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DR. THOMAS GERARD MALONEY DO
Accepted Insurance for NPI 1174181663
Internal Medicine - Pulmonary Disease in Lima, OH

Active since May 30, 2019PECOS Enrolled
80.71/100
CMS Quality Rating
770 W HIGH ST STE 240, LIMA, OH 45801(419) 996-2686(419) 996-2687 Get Directions

NPPES record last updated: September 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 7, 2026, Aug 6, 2026, Jul 1, 2025 and 5 more (8 updates tracked since 2019).

Does Dr. Maloney take my insurance?

70 Ohio plans sold on HealthCare.gov for 2027 include Dr. Maloney, from Oscar Health, Ambetter Health, Anthem Blue Cross and Blue Shield and 2 other insurers. Insurers also list Dr. Maloney in 6 other states.

Also listed in6 other states

Call before you book: insurer directories can be out of date, so call the office at (419) 996-2686 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

147 plans · 157 plan IDs · 2027 plan year

Ohio plans 70 plans

Plans sold to Ohio residents. Costs are for the standard version of each plan.

Oscar Health

20 plans · HMO
Accepting new patients
Gold Elite Saver PlusNetwork tier: PreferredHMOGold$029341OH0100035View details
Gold Elite Saver Plus with Adult Dental & VisionNetwork tier: PreferredHMOGold$029341OH0100150View details
Gold Simple DiabetesNetwork tier: PreferredHMOGold$1,00029341OH0100096View details
Gold Classic StandardNetwork tier: PreferredHMOGold$2,50029341OH0100053View details
Gold SimpleNetwork tier: PreferredHMOGold$2,75029341OH0100013View details
Silver Simple PCP SaverNetwork tier: PreferredHMOSilver$5,75029341OH0100025View details
Silver Simple Women's Health with Menopause BenefitsNetwork tier: PreferredHMOSilver$6,00029341OH0100063View details
Silver Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOSilver$6,20029341OH0100061View details
Silver Classic StandardNetwork tier: PreferredHMOSilver$6,40029341OH0100052View details
Silver Simple Chronic Care CKMNetwork tier: PreferredHMOSilver$6,50029341OH0100060View details
Silver Simple DiabetesNetwork tier: PreferredHMOSilver$6,50029341OH0100062View details
Silver Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOSilver$6,50029341OH0100149View details
Silver Core PlanNetwork tier: PreferredHMOSilver$9,00029341OH0100104View details
Bronze Elite + PCP Saver PlusNetwork tier: PreferredHMOExpanded Bronze$029341OH0100064View details
Bronze Classic 4700Network tier: PreferredHMOExpanded Bronze$4,70029341OH0100024View details
Bronze Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOExpanded Bronze$5,50029341OH0100056View details
Bronze Simple Chronic Care CKMNetwork tier: PreferredHMOExpanded Bronze$5,50029341OH0100057View details
Bronze Simple DiabetesNetwork tier: PreferredHMOExpanded Bronze$5,50029341OH0100058View details
Bronze Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOExpanded Bronze$5,50029341OH0100147View details
Bronze Classic StandardNetwork tier: PreferredHMOExpanded Bronze$7,50029341OH0100050View details

Ambetter Health

19 plans · HMO
Not accepting new patients
Clear GoldNetwork tier: PreferredHMOGold$1,20041047OH0010067View details
Clear Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,20041047OH0030071View details
Complete GoldNetwork tier: PreferredHMOGold$1,45041047OH0010041View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45041047OH0030041View details
Signature GoldNetwork tier: PreferredHMOGold$2,50041047OH0010071View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,50041047OH0030074View details
Streamlined SilverNetwork tier: PreferredHMOSilver$4,70041047OH0010034View details
Enhanced CHF Heart Care Silver $0 Rx OptionsNetwork tier: PreferredHMOSilver$6,00041047OH0010035View details
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,00041047OH0030035View details
Signature SilverNetwork tier: PreferredHMOSilver$6,40041047OH0010070View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,40041047OH0030073View details
Complete SilverNetwork tier: PreferredHMOSilver$6,95041047OH0010025View details
Complete Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,95041047OH0030025View details
Signature Expanded BronzeNetwork tier: PreferredHMOExpanded Bronze$7,50041047OH0010069View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,50041047OH0030072View details
Choice Bronze HSANetwork tier: PreferredHMOExpanded Bronze$7,95041047OH0010045View details
Choice Bronze HSA + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,95041047OH0030045View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$9,35041047OH0010057View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$9,35041047OH0030057View details

