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 58 health insurance plans from 4 insurance companies, led by Medica, PacificSource Health Plans 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.
Medica
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits
Essentia Choice Care with Medica Bronze HSA
Essentia Choice Care with Medica Bronze Share
Essentia Choice Care with Medica Bronze Share
Essentia Choice Care with Medica Expanded Bronze Standard
Essentia Choice Care with Medica Expanded Bronze Standard
Essentia Choice Care with Medica Gold $0 Copay PCP Visits
Essentia Choice Care with Medica Gold $0 Copay PCP Visits
Essentia Choice Care with Medica Gold Share
Essentia Choice Care with Medica Gold Share
Essentia Choice Care with Medica Gold Standard
Essentia Choice Care with Medica Gold Standard
Essentia Choice Care with Medica Silver $0 Copay PCP Visits
Essentia Choice Care with Medica Silver $0 Copay PCP Visits
Essentia Choice Care with Medica Silver Share
Essentia Choice Care with Medica Silver Share
Essentia Choice Care with Medica Silver Standard
Essentia Choice Care with Medica Silver Standard
Medica Individual Choice Bronze $0 Copay PCP Visits
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
PacificSource Health Plans
Core Bronze HSA 10600
Core Bronze HSA 7500
Core Bronze HSA 8300
Core Gold 1500
Core Gold 3000
Core Silver 3500
Core Silver 4500
Core Silver 5000
Core Silver 7500
Core Standard Expanded Bronze HSA
Core Standard Gold
Core Standard Silver
PacificSource Oregon Standard Bronze HSA Plan Core
PacificSource Oregon Standard Gold Plan Core
PacificSource Oregon Standard Silver Plan Core
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 58 plans from 4 insurance companies. The largest networks are Medica (27 plans), PacificSource Health Plans (15 plans), Premera Blue Cross Blue Shield of Alaska (10 plans), followed by 1 more company. 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 28 EPO plans, 18 HMO plans and 10 PPO 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. 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.
