DR. GOPAL C SARKER MD
Accepted Insurance for NPI 1316929607
Hospitalist in Springfield, MA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. GOPAL C SARKER MD, a hospitalist provider in Springfield, MA, is listed as in-network for 24 health insurance plans from 2 insurance companies, led by Anthem Blue Cross and Blue Shield and Taro Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Bronze HMO Pathway Enhanced with Adult Dental and Vision Benefits
Bronze HMO Pathway Enhanced
Bronze Pathway CT PPO w HSA
Bronze Pathway CT PPO
Bronze PPO Pathway with PreventiveRx HSA
Bronze PPO Standard Pathway HSA
Bronze PPO Standard Pathway
Catastrophic HMO Pathway Enhanced
Gold HMO Pathway Enhanced with Adult Dental and Vision Benefits
Gold Pathway CT PPO
Gold PPO Pathway with Adult Dental and Vision Benefits
Gold PPO Pathway
Gold PPO Standard Pathway
Platinum Pathway CT PPO
Silver Pathway CT PPO w HSA
Silver Pathway CT PPO
Silver PPO Standard Pathway
Taro Health
MENDING Clear Choice Bronze 7500 (No Direct Primary Care/DPC)
MENDING Clear Choice Bronze 8000 HSA (No Direct Primary Care/DPC)
MENDING Clear Choice Gold 2500 (No Direct Primary Care/DPC)
MENDING Clear Choice Silver 4000 (No Direct Primary Care/DPC)
MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health)
MENDING Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health)
MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health)
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. GOPAL C SARKER MD accept?
Marketplace files for the 2026 plan year list DR. GOPAL C SARKER MD as in-network for 24 plans from 2 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (17 plans), Taro Health (7 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. GOPAL C SARKER MD enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DR. GOPAL C SARKER MD participate in?
The accepted plans include 13 PPO plans and 11 HMO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. 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.
