Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: October 18, 2026.

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

Accepted Insurance & Health Plans Health Insurance Marketplace

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

DR. THOMAS GERARD MALONEY DO, a internal medicine provider in Lima, OH, is listed as in-network for 58 health insurance plans from 3 insurance companies, led by Molina Healthcare, Anthem Blue Cross and Blue Shield and Oscar Health Insurance. 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.
3
Insurance Companies
58
Plan Options
2
Network Types
Molina Healthcare
Largest Network · 22 plans
View plans
58 plans · 58 plan IDs · 2026 plan year

Anthem Blue Cross and Blue Shield

20 plans · Individual market · listed as Participating

Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)

BronzeHMO
Plan ID29276OH0970001

Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

BronzeHMO
Plan ID29276OH0970010

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)

BronzeHMO
Plan ID29276OH0970007

Anthem Bronze Pathway 8500 for HSA

BronzeHMO
Plan ID29276OH0970012

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

BronzePOSWisconsin
Plan ID79475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)

BronzePOSWisconsin
Plan ID79475WI0560002

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzePOSWisconsin
Plan ID79475WI0560006

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)

GoldHMO
Plan ID29276OH0970009

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldPOSWisconsin
Plan ID79475WI0560005

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldPOSWisconsin
Plan ID79475WI0560008

Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)

BronzeHMO
Plan ID29276OH0970002

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

BronzePOSWisconsin
Plan ID79475WI0560001

Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)

SilverHMO
Plan ID29276OH0970006

Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)

SilverHMO
Plan ID29276OH0970005

Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

SilverHMO
Plan ID29276OH0970011

Anthem Silver Pathway 5500 for HSA

SilverHMO
Plan ID29276OH0970004

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)

SilverHMO
Plan ID29276OH0970008

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

SilverPOSWisconsin
Plan ID79475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverPOSWisconsin
Plan ID79475WI0560004

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverPOSWisconsin
Plan ID79475WI0560007

Molina Healthcare

22 plans · Individual market · listed as Preferred

Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision

BronzeHMO
Plan ID64353OH0060004

Molina Bronze Enhanced 3500 Plus with Adult Vision

BronzeHMO
Plan ID64353OH0040004

Molina Bronze Enhanced 3500

BronzeHMO
Plan ID64353OH0010013

Molina Bronze Saver 7000 Plus with Adult Dental and Vision

BronzeHMO
Plan ID64353OH0060003

Molina Bronze Saver 7000 Plus with Adult Vision

BronzeHMO
Plan ID64353OH0040012

Molina Bronze Saver 7000

BronzeHMO
Plan ID64353OH0010012

Molina Bronze Smart Heart Health

BronzeHMO
Plan ID64353OH0070001

Molina Bronze Standard

BronzeHMO
Plan ID64353OH0010011

Molina Gold Core 1640 Plus with Adult Dental and Vision

GoldHMO
Plan ID64353OH0060001

Molina Gold Core 1640 Plus with Adult Vision

GoldHMO
Plan ID64353OH0040001

Molina Gold Core 1640

GoldHMO
Plan ID64353OH0010001

Molina Gold Enhanced 895 Plus with Adult Dental and Vision

GoldHMO
Plan ID64353OH0060005

Molina Gold Enhanced 895 Plus with Adult Vision

GoldHMO
Plan ID64353OH0040005

Molina Gold Enhanced 895

GoldHMO
Plan ID64353OH0010014

Molina Gold Smart Heart Health

GoldHMO
Plan ID64353OH0070002

Molina Gold Standard

GoldHMO
Plan ID64353OH0010008

Molina Silver Core Plus with Adult Dental and Vision

SilverHMO
Plan ID64353OH0060002

Molina Silver Core Plus with Adult Vision

SilverHMO
Plan ID64353OH0040002

Molina Silver Core

SilverHMO
Plan ID64353OH0010002

Molina Silver Saver with Four Free PCP Visits

SilverHMO
Plan ID64353OH0010010

Molina Silver Smart Heart Health

SilverHMO
Plan ID64353OH0070003

Molina Silver Standard

SilverHMO
Plan ID64353OH0010009

Oscar Health Insurance

16 plans · Individual market · listed as Preferred

Bronze Classic 4700

BronzeHMO
Plan ID29341OH0100024

Bronze Classic Standard

BronzeHMO
Plan ID29341OH0100050

Bronze Elite + PCP Saver Plus

BronzeHMO
Plan ID29341OH0100064

Bronze Simple Breathe Easy with Enhanced COPD Benefits

BronzeHMO
Plan ID29341OH0100056

Bronze Simple Chronic Care CKM

BronzeHMO
Plan ID29341OH0100057

Bronze Simple Diabetes

BronzeHMO
Plan ID29341OH0100058

Gold Classic Standard

GoldHMO
Plan ID29341OH0100053

Gold Classic

GoldHMO
Plan ID29341OH0100013

Gold Elite Saver Plus

GoldHMO
Plan ID29341OH0100035

Silver Classic Standard

SilverHMO
Plan ID29341OH0100052

Silver Elite Saver Plus

SilverHMO
Plan ID29341OH0100030

Silver Simple Breathe Easy with Enhanced COPD Benefits

SilverHMO
Plan ID29341OH0100061

Silver Simple Chronic Care CKM

SilverHMO
Plan ID29341OH0100060

Silver Simple Diabetes

SilverHMO
Plan ID29341OH0100062

Silver Simple PCP Saver

SilverHMO
Plan ID29341OH0100025

Silver Simple Women's Health with Menopause Benefits

SilverHMO
Plan ID29341OH0100063
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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 DR. THOMAS GERARD MALONEY DO accept?

Marketplace files for the 2026 plan year list DR. THOMAS GERARD MALONEY DO as in-network for 58 plans from 3 insurance companies. The largest networks are Molina Healthcare (22 plans), Anthem Blue Cross and Blue Shield (20 plans), Oscar Health Insurance (16 plans). The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. THOMAS GERARD MALONEY DO 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 DR. THOMAS GERARD MALONEY DO participate in?

The accepted plans include 49 HMO plans and 9 POS plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. 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.