JONATHAN N JOHNSON MD
Accepted Insurance for NPI 1285648899
Pediatrics - Pediatric Cardiology in Rochester, MN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
JONATHAN N JOHNSON MD, a pediatrics provider in Rochester, MN, is listed as in-network for 75 health insurance plans from 5 insurance companies, led by Blue Cross Blue Shield of North Dakota, Oscar Insurance Company and HealthPartners. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross Blue Shield of North Dakota
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
BlueValue Gold $30 PCP Copay (Standardized plan)
BlueValue Silver $40 PCP Copay (Standardized plan)
DakotaBlue Altru Gold ($5 Value Based Drug List)
DakotaBlue Altru Silver ($5 Value Based Drug List)
DakotaBlue Trinity Gold ($5 Value Based Drug List)
DakotaBlue Trinity Silver ($5 Value Based Drug List)
HealthPartners
Atlas $1,300 Gold
Atlas $2,000 Standard Gold
Atlas $3,050 Plus Silver
Atlas $3,800 HSA Silver
Atlas $6,000 Standard Silver
Atlas $6,800 Plus Bronze HSA
Atlas $7,500 Standard Bronze HSA
Atlas $8,400 HSA Bronze
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Classic
Bronze Elite + PCP Saver Plus
Bronze Simple Diabetes
Gold Classic Standard
Gold Elite
Secure
Silver Classic Standard
Silver Classic
Silver Simple Diabetes
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
Sanford Health Plan
Sanford Individual Simplicity $1,750
Sanford Individual Simplicity $3,500
Sanford Individual Simplicity $4,750
Sanford Individual Simplicity $6,500
Sanford Individual Simplicity $7,200 HSA Qualified
Sanford Individual Simplicity Standardized $2,000
Sanford Individual Simplicity Standardized $6,000
Sanford Individual Simplicity Standardized $7,500
Wellmark Health Plan of Iowa, Inc.
Wellmark Bronze HDHP HMO HSA Qualified
Wellmark Bronze Traditional HMO
Wellmark Gold Traditional HMO
Wellmark Silver Traditional HMO
Wellmark Standard Bronze HMO
Wellmark Standard Gold HMO
Wellmark Standard Silver HMO
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 JONATHAN N JOHNSON MD accept?
Marketplace files for the 2026 plan year list JONATHAN N JOHNSON MD as in-network for 75 plans from 5 insurance companies. The largest networks are Blue Cross Blue Shield of North Dakota (14 plans), Oscar Insurance Company (13 plans), HealthPartners (8 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is JONATHAN N JOHNSON MD 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 JONATHAN N JOHNSON MD participate in?
The accepted plans include 30 PPO plans, 13 EPO plans and 7 HMO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
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.
