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DR. SETH L HEPNER MD
Accepted Insurance for NPI 1609131663
Psychiatry & Neurology - Neurology in Bridgeton, MO

Active since July 05, 2012PECOS EnrolledAccepts Medicare Assignment
12266 DE PAUL DR STE 100, BRIDGETON, MO 63044(314) 738-2770(314) 355-6584 Get Directions

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2023, Dec 2, 2020, Dec 6, 2019 and 1 more (4 updates tracked since 2018).

Accepted Insurance & Health Plans Health Insurance Marketplace

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

DR. SETH L HEPNER MD, a psychiatry & neurology provider in Bridgeton, MO, is listed as in-network for 179 health insurance plans from 11 insurance companies, led by Ambetter Health, Ambetter of Oklahoma and CareSource (Common Ground Healthcare). 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.
11
Insurance Companies
179
Plan Options
4
Network Types
Ambetter Health
Largest Network · 32 plans
View plans
171 plans · 179 plan IDs · 2026 plan year

Ambetter Health

32 plans · Individual market · listed as Preferred

Choice Bronze HSA + Vision + Adult Dental

BronzeEPONebraska
Plan ID13484NE0100001

Choice Bronze HSA

BronzeEPONebraska
Plan ID13484NE0090001

Clear Gold + Vision + Adult Dental

GoldEPONebraska
Plan ID13484NE0100002

Clear Gold

GoldEPONebraska
Plan ID13484NE0090002

Complete Gold + Vision + Adult Dental

GoldHMOIowa
Plan ID48286IA0020015

Complete Gold

GoldHMOIowa
Plan ID48286IA0010015

Elite Bronze + Vision + Adult Dental

BronzeEPONebraska
Plan ID13484NE0100007

Elite Bronze + Vision + Adult Dental

BronzeHMOIowa
Plan ID48286IA0020013

Elite Bronze

BronzeEPONebraska
Plan ID13484NE0090007

Elite Bronze

BronzeHMOIowa
Plan ID48286IA0010013

Elite Gold + Vision + Adult Dental

GoldEPONebraska
Plan ID13484NE0100005

Elite Gold

GoldEPONebraska
Plan ID13484NE0090005

Everyday Bronze + Vision + Adult Dental

BronzeHMOIowa
Plan ID48286IA0020012

Everyday Bronze

BronzeHMOIowa
Plan ID48286IA0010012

Everyday Gold + Vision + Adult Dental

GoldHMOIowa
Plan ID48286IA0020016

Everyday Gold

GoldHMOIowa
Plan ID48286IA0010016

Focused Silver + Vision + Adult Dental

SilverEPONebraska
Plan ID13484NE0100004

Focused Silver + Vision + Adult Dental

SilverHMOIowa
Plan ID48286IA0020019

Focused Silver

SilverEPONebraska
Plan ID13484NE0090004

Focused Silver

SilverHMOIowa
Plan ID48286IA0010019

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPONebraska
Plan ID13484NE0100008

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMOIowa
Plan ID48286IA0020014

