DR. PANKAJ HARJI PATEL MD, FACS
Accepted Insurance for NPI 1407816721
Surgery - Trauma Surgery in Atlantic City, NJ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 441-8023 Get Directions

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2024, Dec 9, 2020, May 29, 2019 (3 updates tracked since 2019).

Accepted Insurance & Health Plans Health Insurance Marketplace

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

DR. PANKAJ HARJI PATEL MD, FACS, a surgery provider in Atlantic City, NJ, is listed as in-network for 7 health insurance plans from Oscar Health. 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.
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Insurance Company
7
Plan Options
1
Network Type
7 plans · 7 plan IDs · 2026 plan year

Oscar Health

7 plans · Individual market · listed as Preferred

Bronze Classic

BronzeEPO
Plan ID23818NJ0010001

Gold Classic PCP Saver

GoldEPO
Plan ID23818NJ0010007

Silver Classic Saver Plus

SilverEPO
Plan ID23818NJ0010008

Silver Classic

SilverEPO
Plan ID23818NJ0010002

Silver Elite Plus

SilverEPO
Plan ID23818NJ0010029

Silver Simple PCP Saver

SilverEPO
Plan ID23818NJ0010009

Silver Simple

SilverEPO
Plan ID23818NJ0010003
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 DR. PANKAJ HARJI PATEL MD, FACS accept?

Marketplace files for the 2026 plan year list DR. PANKAJ HARJI PATEL MD, FACS as in-network for 7 plans from Oscar Health. The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. PANKAJ HARJI PATEL MD, FACS 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. PANKAJ HARJI PATEL MD, FACS participate in?

The accepted plans include 7 EPO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.

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.