WILLIAM J O'BRIEN MD
Accepted Insurance for NPI 1477581395
Surgery in Cleveland, OH

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE, CLEVELAND, OH 44195(800) 223-2273 Get Directions

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Dr. O'Brien take my insurance?

Oscar Health includes Dr. O'Brien in 16 Ohio plans sold on HealthCare.gov for 2026, all on its Individual Ohio Cleveland network. Anthem Blue Cross and Blue Shield also lists Dr. O'Brien in Wisconsin.

Also listed inWisconsin

Call before you book: insurer directories can be out of date, so call the office at (800) 223-2273 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Ohio Medicaid ID; ask the office which Medicaid plans it takes.

25 plans · 2026 plan year

Ohio plans 16 plans

Plans sold to Ohio residents. Costs are for the standard version of each plan.

Oscar Health

16 plans · HMO
Accepting new patients
Gold Elite Saver Plus | Cleveland ClinicHMOGold$045845OH0100035
Gold Elite | Cleveland ClinicHMOGold$75045845OH0100036
Gold Classic Standard | Cleveland ClinicHMOGold$2,00045845OH0100053
Silver Elite Saver Plus | Cleveland ClinicHMOSilver$045845OH0100030
Silver Simple PCP Saver | Cleveland ClinicHMOSilver$5,75045845OH0100025
Silver Simple Chronic Care CKM | Cleveland ClinicHMOSilver$5,90045845OH0100060
Silver Classic Standard | Cleveland ClinicHMOSilver$6,00045845OH0100052
Silver Simple Women's Health with Menopause Benefits | Cleveland ClinicHMOSilver$6,00045845OH0100061
Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland ClinicHMOSilver$6,20045845OH0100059
Silver Simple Diabetes | Cleveland ClinicHMOSilver$6,50045845OH0100045
Bronze Simple HSA | Cleveland ClinicHMOExpanded Bronze$5,00045845OH0100014
Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100055
Bronze Simple Chronic Care CKM | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100056
Bronze Simple Diabetes | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100057
Bronze Classic Standard | Cleveland ClinicHMOExpanded Bronze$7,50045845OH0100050
Bronze Classic PCP Saver | Cleveland ClinicHMOExpanded Bronze$7,75045845OH0100002

Also listed in other states 9 plans · 1 state

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS
Deductible $0 to $8,450
Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003
Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Questions about Dr. O'Brien’s insurance

Does Dr. O'Brien take Oscar Health?

For Ohio Marketplace plans, yes: Oscar Health includes Dr. O'Brien in 16 plans for 2026. Call the office at (800) 223-2273 to confirm your plan before booking.

Do I need a referral to see Dr. O'Brien?

Not under the Ohio plans that list Dr. O'Brien: the 2026 plan files say a specialist referral is not required.

Does Dr. O'Brien accept Medicare?

Yes. CMS files show Dr. O'Brien accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Oscar Health: Oct 15, 2026
Anthem Blue Cross and Blue Shield: Oct 14, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.