DR. PETER FREDERICK FARMER M.D.
Accepted Insurance for NPI 1205299708
Pediatrics - Pediatric Gastroenterology in Raleigh, NC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. PETER FREDERICK FARMER M.D., a pediatrics provider in Raleigh, NC, is listed as in-network for 93 health insurance plans from 5 insurance companies, led by Ambetter of North Carolina, CareSource and Blue Cross and Blue Shield of NC. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter from Absolute Total Care
Elite Bronze + Vision + Adult Dental
Elite Bronze
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver
Standard Expanded Bronze
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of North Carolina
Clear Silver with $0 Insulin Options
Complete Gold + Vision + Adult Dental
Complete Gold with Atrium Health + Vision + Adult Dental
Complete Gold with Atrium Health
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze with Atrium Health + Vision + Adult Dental
Elite Bronze with Atrium Health
Elite Bronze
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze with Atrium Health + Vision + Adult Dental
Everyday Bronze with Atrium Health
Everyday Bronze
Focused Silver with Atrium Health + Vision + Adult Dental
Focused Silver with Atrium Health
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold with Atrium Health + Vision + Adult Dental
Standard Gold with Atrium Health
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver with Atrium Health + Vision + Adult Dental
Standard Silver with Atrium Health
Standard Silver
Ambetter of Tennessee
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Blue Cross and Blue Shield of NC
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Silver Standard | Nationwide Doctors
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Care Bronze Standard | Statewide Doctors
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Care Gold Standard A | Statewide Doctors
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Silver Standard | Statewide Doctors
CareSource
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
Bronze 7500 $25 Generic Drugs
Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness
Core Gold 1500 $10 Generic Drugs
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
Gold 2000 $15 Generic Drugs
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
Low Premium Bronze 10600 $25 Generic Drugs
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
Low Premium Silver 6200 $3 Generic Drugs
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
Silver 6000 $20 Generic Drugs
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. PETER FREDERICK FARMER M.D. accept?
Marketplace files for the 2026 plan year list DR. PETER FREDERICK FARMER M.D. as in-network for 93 plans from 5 insurance companies. The largest networks are Ambetter of North Carolina (29 plans), CareSource (21 plans), Blue Cross and Blue Shield of NC (18 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. PETER FREDERICK FARMER M.D. 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. PETER FREDERICK FARMER M.D. participate in?
The accepted plans include 68 HMO plans, 16 EPO plans and 9 PPO 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.
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.
