BRIAN DAVID GRIFFITH M.D.
Accepted Insurance for NPI 1013035310
Internal Medicine - Critical Care Medicine in Madison, WI

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment

202 S PARK ST, MADISON, WI 53715(608) 417-5950 Get Directions

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Dr. Griffith take my insurance?

159 Wisconsin plans sold on HealthCare.gov for 2026 include Dr. Griffith, from Quartz, Security Health Plan, Group Health Cooperative-SCW and 3 other insurers.

InsurersQuartz 57 plans Security Health Plan 49 plans Group Health Cooperative-SCW 21 plans Anthem Blue Cross and Blue Shield 18 plans Aspirus Health Plan 12 plans HealthPartners 2 plans

Call before you book: insurer directories can be out of date, so call the office at (608) 417-5950 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Wisconsin plans 159 plans · 195 plan IDs

Plans sold to Wisconsin residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Quartz

57 plans · HMO

Accepting new patients

Quartz One Achieve network · 38 plans · Preferred tier

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DEDHMOGold$70037833WI0510319

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DEDHMOGold$70037833WI0380319

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DEDHMOGold$70037833WI0510194

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DEDHMOGold$70037833WI0380194

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICINGHMOGold$2,00037833WI0380320

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICINGHMOGold$2,00037833WI0510320

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICINGHMOGold$2,00037833WI0380196

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICINGHMOGold$2,00037833WI0510196

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DEDHMOGold$4,00037833WI0510318

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DEDHMOGold$4,00037833WI0380318

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DEDHMOGold$4,00037833WI0510268

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DEDHMOGold$4,00037833WI0380268

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICINGHMOSilver$6,00037833WI0380323

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICINGHMOSilver$6,00037833WI0510323

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICINGHMOSilver$6,00037833WI0380274

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICINGHMOSilver$6,00037833WI0510200

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DEDHMOSilver$8,00037833WI0510321

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DEDHMOSilver$8,00037833WI0380321

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DEDHMOSilver$8,00037833WI0510272

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DEDHMOSilver$8,00037833WI0380272

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DEDHMOSilver$9,00037833WI0510343

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DEDHMOSilver$9,00037833WI0380343

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DEDHMOSilver$9,00037833WI0510342

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DEDHMOSilver$9,00037833WI0380342

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DEDHMOExpanded Bronze$037833WI0510325

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DEDHMOExpanded Bronze$037833WI0380325

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DEDHMOExpanded Bronze$037833WI0510204

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DEDHMOExpanded Bronze$037833WI0380204

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0380326

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0510326

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0380275

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0510205

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DEDHMOExpanded Bronze$10,15037833WI0510340

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DEDHMOExpanded Bronze$10,15037833WI0380340

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DEDHMOExpanded Bronze$10,15037833WI0510338

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DEDHMOExpanded Bronze$10,15037833WI0380338

QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DEDHMOCatastrophic$10,60037833WI0540089

QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DEDHMOCatastrophic$10,60037833WI0540008

Quartz Gundersen Performance network · 19 plans · Preferred tier

QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DEDHMOGold$70037833WI0510305

QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DEDHMOGold$70037833WI0380305

QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICINGHMOGold$2,00037833WI0380281

QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICINGHMOGold$2,00037833WI0510281

QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DEDHMOGold$4,00037833WI0510280

QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DEDHMOGold$4,00037833WI0380280

QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICINGHMOSilver$6,00037833WI0380288

QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICINGHMOSilver$6,00037833WI0510288

QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DEDHMOSilver$8,00037833WI0510284

QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DEDHMOSilver$8,00037833WI0380284

QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DEDHMOSilver$9,00037833WI0510344

QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DEDHMOSilver$9,00037833WI0380344

QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DEDHMOExpanded Bronze$037833WI0510292

QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DEDHMOExpanded Bronze$037833WI0380292

QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0380289

QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0510289

QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DEDHMOExpanded Bronze$10,15037833WI0510341

QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DEDHMOExpanded Bronze$10,15037833WI0380341

QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DEDHMOCatastrophic$10,60037833WI0540084

Security Health Plan

49 plans · HMO, POS · small business (SHOP)

