DR. JAMES J GIBBONS M.D.
Accepted Insurance for NPI 1477558310
Anesthesiology in Saint Louis, MO
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. JAMES J GIBBONS M.D., a anesthesiology provider in Saint Louis, MO, is listed as in-network for 36 health insurance plans from Medica. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Medica
Balance by Medica Bronze $0 Copay PCP Visits
Balance by Medica Bronze $0 Copay PCP Visits
Balance by Medica Bronze Premier
Balance by Medica Bronze Premier
Balance by Medica Expanded Bronze Standard
Balance by Medica Expanded Bronze Standard
Balance by Medica Gold $0 Copay PCP Visits
Balance by Medica Gold $0 Copay PCP Visits
Balance by Medica Gold Share
Balance by Medica Gold Share
Balance by Medica Gold Standard
Balance by Medica Gold Standard
Balance by Medica Silver $0 Copay PCP Visits
Balance by Medica Silver $0 Copay PCP Visits
Balance by Medica Silver Share
Balance by Medica Silver Share
Balance by Medica Silver Standard
Balance by Medica Silver Standard
Medica Individual Choice Bronze $0 Copay PCP Visits
Medica Individual Choice Bronze HSA
Medica Individual Choice Bronze Share
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
Medica Individual Choice Silver Standard
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. JAMES J GIBBONS M.D. accept?
Marketplace files for the 2026 plan year list DR. JAMES J GIBBONS M.D. as in-network for 36 plans from Medica. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. JAMES J GIBBONS 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. JAMES J GIBBONS M.D. participate in?
The accepted plans include 18 EPO plans, 9 PPO plans and 9 HMO plans. 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. 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.