Standard Expanded Bronze

BronzeEPONebraska
Plan ID13484NE0090008

Standard Expanded Bronze

BronzeHMOIowa
Plan ID48286IA0010014

Standard Gold + Vision + Adult Dental

GoldEPONebraska
Plan ID13484NE0100006

Standard Gold + Vision + Adult Dental

GoldHMOIowa
Plan ID48286IA0020017

Standard Gold

GoldEPONebraska
Plan ID13484NE0090006

Standard Gold

GoldHMOIowa
Plan ID48286IA0010017

Standard Silver + Vision + Adult Dental

SilverEPONebraska
Plan ID13484NE0100009

Standard Silver + Vision + Adult Dental

SilverHMOIowa
Plan ID48286IA0020023

Standard Silver

SilverEPONebraska
Plan ID13484NE0090009

Standard Silver

SilverHMOIowa
Plan ID48286IA0010020

Ambetter Health of Delaware

17 plans · Individual market · listed as Preferred

Clear Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100011

Clear Gold

GoldEPODelaware
Plan ID64004DE0090011

Complete Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100009

Complete Gold

GoldEPODelaware
Plan ID64004DE0090009

Elite Silver + Vision + Adult Dental

SilverEPODelaware
Plan ID64004DE0100013

Elite Silver

SilverEPODelaware
Plan ID64004DE0090013

Everyday Bronze + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100002

Everyday Bronze

BronzeEPODelaware
Plan ID64004DE0090002

Focused Silver + Vision + Adult Dental

SilverEPODelaware
Plan ID64004DE0100007

Focused Silver

SilverEPODelaware
Plan ID64004DE0090007

Principal Bronze HSA + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100001