Accepting new patients

SHP Enrich SG network · 11 plans · Preferred tier

Enrich $750 - 10%HMOPlatinum$75038166WI0290001

Enrich $1,500 - 30%HMOGold$1,50038166WI0290002

Enrich $2,500 - 20% CopayHMOGold$2,50038166WI0290003

Enrich $3,500 HDHPHMOGold$3,50038166WI0290009

Enrich $3,400 - 30% HDHPHMOSilver$3,40038166WI0290014

Enrich $3,500 - 30%HMOSilver$3,50038166WI0290005

Enrich $4,000 - 20% HDHPHMOSilver$4,00038166WI0290010

Enrich $5,000 - 20% HDHPHMOSilver$5,00038166WI0290011

Enrich $5,500 - 40% CopayHMOSilver$5,50038166WI0290006

Enrich $9,500HMOBronze$9,50038166WI0290013

Enrich $7,500 HDHPHMOExpanded Bronze$7,50038166WI0290012

SHP Premier HMO SG network · 11 plans · Preferred tier

Premier HMO $750 - 10%HMOPlatinum$75038166WI0140001

Premier HMO $1,500 - 30%HMOGold$1,50038166WI0140004

Premier HMO $2,500 - 20% CopayHMOGold$2,50038166WI0140040

Premier HMO $3,500 HDHPHMOGold$3,50038166WI0140033

Premier HMO $3,400 - 30% HDHPHMOSilver$3,40038166WI0140045

Premier HMO $3,500 - 30%HMOSilver$3,50038166WI0140011

Premier HMO $4,000 - 20% HDHPHMOSilver$4,00038166WI0140012

Premier HMO $5,000 - 20% HDHPHMOSilver$5,00038166WI0140034

Premier HMO $5,500 - 40% CopayHMOSilver$5,50038166WI0140036

Premier HMO $9,500HMOBronze$9,50038166WI0140044

Premier HMO $7,500 HDHPHMOExpanded Bronze$7,50038166WI0140037

SHP Premier POS network · 11 plans · Non Preferred and Preferred tiers

Premier POS $750 - 10%POSPlatinum$75038166WI0150001

Premier POS $1,500 - 30%POSGold$1,50038166WI0150002

Premier POS $2,500 - 20% CopayPOSGold$2,50038166WI0150040

Premier POS $3,500 HDHPPOSGold$3,50038166WI0150033

Premier POS $3,400 - 30% HDHPPOSSilver$3,40038166WI0150045

Premier POS $3,500 - 30%POSSilver$3,50038166WI0150011

Premier POS $4,000 - 20% HDHPPOSSilver$4,00038166WI0150012

Premier POS $5,000 - 20% HDHPPOSSilver$5,00038166WI0150034

Premier POS $5,500 - 40% CopayPOSSilver$5,50038166WI0150036

Premier POS $9,500POSBronze$9,50038166WI0150044

Premier POS $7,500 HDHPPOSExpanded Bronze$7,50038166WI0150037

SHP Enrich IFP network · 9 plans · Non Preferred and Preferred tiers

Enrich $2,000 - 25%HMOGold$2,00038166WI0280011

Enrich $3,500 - 30%HMOGold$3,50038166WI0280002

Enrich $4,000 - 50%HMOSilver$4,00038166WI0280030

Enrich $5,000 HDHPHMOSilver$5,00038166WI0280005

Enrich $6,000 - 40%HMOSilver$6,00038166WI0280012

Enrich $9,500HMOBronze$9,50038166WI0280009

Enrich $7,500HMOExpanded Bronze$7,50038166WI0280013

Enrich $7,500 HDHPHMOExpanded Bronze$7,50038166WI0280006

Enrich ProtectionHMOCatastrophic$10,60038166WI0280010

SHP Premier HMO IFP network · 7 plans · Non Preferred and Preferred tiers

Premier $2,000 - 25%HMOGold$2,00038166WI0310001

Premier $3,500 - 30%HMOGold$3,50038166WI0310002

Premier $4,000 - 50%HMOSilver$4,00038166WI0310030

Premier $5,000 HDHPHMOSilver$5,00038166WI0310004

Premier $6,000 - 40%HMOSilver$6,00038166WI0310003

Premier $7,500HMOExpanded Bronze$7,50038166WI0310006

Premier $7,500 HDHPHMOExpanded Bronze$7,50038166WI0310005

Group Health Cooperative-SCW

21 plans · HMO

Accepting new patients

Group Health Cooperative of South Central Wisconsin Better Together HMO network · 12 plans · Better Together HMO tier

Better Together HMO Platinum No Ded/3300 MOOPHMOPlatinum$094529WI0240054

Better Together HMO Platinum No Ded/5200 MOOPHMOPlatinum$094529WI0240077

Better Together HMO Platinum 750 Ded/2000 MOOP with VisionHMOPlatinum$75094529WI0240022

Better Together HMO Gold 1500 Ded/8000 MOOP with VisionHMOGold$1,50094529WI0240063

