CARL M SHAPIRO DO
Accepted Insurance for NPI 1144296708
Physical Medicine & Rehabilitation - Pain Medicine in Cincinnati, OH
Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
Does Dr. Shapiro take my insurance?
60 Ohio plans sold on HealthCare.gov for 2026 include Dr. Shapiro, from Molina Healthcare, CareSource and UnitedHealthcare. Insurers also list Dr. Shapiro in Illinois and Wisconsin.
Also listed inIllinois and Wisconsin
Call before you book: insurer directories can be out of date, so call the office at (513) 791-5548 to confirm your plan is accepted.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 Indiana Medicaid ID; ask the office which Medicaid plans it takes.
No plans match your search or filters.
Ohio plans 60 plans
Plans sold to Ohio residents. Costs are for the standard version of each plan.
Molina Healthcare
Molina Gold Enhanced 895HMOGold$89564353OH0010014
Molina Gold Enhanced 895 Plus with Adult Dental and VisionHMOGold$89564353OH0060005
Molina Gold Enhanced 895 Plus with Adult VisionHMOGold$89564353OH0040005
Molina Gold Core 1640HMOGold$1,64064353OH0010001
Molina Gold Core 1640 Plus with Adult Dental and VisionHMOGold$1,64064353OH0060001
Molina Gold Core 1640 Plus with Adult VisionHMOGold$1,64064353OH0040001
Molina Gold Smart Heart HealthHMOGold$1,64064353OH0070002
Molina Gold StandardHMOGold$2,00064353OH0010008
Molina Silver CoreHMOSilver$6,00064353OH0010002
Molina Silver Core Plus with Adult Dental and VisionHMOSilver$6,00064353OH0060002
Molina Silver Core Plus with Adult VisionHMOSilver$6,00064353OH0040002
Molina Silver Smart Heart HealthHMOSilver$6,00064353OH0070003
Molina Silver StandardHMOSilver$6,00064353OH0010009
Molina Silver Saver with Four Free PCP VisitsHMOSilver$7,00064353OH0010010
Molina Bronze Enhanced 3500HMOExpanded Bronze$3,50064353OH0010013
Molina Bronze Enhanced 3500 Plus with Adult Dental and VisionHMOExpanded Bronze$3,50064353OH0060004
Molina Bronze Enhanced 3500 Plus with Adult VisionHMOExpanded Bronze$3,50064353OH0040004
Molina Bronze Smart Heart HealthHMOExpanded Bronze$4,00064353OH0070001
Molina Bronze Saver 7000HMOExpanded Bronze$7,00064353OH0010012
Molina Bronze Saver 7000 Plus with Adult Dental and VisionHMOExpanded Bronze$7,00064353OH0060003
Molina Bronze Saver 7000 Plus with Adult VisionHMOExpanded Bronze$7,00064353OH0040012
Molina Bronze StandardHMOExpanded Bronze$7,50064353OH0010011
CareSource
Core Gold 1500 $10 Generic DrugsHMOGold$1,50077552OH0010212
Core Gold 1500 $10 Generic Drugs + Adult Vision & FitnessHMOGold$1,50077552OH0020212
Gold 2000 $15 Generic DrugsHMOGold$2,00077552OH0010202
Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,00077552OH0020202
Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010210
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020210
Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010215
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020215
Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010209
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020209
Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010218
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020218
HDHP Preventive Silver 5500 $0 Chronic Care DrugsHMOSilver$5,50077552OH0010219
Silver 6000 $20 Generic DrugsHMOSilver$6,00077552OH0010203
Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,00077552OH0020203
Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,20077552OH0010201
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,20077552OH0020201
Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,50077552OH0010204
Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,50077552OH0020204
Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,60077552OH0010222
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,60077552OH0020222
UnitedHealthcare
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)HMOGold$033931OH0030032
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$033931OH0070008
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOGold$70033931OH0030042
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$70033931OH0070002
UHC Gold Standard (No Referrals)HMOGold$2,00033931OH0030014
UHC Gold Standard+ (Dental + Vision, No Referrals)HMOGold$2,00033931OH0070009
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOSilver$033931OH0030030
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOSilver$033931OH0070007
UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)HMOSilver$3,25033931OH0030031
UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)HMOSilver$3,25033931OH0070001
UHC Silver Standard (No Referrals)HMOSilver$6,00033931OH0030021
UHC Silver Standard+ (Dental + Vision, No Referrals)HMOSilver$6,00033931OH0070006
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)HMOBronze$10,60033931OH0030044
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOExpanded Bronze$033931OH0030035
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOExpanded Bronze$033931OH0070004
UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50033931OH0030026
UHC Bronze Standard+ (Dental + Vision, No Referrals)HMOExpanded Bronze$7,50033931OH0070005
Also listed in other states 24 plans · 2 states
Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.
Oscar Health · Illinois
Individual Illinois Select network · 8 plans · Preferred tier
Gold Classic Standard (Select)HMOGold$2,00011574IL0020053
Gold Simple (Select)HMOGold$3,30011574IL0020059
Buena Salud Plateado 4360 (Select)HMOSilver$4,36011574IL0020057
Silver Classic Standard (Select)HMOSilver$6,00011574IL0020052
Silver Simple Diabetes (Select)HMOSilver$6,50011574IL0020060
Bronze Elite + PCP Saver Plus Rx (Select)HMOExpanded Bronze$011574IL0020055
Bronze Classic Standard (Select)HMOExpanded Bronze$7,50011574IL0020050
Bronze Simple (Select)HMOExpanded Bronze$9,00011574IL0020058
Individual Illinois Choice network · 7 plans · Preferred tier
Gold Classic Standard (Choice)HMOGold$2,00011574IL0010053
Gold Simple (Choice)HMOGold$3,30011574IL0010057
Silver Classic Standard (Choice)HMOSilver$6,00011574IL0010052
Silver Simple Diabetes (Choice)HMOSilver$6,50011574IL0010045
Bronze Elite + PCP Saver Plus Rx (Choice)HMOExpanded Bronze$011574IL0010055
Bronze Classic Standard (Choice)HMOExpanded Bronze$7,50011574IL0010050
Bronze Simple (Choice)HMOExpanded Bronze$9,00011574IL0010056
Anthem Blue Cross and Blue Shield · Wisconsin
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
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
Questions about Dr. Shapiro’s insurance
What insurance does Dr. Shapiro take?
In Ohio, Molina Healthcare, CareSource and UnitedHealthcare include Dr. Shapiro in 60 Marketplace plans for 2026. Call the office at (513) 791-5548 to confirm your plan before booking.
Do I need a referral to see Dr. Shapiro?
Not under the Ohio plans that list Dr. Shapiro: the 2026 plan files say a specialist referral is not required.
Does Dr. Shapiro accept Medicare?
Yes. CMS files show Dr. Shapiro 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. | CareSource: Oct 15, 2026 Oscar Health: Oct 15, 2026 Anthem Blue Cross and Blue Shield: Oct 14, 2026 UnitedHealthcare: Oct 13, 2026 Molina Healthcare: Oct 10, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2026 |
| CMS state-based exchange public use files | Plan details for states that run their own exchange, here Illinois. No document links. | Plan year 2026, Jun 3, 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.