Anthem Blue Cross and Blue Shield

12 plans · HMO
Accepting new patients
Pathway X HMO, and Rx Choice Tiered Network · 7 plans · Participating tier
Anthem Silver Pathway 4000 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$4,00029276OH0970005View details
Anthem Heart Healthy Silver Pathway 5000 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$5,00029276OH0970006View details
Anthem Silver Pathway 5200 HSA (+ Incentives)Network tier: ParticipatingHMOSilver$5,20029276OH0970004View details
Anthem Heart Healthy Bronze Pathway 6000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$6,00029276OH0970002View details
Anthem Bronze Pathway 9000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$9,00029276OH0970012View details
Anthem Bronze Pathway 11700 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$11,70029276OH0970001View details
Anthem Catastrophic Pathway HSA (+ Incentives)Network tier: ParticipatingHMOCatastrophic$12,00029276OH0970003View details
Pathway X HMO and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$2,50029276OH0970009View details
Anthem Silver Pathway 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$6,40029276OH0970008View details
Anthem Bronze Pathway 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$7,50029276OH0970007View details
Pathway X HMO, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$4,00029276OH0970011View details
Anthem Bronze Pathway 11700 HSA Adult Dental/Vision ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$11,70029276OH0970010View details

MedMutual

10 plans · HMO
Accepting new patients
MedMutual Gold $1,000 ON-EXNetwork tier: PreferredHMOGold$1,00080627OH0250002View details
MedMutual Gold Standard $2,500 ON-EXNetwork tier: PreferredHMOGold$2,50080627OH0250016View details
MedMutual Gold $3,500 HSA ON-EXNetwork tier: PreferredHMOGold$3,50080627OH0250004View details
MedMutual Silver $5,000 ON-EXNetwork tier: PreferredHMOSilver$5,00080627OH0250005View details
MedMutual Silver Standard $6,400 ON-EXNetwork tier: PreferredHMOSilver$6,40080627OH0250017View details
MedMutual Silver $6,900 ON-EXNetwork tier: PreferredHMOSilver$6,90080627OH0250008View details
MedMutual Bronze Standard $7,500 ON-EXNetwork tier: PreferredHMOExpanded Bronze$7,50080627OH0250018View details
MedMutual Bronze $8,300 ON-EXNetwork tier: PreferredHMOExpanded Bronze$8,30080627OH0250010View details
MedMutual Bronze $12,000 Max Saver ON-EXNetwork tier: PreferredHMOExpanded Bronze$12,00080627OH0250014View details
MedMutual Catastrophic ON-EXNetwork tier: PreferredHMOCatastrophic$12,00080627OH0250015View details

AmeriHealth Caritas Next

9 plans · HMO
Accepting new patients
AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOGold$010337OH0010009View details
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOGold$1,00010337OH0010004View details
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care +No ReferralsNetwork tier: PreferredHMOGold$2,50010337OH0010015View details
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOSilver$5,00010337OH0010008View details
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOSilver$6,40010337OH0010014View details
AmeriHealth Caritas Next Silver Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOSilver$7,00010337OH0010003View details
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOBronze$12,00010337OH0010001View details
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOExpanded Bronze$4,50010337OH0010006View details
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care +No ReferralsNetwork tier: PreferredHMOExpanded Bronze$7,50010337OH0010013View details

Also listed in other states 77 plans · 87 plan IDs · 6 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.