Principal Bronze HSA

BronzeEPODelaware
Plan ID64004DE0090001

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100004

Standard Expanded Bronze

BronzeEPODelaware
Plan ID64004DE0090004

Standard Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100012

Standard Gold

GoldEPODelaware
Plan ID64004DE0090012

Standard Silver

SilverEPODelaware
Plan ID64004DE0090008

Ambetter from Home State Health

16 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPO
Plan ID99723MO0110010

Complete Gold

GoldEPO
Plan ID99723MO0090016

Complete Silver + Vision + Adult Dental

SilverEPO
Plan ID99723MO0110013

Complete Silver

SilverEPO
Plan ID99723MO0090011

Elite Bronze + Vision + Adult Dental

BronzeEPO
Plan ID99723MO0110053

Elite Bronze

BronzeEPO
Plan ID99723MO0090053

Everyday Bronze + Vision + Adult Dental

BronzeEPO
Plan ID99723MO0110009

Everyday Bronze

BronzeEPO
Plan ID99723MO0090018

Everyday Gold + Vision + Adult Dental

GoldEPO
Plan ID99723MO0110063

Everyday Gold

GoldEPO
Plan ID99723MO0090063

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPO
Plan ID99723MO0110070

Standard Expanded Bronze

BronzeEPO
Plan ID99723MO0090069

Standard Gold + Vision + Adult Dental

GoldEPO
Plan ID99723MO0110072

Standard Gold

GoldEPO
Plan ID99723MO0090071

Standard Silver + Vision + Adult Dental

SilverEPO
Plan ID99723MO0110027

Standard Silver

SilverEPO
Plan ID99723MO0090070

Ambetter from Sunflower Health Plan

16 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120047

Elite Bronze

BronzeEPOKansas
Plan ID34368KS0110047

Elite Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120068

Elite Gold

GoldEPOKansas
Plan ID34368KS0110066

Everyday Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120043

Everyday Bronze

BronzeEPOKansas
Plan ID34368KS0110043

Everyday Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120033

Everyday Gold

GoldEPOKansas
Plan ID34368KS0110033

Focused Silver + Vision + Adult Dental

SilverEPOKansas
Plan ID34368KS0120053

Focused Silver

SilverEPOKansas
Plan ID34368KS0110053

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120069

Standard Expanded Bronze

BronzeEPOKansas
Plan ID34368KS0110068

Standard Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120071

Standard Gold

GoldEPOKansas
Plan ID34368KS0110070

Standard Silver + Vision + Adult Dental

SilverEPOKansas
Plan ID34368KS0120070

Standard Silver

SilverEPOKansas
Plan ID34368KS0110069

Ambetter of Oklahoma

20 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130006

Elite Bronze

BronzePPOOklahoma
Plan ID62505OK0120006

Elite Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130017

Elite Gold

GoldPPOOklahoma
Plan ID62505OK0120016

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130023

Enhanced Asthma/COPD Care Silver with $0 Drug Options

SilverPPOOklahoma
Plan ID62505OK0120023

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130024

Enhanced Diabetes Care Silver with $0 Drug Options

SilverPPOOklahoma
Plan ID62505OK0120024

Everyday Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130002

Everyday Bronze

BronzePPOOklahoma
Plan ID62505OK0120002

Everyday Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130014

Everyday Gold

GoldPPOOklahoma
Plan ID62505OK0120014

Focused Silver + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130012

Focused Silver

SilverPPOOklahoma
Plan ID62505OK0120012

Standard Expanded Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130019

Standard Expanded Bronze

BronzePPOOklahoma
Plan ID62505OK0120019

Standard Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130021

Standard Gold

GoldPPOOklahoma
Plan ID62505OK0120021

Standard Silver + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130025

Standard Silver

SilverPPOOklahoma
Plan ID62505OK0120020

Anthem Blue Cross and Blue Shield

10 plans · Individual market · listed as Participating

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980022

Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980014

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980019

Anthem Catastrophic Pathway (+ Incentives)

CatastrophicEPO
Plan ID32753MO0980017

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldEPO
Plan ID32753MO0980021

Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980018

Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980013

Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980015

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980020

Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980016

Aspirus Health Plan

12 plans · Individual market · listed as Aspirussign

HMO Bronze $0 Medical Deductible

BronzeHMOWisconsin
Plan ID86584WI0010016

HMO Bronze 10000

BronzeHMOWisconsin
Plan ID86584WI0010009

HMO Bronze 7500

BronzeHMOWisconsin
Plan ID86584WI0010011

HMO Catastrophic 10600 with 3 free PCP visits

CatastrophicHMOWisconsin
Plan ID86584WI0010008

HMO Gold 2000

GoldHMOWisconsin
Plan ID86584WI0010015

HMO Gold 2700

GoldHMOWisconsin
Plan ID86584WI0010007

HMO HDHP Silver 5900

SilverHMOWisconsin
Plan ID86584WI0010013

HMO Silver 6000

SilverHMOWisconsin
Plan ID86584WI0010012

HMO Silver 6600

SilverHMOWisconsin
Plan ID86584WI0010001

POS Bronze 7500

BronzePOSWisconsin
Plan ID86584WI0020005

POS Bronze 8500

BronzePOSWisconsin
Plan ID86584WI0020003

POS Silver 6000

SilverPOSWisconsin
Plan ID86584WI0020001

Blue Cross and Blue Shield of Kansas, Inc.

9 plans · Individual market · listed as Preferred

BlueCare EPO Bronze

BronzeEPOKansas
Plan ID18558KS0400009

BlueCare EPO Gold Plus

GoldEPOKansas
Plan ID18558KS0400014

BlueCare EPO Gold

GoldEPOKansas
Plan ID18558KS0400006

BlueCare EPO Silver Plus

SilverEPOKansas
Plan ID18558KS0400013

BlueCare EPO Simple Bronze HDHP

BronzeEPOKansas
Plan ID18558KS0400010

BlueCare EPO Simple Silver HDHP

SilverEPOKansas
Plan ID18558KS0400008

BlueCare EPO Standardized Expanded Bronze

BronzeEPOKansas
Plan ID18558KS0420002

BlueCare EPO Standardized Gold

GoldEPOKansas
Plan ID18558KS0420004

BlueCare EPO Standardized Silver

SilverEPOKansas
Plan ID18558KS0420003

CareSource (Common Ground Healthcare)

18 plans · Individual market · listed as Preferred

CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam

BronzeEPOWisconsin
Plan ID87416WI0060023

CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded

BronzeEPOWisconsin
Plan ID87416WI0030003

CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam

BronzeEPOWisconsin
Plan ID87416WI0060015

CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)

