FIRM FOUNDATION PEDIATRIC THER
Accepted Insurance for NPI 1376216788
Specialist/Technologist in Ruston, LA

Active since July 30, 2021
1316 E KENTUCKY AVE, RUSTON, LA 71270(318) 224-9081 Get Directions

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 26, 2023, Jul 30, 2021 (2 updates tracked since 2021).

Accepted Insurance & Health Plans Health Insurance Marketplace

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

FIRM FOUNDATION PEDIATRIC THER, a specialist/technologist provider in Ruston, LA, is listed as in-network for 24 health insurance plans from 2 insurance companies, led by HMO Louisiana and Blue Cross and Blue Shield of Louisiana. 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.
2
Insurance Companies
24
Plan Options
2
Network Types
HMO Louisiana
Largest Network · 16 plans
View plans
24 plans · 24 plan IDs · 2026 plan year

Blue Cross and Blue Shield of Louisiana

8 plans · Individual market · listed as Not Applicable

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible

PPO
Plan ID97176LA0340017

Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits

PPO
Plan ID97176LA0340015

Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits

PPO
Plan ID97176LA0340010

Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible

PPO
Plan ID97176LA0340024

Blue Max Copay (PCP) 60/40 $6000 Standardized

PPO
Plan ID97176LA0340023

Blue Max Copay (PCP) 75/55 $2000 Standardized

PPO
Plan ID97176LA0340022

Blue Saver 60/40 $6100

PPO
Plan ID97176LA0350004

Blue Saver 90/70 $3400

PPO
Plan ID97176LA0350003

HMO Louisiana

16 plans · Individual market · listed as Not Applicable

Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible

POS
Plan ID19636LA0220012

Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits

POS
Plan ID19636LA0220014

Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

POS
Plan ID19636LA0220020

Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible

POS
Plan ID19636LA0220017

Blue POS Copay (PCP) 60/40 $6000 Standardized

POS
Plan ID19636LA0220018

Blue POS Copay (PCP) 75/55 $2000 Standardized

POS
Plan ID19636LA0220019

Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits

POS
Plan ID19636LA0220005

Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR)

POS
Plan ID19636LA0610005

Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M)

POS
Plan ID19636LA0610010

Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible

POS
Plan ID19636LA0610017

Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible

POS
Plan ID19636LA0610015

Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible

POS
Plan ID19636LA0610016

Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR)

POS
Plan ID19636LA0610013

Precision Blue Copay (PCP) 60/40 $6000 Standardized (M)

POS
Plan ID19636LA0610014

Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR)

POS
Plan ID19636LA0610011

Precision Blue Copay (PCP) 75/55 $2000 Standardized (M)

POS
Plan ID19636LA0610012
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 FIRM FOUNDATION PEDIATRIC THER accept?

Marketplace files for the 2026 plan year list FIRM FOUNDATION PEDIATRIC THER as in-network for 24 plans from 2 insurance companies. The largest networks are HMO Louisiana (16 plans), Blue Cross and Blue Shield of Louisiana (8 plans). The full list above shows each plan's metal level, network type, and plan IDs.

Is FIRM FOUNDATION PEDIATRIC THER 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 FIRM FOUNDATION PEDIATRIC THER participate in?

The accepted plans include 16 POS plans and 8 PPO plans. 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.