Ambetter Health · Indiana

18 plans · HMO
Not accepting new patientsDeductible $0 to $9,350
Elite GoldNetwork tier: PreferredHMOGold$035065IN0040007View details
Elite Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$035065IN0050006View details
Complete GoldNetwork tier: PreferredHMOGold$1,45035065IN0040004View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45035065IN0050003View details
Signature GoldNetwork tier: PreferredHMOGold$2,50035065IN0040013View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,50035065IN0050012View details
Enhanced Diabetes Care Silver $0 Rx OptionsNetwork tier: PreferredHMOSilver$5,00035065IN0040019View details
Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalNetwork tier: PreferredHMOSilver$5,00035065IN0050017View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30035065IN0040010View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30035065IN0050009View details
Signature SilverNetwork tier: PreferredHMOSilver$6,40035065IN0040001View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,40035065IN0050001View details
Signature Expanded BronzeNetwork tier: PreferredHMOExpanded Bronze$7,50035065IN0040017View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,50035065IN0050015View details
Choice Bronze HSANetwork tier: PreferredHMOExpanded Bronze$7,95035065IN0040015View details
Choice Bronze HSA + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,95035065IN0050013View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$9,35035065IN0040016View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$9,35035065IN0050014View details

Ambetter Health · Kentucky

16 plans · HMO
Not accepting new patientsDeductible $800 to $8,450
Everyday GoldNetwork tier: PreferredHMOGold$80072001KY0020010View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$80072001KY0030010View details
Complete GoldNetwork tier: PreferredHMOGold$1,45072001KY0020009View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45072001KY0030009View details
Enhanced Asthma/COPD Care Silver with $0 Drug OptionsNetwork tier: PreferredHMOSilver$5,90072001KY0020012View details
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalNetwork tier: PreferredHMOSilver$5,90072001KY0030012View details
Complete SilverNetwork tier: PreferredHMOSilver$5,95072001KY0020005View details
Complete Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$5,95072001KY0030005View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30072001KY0020007View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30072001KY0030007View details
Clear SilverNetwork tier: PreferredHMOSilver$7,00072001KY0020006View details
Clear Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$7,00072001KY0030013View details
Choice Bronze HSANetwork tier: PreferredHMOExpanded Bronze$7,25072001KY0020002View details
Choice Bronze HSA + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,25072001KY0030002View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$8,45072001KY0020003View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$8,45072001KY0030003View details

Ambetter Health · Michigan

15 plans · HMO
Not accepting new patientsDeductible $0 to $7,950
Everyday GoldNetwork tier: PreferredHMOGold$80058594MI0030020View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$80058594MI0040020View details
Apex GoldNetwork tier: PreferredHMOGold$1,50058594MI0030026View details
Apex Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,50058594MI0040012View details
Signature GoldNetwork tier: PreferredHMOGold$2,50058594MI0030025View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,50058594MI0040026View details
Elite SilverNetwork tier: PreferredHMOSilver$058594MI0030029View details
Elite Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$058594MI0040029View details
Streamlined SilverNetwork tier: PreferredHMOSilver$4,70058594MI0030012View details
Signature SilverNetwork tier: PreferredHMOSilver$6,40058594MI0030024View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,40058594MI0040025View details
Signature Expanded BronzeNetwork tier: PreferredHMOExpanded Bronze$7,50058594MI0030011View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,50058594MI0040010View details
Choice Bronze HSANetwork tier: PreferredHMOExpanded Bronze$7,95058594MI0030027View details
Choice Bronze HSA + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,95058594MI0040027View details