BronzeEPOWisconsin
Plan ID87416WI0030027

CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam

BronzeEPOWisconsin
Plan ID87416WI0060003

CareSource (Common Ground Healthcare) Bronze Standard $7500

BronzeEPOWisconsin
Plan ID87416WI0030041

CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam

GoldEPOWisconsin
Plan ID87416WI0060025

CareSource (Common Ground Healthcare) Gold $0 Ded

GoldEPOWisconsin
Plan ID87416WI0030005

CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam

GoldEPOWisconsin
Plan ID87416WI0060006

CareSource (Common Ground Healthcare) Gold $3300

GoldEPOWisconsin
Plan ID87416WI0030017

CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam

GoldEPOWisconsin
Plan ID87416WI0060001

CareSource (Common Ground Healthcare) Gold Standard $2000

GoldEPOWisconsin
Plan ID87416WI0030043

CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam

SilverEPOWisconsin
Plan ID87416WI0060012

CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded

SilverEPOWisconsin
Plan ID87416WI0030023

CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam

SilverEPOWisconsin
Plan ID87416WI0060011

CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded

SilverEPOWisconsin
Plan ID87416WI0030047

CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam

SilverEPOWisconsin
Plan ID87416WI0060002

CareSource (Common Ground Healthcare) Silver Standard $6000

SilverEPOWisconsin
Plan ID87416WI0030042

Medica

10 plans · Individual market

Medica Insure Bronze $0 Copay PCP Visits

BronzeEPOIowaPreferredtier
Plan ID93078IA0060041

Medica Insure Bronze Premier

BronzeEPONebraskaStandardtier
Plan ID20305NE0040051

Medica Insure Bronze Share

BronzeEPO2 statesStandardtier
Plan IDs20305NE004002993078IA0060029

Medica Insure Expanded Bronze Standard

BronzeEPO2 statesStandardtier
Plan IDs20305NE004007393078IA0060073

Medica Insure Gold $0 Copay PCP Visits

GoldEPO2 statesStandardtier
Plan IDs20305NE004004593078IA0060045

Medica Insure Gold Share

GoldEPO2 statesStandardtier
Plan IDs20305NE004002593078IA0060074

Medica Insure Gold Standard

GoldEPO2 statesStandardtier
Plan IDs20305NE004005593078IA0060055

Medica Insure Silver $0 Copay PCP Visits

SilverEPO2 statesStandardtier
Plan IDs20305NE004004793078IA0060047

Medica Insure Silver Share

SilverEPO2 statesStandardtier
Plan IDs20305NE004002793078IA0060027

Medica Insure Silver Standard

SilverEPO2 statesStandardtier
Plan IDs20305NE004005793078IA0060057

Oscar Insurance Company

11 plans · Individual market · listed as Preferred

Bronze Classic 4700

BronzeEPO
Plan ID69512MO0010024

Bronze Classic Standard

BronzeEPO
Plan ID69512MO0010050

Bronze Elite + PCP Saver Plus

BronzeEPO
Plan ID69512MO0010005

Bronze Simple Diabetes

BronzeEPO
Plan ID69512MO0010055

Gold Classic Standard

GoldEPO
Plan ID69512MO0010053

Gold Simple

GoldEPO
Plan ID69512MO0010064

Silver Classic Standard

SilverEPO
Plan ID69512MO0010052

Silver Elite Saver Plus

SilverEPO
Plan ID69512MO0010030

Silver Simple Diabetes

SilverEPO
Plan ID69512MO0010045

Silver Simple PCP Saver

SilverEPO
Plan ID69512MO0010025

Silver Simple Women's Health with Menopause Benefits

SilverEPO
Plan ID69512MO0010058
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. SETH L HEPNER MD accept?

Marketplace files for the 2026 plan year list DR. SETH L HEPNER MD as in-network for 179 plans from 11 insurance companies. The largest networks are Ambetter Health (32 plans), Ambetter of Oklahoma (20 plans), CareSource (Common Ground Healthcare) (18 plans), followed by 8 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. SETH L HEPNER MD 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. SETH L HEPNER MD participate in?

The accepted plans include 123 EPO plans, 25 HMO plans, 20 PPO plans and 3 POS 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. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.

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.