MARC P. MICHALSKY M.D.
Accepted Insurance for NPI 1326098708
Surgery - Pediatric Surgery in Columbus, OH

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
555 S. 18TH STREET, COLUMBUS, OH 43205(614) 722-6200 Get Directions

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Dec 9, 2022, Feb 22, 2022 (3 updates tracked since 2022).

Accepted Insurance & Health Plans Health Insurance Marketplace

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

MARC P. MICHALSKY M.D., a surgery provider in Columbus, OH, is listed as in-network for 87 health insurance plans from 4 insurance companies, led by Molina Healthcare, CareSource and UnitedHealthcare. 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.
4
Insurance Companies
87
Plan Options
1
Network Type
Molina Healthcare
Largest Network · 22 plans
View plans
69 plans · 69 plan IDs · 2026 plan year

CareSource

21 plans · Individual market · listed as Preferred

Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness

BronzeHMO
Plan ID77552OH0020204

Bronze 7500 $25 Generic Drugs

BronzeHMO
Plan ID77552OH0010204

Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020212

Core Gold 1500 $10 Generic Drugs

GoldHMO
Plan ID77552OH0010212

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020210

Diabetes Gold 3000 $0 Chronic Care Drugs & Services

GoldHMO
Plan ID77552OH0010210

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020209

Diabetes Silver 5000 $0 Chronic Care Drugs & Services

SilverHMO
Plan ID77552OH0010209

Gold 2000 $15 Generic Drugs + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020202

Gold 2000 $15 Generic Drugs

GoldHMO
Plan ID77552OH0010202

HDHP Preventive Silver 5500 $0 Chronic Care Drugs

SilverHMO
Plan ID77552OH0010219

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020215

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services

GoldHMO
Plan ID77552OH0010215

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020218

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services

SilverHMO
Plan ID77552OH0010218

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness

BronzeHMO
Plan ID77552OH0020222

Low Premium Bronze 10600 $25 Generic Drugs

BronzeHMO
Plan ID77552OH0010222

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020201

Low Premium Silver 6200 $3 Generic Drugs

SilverHMO
Plan ID77552OH0010201

Silver 6000 $20 Generic Drugs + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020203

Silver 6000 $20 Generic Drugs

SilverHMO
Plan ID77552OH0010203

McLaren Health Plan Community

9 plans · Individual market · listed as In Network

MHP Bronze Saver (Expanded)

BronzeHMOMichigan
Plan ID74917MI0020013

MHP Bronze

BronzeHMOMichigan
Plan ID74917MI0020011

MHP Expanded Bronze Standard

BronzeHMOMichigan
Plan ID74917MI0020024

MHP Gold Standard

GoldHMOMichigan
Plan ID74917MI0020018

MHP Gold

GoldHMOMichigan
Plan ID74917MI0020006

MHP Silver Exchange Rewards

SilverHMOMichigan
Plan ID74917MI0020017

MHP Silver Exchange

SilverHMOMichigan
Plan ID74917MI0020005

MHP Silver Standard

SilverHMOMichigan
Plan ID74917MI0020019

MHP Young Adult/Catastrophic

CatastrophicHMOMichigan
Plan ID74917MI0020004

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

UnitedHealthcare

17 plans · Individual market · listed as Non Preferred

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

BronzeHMO
Plan ID33931OH0030035

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

BronzeHMO
Plan ID33931OH0070004

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)

BronzeHMO
Plan ID33931OH0030044

UHC Bronze Standard (No Referrals)

BronzeHMO
Plan ID33931OH0030026

UHC Bronze Standard+ (Dental + Vision, No Referrals)

BronzeHMO
Plan ID33931OH0070005

UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

GoldHMO
Plan ID33931OH0030042

UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

GoldHMO
Plan ID33931OH0070002

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

GoldHMO
Plan ID33931OH0030032

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

GoldHMO
Plan ID33931OH0070008

UHC Gold Standard (No Referrals)

GoldHMO
Plan ID33931OH0030014

UHC Gold Standard+ (Dental + Vision, No Referrals)

GoldHMO
Plan ID33931OH0070009

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)

SilverHMO
Plan ID33931OH0030031

UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)

SilverHMO
Plan ID33931OH0070001

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

SilverHMO
Plan ID33931OH0030030

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

SilverHMO
Plan ID33931OH0070007

UHC Silver Standard (No Referrals)

SilverHMO
Plan ID33931OH0030021

UHC Silver Standard+ (Dental + Vision, No Referrals)

SilverHMO
Plan ID33931OH0070006
No plans match your current filters. Clear filters to see the full list.

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 MARC P. MICHALSKY M.D. accept?

Marketplace files for the 2026 plan year list MARC P. MICHALSKY M.D. as in-network for 87 plans from 4 insurance companies. The largest networks are Molina Healthcare (22 plans), CareSource (21 plans), UnitedHealthcare (17 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.

Is MARC P. MICHALSKY M.D. 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 MARC P. MICHALSKY M.D. participate in?

The accepted plans include 69 HMO plans. 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.