STEPHEN REPLENSKI D.O.
Accepted Insurance for NPI 1144456708
Pediatrics in Myrtle Beach, SC

Active since June 09, 2009PECOS Enrolled
4022 POSTAL WAY STE C, MYRTLE BEACH, SC 29579(843) 903-4111(843) 903-4242 Get Directions

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2021, Nov 9, 2015 (2 updates tracked since 2015).

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

STEPHEN REPLENSKI D.O., a pediatrics provider in Myrtle Beach, SC, is listed as in-network for 96 health insurance plans from 5 insurance companies, led by BlueCross BlueShield of South Carolina, Ambetter of North Carolina and Molina Healthcare. 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.
5
Insurance Companies
96
Plan Options
4
Network Types
BlueCross BlueShield of South Carolina
Largest Network · 38 plans
View plans
96 plans · 96 plan IDs · 2026 plan year

Ambetter from Absolute Total Care

9 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzeHMO
Plan ID79222SC0020022

Elite Bronze

BronzeHMO
Plan ID79222SC0010022

Everyday Bronze + Vision + Adult Dental

BronzeHMO
Plan ID79222SC0020011

Everyday Bronze

BronzeHMO
Plan ID79222SC0010011

Focused Silver

SilverHMO
Plan ID79222SC0010025

Standard Expanded Bronze

BronzeHMO
Plan ID79222SC0010031

Standard Gold

GoldHMO
Plan ID79222SC0010033

Standard Silver + Vision + Adult Dental

SilverHMO
Plan ID79222SC0020032

Standard Silver

SilverHMO
Plan ID79222SC0010032

Ambetter of North Carolina

29 plans · Individual market · listed as Preferred

Clear Silver with $0 Insulin Options

SilverHMONorth Carolina
Plan ID77264NC0010037

Complete Gold + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020007

Complete Gold with Atrium Health + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020053

Complete Gold with Atrium Health

GoldHMONorth Carolina
Plan ID77264NC0010056

Complete Gold

GoldHMONorth Carolina
Plan ID77264NC0010007

Elite Bronze + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020036

Elite Bronze with Atrium Health + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020047

Elite Bronze with Atrium Health

BronzeHMONorth Carolina
Plan ID77264NC0010050

Elite Bronze

BronzeHMONorth Carolina
Plan ID77264NC0010036

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental

SilverHMONorth Carolina
Plan ID77264NC0020004

Enhanced Asthma/COPD Care Silver with $0 Drug Options

SilverHMONorth Carolina
Plan ID77264NC0010009

Everyday Bronze + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020028

Everyday Bronze with Atrium Health + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020046

Everyday Bronze with Atrium Health

BronzeHMONorth Carolina
Plan ID77264NC0010049

Everyday Bronze

BronzeHMONorth Carolina
Plan ID77264NC0010028

Focused Silver with Atrium Health + Vision + Adult Dental

SilverHMONorth Carolina
Plan ID77264NC0020051

Focused Silver with Atrium Health

SilverHMONorth Carolina
Plan ID77264NC0010054

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020055

Standard Expanded Bronze with Atrium Health + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020058

Standard Expanded Bronze with Atrium Health

BronzeHMONorth Carolina
Plan ID77264NC0010059

Standard Expanded Bronze

BronzeHMONorth Carolina
Plan ID77264NC0010044

Standard Gold + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020057

Standard Gold with Atrium Health + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020060

