DR. DONALD ROSS HART N.P.-C
Accepted Insurance for NPI 1386049310
Nurse Practitioner in Burlingame, CA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. DONALD ROSS HART N.P.-C, a nurse practitioner provider in Burlingame, CA, is listed as in-network for 100 health insurance plans from Oscar Insurance Company. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Gold Classic Guided Care
Gold Classic Standard Guided Care
Gold Classic Standard
Gold Classic
Gold Elite
Gold Simple Diabetes Guided Care
Gold Simple Guided Care
Silver Classic Standard Guided Care
Silver Classic Standard
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care
Silver Simple Chronic Care CKM Guided Care
Silver Simple Diabetes Guided Care
Silver Simple Guided Care
Silver Simple PCP Saver Guided Care
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits Guided Care
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. DONALD ROSS HART N.P.-C accept?
Marketplace files for the 2026 plan year list DR. DONALD ROSS HART N.P.-C as in-network for 100 plans from Oscar Insurance Company. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. DONALD ROSS HART N.P.-C 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. DONALD ROSS HART N.P.-C participate in?
The accepted plans include 12 EPO plans and 11 HMO plans. 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.
