PRIME MD OF NAPLES
Accepted Insurance for NPI 1215547310
Family Medicine in Naples, FL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PRIME MD OF NAPLES, a family medicine provider in Naples, FL, is listed as in-network for 173 health insurance plans from 7 insurance companies, led by Florida Blue (BlueCross BlueShield FL), Ambetter Health and Florida Blue HMO (a BlueCross BlueShield FL company). This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Clarity Silver
Clarity VALUE Silver
Complete Gold + Vision + Adult Dental
Complete Gold
Complete VALUE Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite VALUE Bronze
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
Focused Silver + Vision + Adult Dental
Focused Silver
Focused VALUE Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze VALUE
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold VALUE
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver VALUE
Standard Silver
Thrive Silver
Ambetter from Superior HealthPlan
Complete VALUE Gold
Focused VALUE Silver + Vision + Adult Dental
Focused VALUE Silver
Standard Gold VALUE
Standard Silver VALUE + Vision + Adult Dental
Standard Silver VALUE
Ambetter of Alabama
Complete Gold + Vision + Adult Dental
Complete Gold
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
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Florida Blue (BlueCross BlueShield FL)
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueOptions Bronze 24J01-06 (Rewards)
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)
BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)
BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)
BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)
BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)
BlueSelect Bronze 24L01-01 (Rewards)
BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)
BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueSelect Silver 1443 ($10 Labs / Rewards)
BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)
BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)
BlueSelect Silver 1456 ($50 PCP Visits / Rewards)
BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Blue HMO (a BlueCross BlueShield FL company)
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)
BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K01-05 (Rewards)
BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)
BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K02-18 (Rewards)
BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)
BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Silver 24K01-02 ($10 Labs / Rewards)
BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)
BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueCare Silver 24K02-21 ($10 Labs / Rewards)
BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Molina Healthcare
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision
Molina Bronze Enhanced 3500 Plus with Adult Vision
Molina Bronze Enhanced 3500
Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision
Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision
Molina Bronze Premier with $0 Medical Deductible
Molina Bronze Standard
Molina Gold Core 1640 Plus with Adult Dental and Vision
Molina Gold Core 1640 Plus with Adult Vision
Molina Gold Core 1640
Molina Gold Enhanced 895 Plus with Adult Dental and Vision
Molina Gold Enhanced 895 Plus with Adult Vision
Molina Gold Enhanced 895
Molina Gold Standard
Molina Silver Access Plus with Adult Dental and Vision
Molina Silver Access Plus with Adult Vision
Molina Silver Access
Molina Silver Core Plus with Adult Dental and Vision
Molina Silver Core Plus with Adult Vision
Molina Silver Core
Molina Silver Saver with Four Free PCP Visits
Molina Silver Standard
Wellpoint
Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard
Wellpoint Essential Catastrophic (+ Incentives)
Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard
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 PRIME MD OF NAPLES accept?
Marketplace files for the 2026 plan year list PRIME MD OF NAPLES as in-network for 173 plans from 7 insurance companies. The largest networks are Florida Blue (BlueCross BlueShield FL) (33 plans), Ambetter Health (27 plans), Florida Blue HMO (a BlueCross BlueShield FL company) (24 plans), followed by 4 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is PRIME MD OF NAPLES enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does PRIME MD OF NAPLES participate in?
The accepted plans include 68 HMO plans, 37 EPO plans, 24 POS plans and 14 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. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. 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.
