DR. BY PHAM M.D.
Accepted Insurance for NPI 1407821663
Family Medicine in Yakima, WA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. BY PHAM M.D., a family medicine provider in Yakima, WA, is listed as in-network for 44 health insurance plans from 5 insurance companies, led by Blue Cross Blue Shield of Wyoming, Blue Cross Blue Shield of North Dakota and Premera Blue Cross Blue Shield of Alaska. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Ambetter Balanced Care 4
Ambetter Cascade Complete Gold
Ambetter Cascade Select Bronze
Ambetter Cascade Select Complete Gold
Ambetter Cascade Select Silver
Ambetter Cascade Select Vital Gold
Ambetter Cascade Silver
Ambetter Cascade Vital Gold
Ambetter Secure Care 5
Blue Cross Blue Shield of North Dakota
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
BlueValue Gold $30 PCP Copay (Standardized plan)
BlueValue Silver $40 PCP Copay (Standardized plan)
Blue Cross Blue Shield of Wyoming
BlueSelect Bronze Basic
BlueSelect Bronze Core
BlueSelect Expanded Bronze Standard without Kid's Dental
BlueSelect Gold Core
BlueSelect Gold HealthPlus
BlueSelect Gold Standard without Kid's Dental
BlueSelect Silver Classic without Kid's Dental
BlueSelect Silver Classic
BlueSelect Silver HealthPlus without Kid's Dental
BlueSelect Silver HealthPlus
BlueSelect Silver Standard without Kid's Dental
Premera Blue Cross Blue Shield of Alaska
Premera Blue Cross Alaska One Gold
Premera Blue Cross Family Dental
Premera Blue Cross Pediatric Dental
Premera Blue Cross Preferred Bronze 5800 HSA
Premera Blue Cross Preferred Bronze 6350
Premera Blue Cross Preferred Gold 1500
Premera Blue Cross Preferred Silver 4500
Premera Blue Cross Standard Bronze II
Premera Blue Cross Standard Gold
Premera Blue Cross Standard Silver
Providence Health Plan
HSA-E Qualified 7500 Bronze - Signature Network
Providence Oregon Standard Bronze Plan - Signature Network
Providence Oregon Standard Gold Plan - Signature Network
Providence Oregon Standard Silver Plan - Signature Network
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. BY PHAM M.D. accept?
Marketplace files for the 2026 plan year list DR. BY PHAM M.D. as in-network for 44 plans from 5 insurance companies. The largest networks are Blue Cross Blue Shield of Wyoming (11 plans), Blue Cross Blue Shield of North Dakota (10 plans), Premera Blue Cross Blue Shield of Alaska (10 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. BY PHAM 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 DR. BY PHAM M.D. participate in?
The accepted plans include 31 PPO plans, 9 HMO plans and 4 EPO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. 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.
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.