Avera Health Plans · Iowa

10 plans · EPO
Not accepting new patientsDeductible $0 to $8,000
ConnectPlus $0 GoldNetwork tier: ConnectplusEPOGold$074980IA0070003View details
ConnectPlus $1800Network tier: ConnectplusEPOGold$1,80074980IA0070001View details
ConnectPlus Standard $2500Network tier: ConnectplusEPOGold$2,50074980IA0070002View details
ConnectPlus $0 SilverNetwork tier: ConnectplusEPOSilver$074980IA0070010View details
ConnectPlus $4800Network tier: ConnectplusEPOSilver$4,80074980IA0070006View details
ConnectPlus MyWeighForward $6400Network tier: ConnectplusEPOSilver$6,40074980IA0070008View details
ConnectPlus Standard $6400Network tier: ConnectplusEPOSilver$6,40074980IA0070004View details
ConnectPlus $6500 HSA Eligible HDHPNetwork tier: ConnectplusEPOExpanded Bronze$6,50074980IA0070013View details
ConnectPlus Standard $7500 HSA Eligible HDHPNetwork tier: ConnectplusEPOExpanded Bronze$7,50074980IA0070012View details
ConnectPlus $8000 HSA Eligible HDHPNetwork tier: ConnectplusEPOExpanded Bronze$8,00074980IA0070014View details

Avera Health Plans · South Dakota

10 plans · EPO
Not accepting new patientsDeductible $0 to $8,000
ConnectPlus $0 GoldNetwork tier: ConnectplusEPOGold$060536SD0080007View details
ConnectPlus $1800Network tier: ConnectplusEPOGold$1,80060536SD0080001View details
ConnectPlus Standard $2500Network tier: ConnectplusEPOGold$2,50060536SD0080003View details
ConnectPlus $0 SilverNetwork tier: ConnectplusEPOSilver$060536SD0080021View details
ConnectPlus $4800Network tier: ConnectplusEPOSilver$4,80060536SD0080013View details
ConnectPlus MyWeighForward $6400Network tier: ConnectplusEPOSilver$6,40060536SD0080017View details
ConnectPlus Standard $6400Network tier: ConnectplusEPOSilver$6,40060536SD0080009View details
ConnectPlus $6500 HSA Eligible HDHPNetwork tier: ConnectplusEPOExpanded Bronze$6,50060536SD0080027View details
ConnectPlus Standard $7500 HSA Eligible HDHPNetwork tier: ConnectplusEPOExpanded Bronze$7,50060536SD0080025View details
ConnectPlus $8000 HSA Eligible HDHPNetwork tier: ConnectplusEPOExpanded Bronze$8,00060536SD0080029View details

Anthem Blue Cross and Blue Shield · Wisconsin

8 plans · HMO
Accepting new patientsDeductible $0 to $8,000
Blue Preferred and Rx Choice Tiered Network · 5 plans · Participating tier
Anthem Silver Preferred 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$4,00079475WI0550104View details
Anthem Silver Preferred 5500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$5,50079475WI0550102View details
Anthem Heart Healthy Bronze Preferred 0 Med Ded HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$079475WI0550101View details
Anthem Bronze Preferred 5000 HSA (3 Free PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$5,00079475WI0550103View details
Anthem Bronze Preferred 8000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$8,00079475WI0550106View details
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$2,50079475WI0550107View details
Anthem Silver Preferred 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$6,40079475WI0550108View details
Anthem Bronze Preferred 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$7,50079475WI0550105View details

Questions about Dr. Maloney’s insurance

What insurance does Dr. Maloney take?

In Ohio, Oscar Health, Ambetter Health, Anthem Blue Cross and Blue Shield, MedMutual and AmeriHealth Caritas Next include Dr. Maloney in 70 Marketplace plans for 2027. Call the office at (419) 996-2686 to confirm your plan before booking.

Do I need a referral to see Dr. Maloney?

Not under the Ohio plans that list Dr. Maloney: the 2027 plan files say a specialist referral is not required.

Does Dr. Maloney 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.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich 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: Nov 5, 2026
Anthem Blue Cross and Blue Shield: Nov 5, 2026
Oscar Health: Nov 5, 2026
Ambetter Health: Nov 4, 2026
Avera Health Plans: Nov 4, 2026
MedMutual: Nov 4, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2027, Oct 20, 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Kentucky. No document links.Plan year 2027, 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.