Standard Gold with Atrium Health

GoldHMONorth Carolina
Plan ID77264NC0010061

Standard Gold

GoldHMONorth Carolina
Plan ID77264NC0010046

Standard Silver + Vision + Adult Dental

SilverHMONorth Carolina
Plan ID77264NC0020056

Standard Silver with Atrium Health + Vision + Adult Dental

SilverHMONorth Carolina
Plan ID77264NC0020059

Standard Silver with Atrium Health

SilverHMONorth Carolina
Plan ID77264NC0010060

Standard Silver

SilverHMONorth Carolina
Plan ID77264NC0010045

BlueCross BlueShield of South Carolina

38 plans · Individual market · listed as Preferred

Blue Direction Bronze 1

BronzePOS
Plan ID26065SC0760006

Blue Direction Silver 1 + Adult Vision

SilverPOS
Plan ID26065SC0760002

Blue Direction Silver 1

SilverPOS
Plan ID26065SC0760001

Blue Direction Silver 2

SilverPOS
Plan ID26065SC0760003

Blue Direction Standard Expanded Bronze

BronzePOS
Plan ID26065SC0760007

Blue Direction Standard Gold

GoldPOS
Plan ID26065SC0760004

Blue Direction Standard Silver

SilverPOS
Plan ID26065SC0760005

Blue Pee Dee Bronze 1

BronzeHMO
Plan ID26065SC0730004

Blue Pee Dee Bronze 2

BronzeHMO
Plan ID26065SC0730010

Blue Pee Dee Gold 1

GoldHMO
Plan ID26065SC0730001

Blue Pee Dee Silver 1

SilverHMO
Plan ID26065SC0730002

Blue Pee Dee Silver 2 + Adult Vision

SilverHMO
Plan ID26065SC0730009

Blue Pee Dee Silver 2

SilverHMO
Plan ID26065SC0730003

Blue Pee Dee Standard Expanded Bronze

BronzeHMO
Plan ID26065SC0730007

Blue Pee Dee Standard Gold

GoldHMO
Plan ID26065SC0730005

Blue Pee Dee Standard Silver

SilverHMO
Plan ID26065SC0730006

Blue VirtuConnect Bronze 1

BronzeEPO
Plan ID26065SC0670003

Blue VirtuConnect Gold 1

GoldEPO
Plan ID26065SC0670001

Blue VirtuConnect Silver 1

SilverEPO
Plan ID26065SC0670002

BlueEssentials Bronze 4

BronzeEPO
Plan ID26065SC0380013

BlueEssentials Bronze 6

BronzeEPO
Plan ID26065SC0380047

BlueEssentials Gold 1

GoldEPO
Plan ID26065SC0380001

BlueEssentials Gold 5

GoldEPO
Plan ID26065SC0380048

BlueEssentials Silver 14 + Adult Vision

SilverEPO
Plan ID26065SC0380051

BlueEssentials Silver 14

SilverEPO
Plan ID26065SC0380023

BlueEssentials Silver 40

SilverEPO
Plan ID26065SC0380052

BlueEssentials Standard Expanded Bronze

BronzeEPO
Plan ID26065SC0690003

BlueEssentials Standard Gold

GoldEPO
Plan ID26065SC0690001

BlueEssentials Standard Silver

SilverEPO
Plan ID26065SC0690002

BlueExtend PPO HD Bronze 1

BronzePPO
Plan ID26065SC0750005

BlueExtend PPO HD Bronze 2

BronzePPO
Plan ID26065SC0750006

BlueExtend PPO HD Gold 1

GoldPPO
Plan ID26065SC0750001

BlueExtend PPO HD Gold 2

GoldPPO
Plan ID26065SC0750002

BlueExtend PPO HD Silver 1

SilverPPO
Plan ID26065SC0750003

BlueExtend PPO HD Silver 2

SilverPPO
Plan ID26065SC0750004

BlueExtend PPO Standard Expanded Bronze

BronzePPO
Plan ID26065SC0750009

BlueExtend PPO Standard Gold

GoldPPO
Plan ID26065SC0750007

BlueExtend PPO Standard Silver

SilverPPO
Plan ID26065SC0750008

First Choice Next

8 plans · Individual market · listed as Preferred

First Choice Next Bronze Essential

BronzeHMO
Plan ID73107SC0010001

First Choice Next Bronze Premier

BronzeHMO
Plan ID73107SC0010006

First Choice Next Bronze Signature

BronzeHMO
Plan ID73107SC0010002

First Choice Next Gold Premier

GoldHMO
Plan ID73107SC0010009

First Choice Next Gold Signature

GoldHMO
Plan ID73107SC0010004

First Choice Next Silver Essential

SilverHMO
Plan ID73107SC0010008

First Choice Next Silver Premier

SilverHMO
Plan ID73107SC0010007

First Choice Next Silver Signature

SilverHMO
Plan ID73107SC0010003

Molina Healthcare

12 plans · Individual market · listed as Preferred

Molina Gold Core 1640 Plus with Adult Dental and Vision

GoldHMO
Plan ID42326SC0040001

Molina Gold Core 1640 Plus with Adult Vision

GoldHMO
Plan ID42326SC0020001

Molina Gold Core 1640

GoldHMO
Plan ID42326SC0010001

Molina Gold Standard

GoldHMO
Plan ID42326SC0010008

Molina Gold Value Plus with Adult Dental and Vision

GoldHMO
Plan ID42326SC0040003

Molina Gold Value Plus with Adult Vision

GoldHMO
Plan ID42326SC0020011

Molina Gold Value

GoldHMO
Plan ID42326SC0010011

Molina Silver Core Plus with Adult Dental and Vision

SilverHMO
Plan ID42326SC0040002

Molina Silver Core Plus with Adult Vision

SilverHMO
Plan ID42326SC0020002

Molina Silver Core

SilverHMO
Plan ID42326SC0010002

Molina Silver Saver

SilverHMO
Plan ID42326SC0010010

Molina Silver Standard

SilverHMO
Plan ID42326SC0010009
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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 STEPHEN REPLENSKI D.O. accept?

Marketplace files for the 2026 plan year list STEPHEN REPLENSKI D.O. as in-network for 96 plans from 5 insurance companies. The largest networks are BlueCross BlueShield of South Carolina (38 plans), Ambetter of North Carolina (29 plans), Molina Healthcare (12 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is STEPHEN REPLENSKI D.O. enrolled in Medicare?

The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.

What network types does STEPHEN REPLENSKI D.O. participate in?

The accepted plans include 67 HMO plans, 13 EPO plans, 9 PPO plans and 7 POS plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.

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.