DR. RAYMOND M PONGONIS JR. M.D.
Accepted Insurance for NPI 1023274792
Allergy & Immunology in Naperville, IL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. RAYMOND M PONGONIS JR. M.D., a allergy & immunology provider in Naperville, IL, is listed as in-network for 15 health insurance plans from Oscar Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Oscar Health
Bronze Classic Standard (Choice)
Bronze Classic Standard (Select)
Bronze Elite + PCP Saver Plus Rx (Choice)
Bronze Elite + PCP Saver Plus Rx (Select)
Bronze Simple (Choice)
Bronze Simple (Select)
Buena Salud Plateado 4360 (Select)
Gold Classic Standard (Choice)
Gold Classic Standard (Select)
Gold Simple (Choice)
Gold Simple (Select)
Silver Classic Standard (Choice)
Silver Classic Standard (Select)
Silver Simple Diabetes (Choice)
Silver Simple Diabetes (Select)
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does DR. RAYMOND M PONGONIS JR. M.D. accept?
Marketplace files for the 2026 plan year list DR. RAYMOND M PONGONIS JR. M.D. as in-network for 15 plans from Oscar Health. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. RAYMOND M PONGONIS JR. M.D. enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DR. RAYMOND M PONGONIS JR. M.D. participate in?
The accepted plans include 15 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.