PAVANKUMAR PATEL MD
Accepted Insurance for NPI 1407004708
Internal Medicine - Endocrinology, Diabetes & Metabolism in Palm Bay, FL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PAVANKUMAR PATEL MD, a internal medicine provider in Palm Bay, FL, is listed as in-network for 97 health insurance plans from 4 insurance companies, led by Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Florida Blue (BlueCross BlueShield FL)
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueOptions Bronze 24J01-06 (Rewards)
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)
BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)
BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)
BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)
BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)
BlueSelect Bronze 24L01-01 (Rewards)
BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)
BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueSelect Silver 1443 ($10 Labs / Rewards)
BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)
BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)
BlueSelect Silver 1456 ($50 PCP Visits / Rewards)
BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Blue HMO (a BlueCross BlueShield FL company)
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)
BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K01-05 (Rewards)
BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)
BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K02-18 (Rewards)
BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)
BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Silver 24K01-02 ($10 Labs / Rewards)
BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)
BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueCare Silver 24K02-21 ($10 Labs / Rewards)
BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Health Care Plans
Gym Access IND Bronze HMO 1340
Gym Access IND Bronze HMO OA 1211
Gym Access IND Bronze HMO OA Standard 2450
Gym Access IND Bronze POS 1042
Gym Access IND Bronze POS BC 3841
Gym Access IND Bronze POS OA 1211
Gym Access IND Bronze POS OA Standard 2450
Gym Access IND Bronze Standardized HMO
Gym Access IND Gold HMO 4500
Gym Access IND Gold HMO BC 5651
Gym Access IND Gold HMO H.S.A 9010
Gym Access IND Gold HMO OA Standard 3450
Gym Access IND Gold POS 55001
Gym Access IND Gold POS BC 5651
Gym Access IND Gold POS OA Standard 3450
Gym Access IND Silver HMO BC 0941
Gym Access IND Silver HMO BC 7741
Gym Access IND Silver HMO OA 1009
Gym Access IND Silver HMO OA Standard 1440
Gym Access IND Silver POS BC 0941
Gym Access IND Silver POS BC 7741
Gym Access IND Silver POS OA 1009
Gym Access IND Silver POS OA Standard 1440
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UHC Bronze Essential ($0 Virtual Urgent Care)
UHC Bronze Essential- ($0 Virtual Urgent Care)
UHC Bronze Standard+ (Dental + Vision)
UHC Bronze Standard
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)
UHC Gold Standard
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)
UHC Silver Standard+ (Dental + Vision)
UHC Silver Standard-
UHC Silver Standard
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx)
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)
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 PAVANKUMAR PATEL MD accept?
Marketplace files for the 2026 plan year list PAVANKUMAR PATEL MD as in-network for 97 plans from 4 insurance companies. The largest networks are Florida Blue (BlueCross BlueShield FL) (33 plans), Florida Blue HMO (a BlueCross BlueShield FL company) (24 plans), Florida Health Care Plans (23 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is PAVANKUMAR PATEL 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 PAVANKUMAR PATEL MD participate in?
The accepted plans include 35 POS plans, 29 HMO plans, 19 EPO plans and 14 PPO plans. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. 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.
