DR. RAYMOND M PONGONIS JR. M.D.
Accepted Insurance for NPI 1023274792
Allergy & Immunology in Naperville, IL

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
1220 HOBSON RD STE 114, NAPERVILLE, IL 60540(630) 961-2960(630) 961-3296 Get Directions

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2018, Sep 28, 2015 (2 updates tracked since 2015).

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.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
1
Insurance Company
15
Plan Options
1
Network Type
15 plans · 15 plan IDs · 2026 plan year

Oscar Health

15 plans · Individual market · listed as Preferred

Bronze Classic Standard (Choice)

BronzeHMO
Plan ID11574IL0010050

Bronze Classic Standard (Select)

BronzeHMO
Plan ID11574IL0020050

Bronze Elite + PCP Saver Plus Rx (Choice)

BronzeHMO
Plan ID11574IL0010055

Bronze Elite + PCP Saver Plus Rx (Select)

BronzeHMO
Plan ID11574IL0020055

Bronze Simple (Choice)

BronzeHMO
Plan ID11574IL0010056

Bronze Simple (Select)

BronzeHMO
Plan ID11574IL0020058

Buena Salud Plateado 4360 (Select)

HMO
Plan ID11574IL0020057

Gold Classic Standard (Choice)

GoldHMO
Plan ID11574IL0010053

Gold Classic Standard (Select)

GoldHMO
Plan ID11574IL0020053

Gold Simple (Choice)

GoldHMO
Plan ID11574IL0010057

Gold Simple (Select)

GoldHMO
Plan ID11574IL0020059

Silver Classic Standard (Choice)

SilverHMO
Plan ID11574IL0010052

Silver Classic Standard (Select)

SilverHMO
Plan ID11574IL0020052

Silver Simple Diabetes (Choice)

SilverHMO
Plan ID11574IL0010045

Silver Simple Diabetes (Select)

SilverHMO
Plan ID11574IL0020060
No plans match your current filters. Clear filters to see the full list.

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.