DR. JAMES MITCHELL LIPSTATE M.D.
Accepted Insurance for NPI 1043260607
Internal Medicine - Rheumatology in Lafayette, LA
Does Dr. Lipstate take my insurance?
AmeriHealth Caritas Next includes Dr. Lipstate in 8 Louisiana plans sold on HealthCare.gov for 2026, all on its ACNEXT LA HMO network.
Call before you book: insurer directories can be out of date, so call the office at (337) 237-7801 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Louisiana Medicaid ID; ask the office which Medicaid plans it takes.
Louisiana plans 8 plans
Plans sold to Louisiana residents. Costs are for the standard version of each plan.
AmeriHealth Caritas Next
Questions about Dr. Lipstate’s insurance
Does Dr. Lipstate take AmeriHealth Caritas Next?
For Louisiana Marketplace plans, yes: AmeriHealth Caritas Next includes Dr. Lipstate in 8 plans for 2026. Call the office at (337) 237-7801 to confirm your plan before booking.
Is Dr. Lipstate accepting new patients?
The insurers that list Dr. Lipstate report that Dr. Lipstate is accepting new patients. Call the office at (337) 237-7801 to confirm your plan before booking.
Do I need a referral to see Dr. Lipstate?
Not under the Louisiana plans that list Dr. Lipstate: the 2026 plan files say a specialist referral is not required.
Does Dr. Lipstate accept Medicare?
CMS files show a PECOS enrollment but no Medicare assignment indicator. Ask the office.
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. | AmeriHealth Caritas Next: Oct 15, 2026 |
| 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.