Better Together HMO Gold 2000 Ded/8200 MOOPHMOGold$2,00094529WI0240078

Better Together HMO Gold 4000 Ded/4000 MOOP HSAHMOGold$4,00094529WI0240024

Better Together HMO Silver 5500 Ded/8500 MOOP with VisionHMOSilver$5,50094529WI0240058

Better Together HMO Silver 5975 Ded/5975 MOOP HSAHMOSilver$5,97594529WI0240026

Better Together HMO Silver 6000 Ded/8900 MOOPHMOSilver$6,00094529WI0240079

Better Together HMO Bronze No Medical Ded/10600 MOOP HSAHMOExpanded Bronze$094529WI0240083

Better Together HMO Bronze 6500 Ded/8750 MOOP HSAHMOExpanded Bronze$6,50094529WI0240019

Better Together HMO Bronze 7500 Ded/10000 MOOP HSAHMOExpanded Bronze$7,50094529WI0240080

Group Health Cooperative of South Central Wisconsin Partners HMO network · 9 plans · Partners HMO tier

Partners HMO Gold 1500 Ded/8000 MOOP with VisionHMOGold$1,50094529WI0240061

Partners HMO Gold 2000 Ded/8200 MOOPHMOGold$2,00094529WI0240073

Partners HMO Gold 4000 Ded/4000 MOOP HSAHMOGold$4,00094529WI0240023

Partners HMO Silver 5500 Ded/8500 MOOP with VisionHMOSilver$5,50094529WI0240057

Partners HMO Silver 5975 Ded/5975 MOOP HSAHMOSilver$5,97594529WI0240025

Partners HMO Silver 6000 Ded/8900 MOOPHMOSilver$6,00094529WI0240074

Partners HMO Bronze 6000 Ded/10600 MOOP HSAHMOBronze$6,00094529WI0240027

Partners HMO Bronze 10600 Ded/10600 MOOP HSAHMOBronze$10,60094529WI0240028

Partners HMO Bronze 7500 Ded/10000 MOOP HSAHMOExpanded Bronze$7,50094529WI0240075

Anthem Blue Cross and Blue Shield

18 plans · HMO, POS

Pathway and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$1,00079475WI0550006

Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)HMOSilver$4,00079475WI0550003

Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$5,50079475WI0550005

Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)HMOExpanded Bronze$079475WI0550007

Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)HMOExpanded Bronze$5,00079475WI0550002

Anthem Bronze Pathway/Lean HSA (+ Incentives)HMOExpanded Bronze$8,45079475WI0550001

Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002

Pathway and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,00079475WI0550031

Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,00079475WI0550030

Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,50079475WI0550029

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Aspirus Health Plan

12 plans · HMO, POSListing last updated Feb 12, 2024, over a year ago

Accepting new patients

HMO Gold 2000HMOGold$2,00086584WI0010015

HMO Gold 2700HMOGold$2,70086584WI0010007

HMO HDHP Silver 5900HMOSilver$5,90086584WI0010013

HMO Silver 6000HMOSilver$6,00086584WI0010012

POS Silver 6000POSSilver$6,00086584WI0020001

HMO Silver 6600HMOSilver$6,60086584WI0010001

POS Bronze 8500POSBronze$8,50086584WI0020003

HMO Bronze 10000HMOBronze$10,00086584WI0010009

HMO Bronze $0 Medical DeductibleHMOExpanded Bronze$086584WI0010016

HMO Bronze 7500HMOExpanded Bronze$7,50086584WI0010011

POS Bronze 7500POSExpanded Bronze$7,50086584WI0020005

HMO Catastrophic 10600 with 3 free PCP visitsHMOCatastrophic$10,60086584WI0010008

HealthPartners

2 plans · PPO

Oak $1,300 GoldPPOGold$1,30020173WI0130001

Oak $2,000 Standard GoldPPOGold$2,00020173WI0130011

Questions about Dr. Griffith’s insurance

What insurance does Dr. Griffith take?

In Wisconsin, Quartz, Security Health Plan, Group Health Cooperative-SCW, Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners include Dr. Griffith in 159 Marketplace plans for 2026. Call the office at (608) 417-5950 to confirm your plan before booking.

Do I need a referral to see Dr. Griffith?

It depends on the plan: 21 of 159 Wisconsin plans require a specialist referral.

Does Dr. Griffith accept Medicare?

Yes. CMS files show Dr. Griffith accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Group Health Cooperative-SCW: Oct 15, 2026 Anthem Blue Cross and Blue Shield: Oct 14, 2026 Quartz: Sep 24, 2026 Security Health Plan: Sep 19, 2026 HealthPartners: Apr 15, 2026 Aspirus Health Plan: Feb 12, 2024
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.