonary Disease)

1000 BOULDERS PKWY, SUITE 200
RICHMOND, VA 23225

Richmond City (804) 320-4243

DR. RITSU KUNO M.D.

Internal Medicine (Pulmonary Disease)

1000 BOULDERS PKWY, SUITE 200
RICHMOND, VA 23225

Richmond City (804) 320-4243

PULMONARY ASSOCIATES OF RICHMOND INC

Specialist

1000 BOULDERS PKWY, SUITE 200
RICHMOND, VA 23225

Richmond City (804) 320-4243

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 Alice Herlihy's NPI number?

The NPI number for Alice Herlihy is 1902013196. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Alice Herlihy located?

Alice Herlihy practices at 1000 Boulders Pkwy Suite 200, North Chesterfield, VA 23225. The listed phone number is (804) 320-4243.

What is Alice Herlihy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Alice Herlihy enrolled in Medicare?

Yes. Alice Herlihy 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.

Is Alice Herlihy affiliated with any hospitals?

According to CMS data, Alice Herlihy is affiliated with Medical College Of Virginia Hospitals, Bon Secours St Marys Hospital, Cjw Medical Center, Henrico Doctors' Hospital and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Alice Herlihy was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.