JAMES FARRELL MD
Accepted Insurance for NPI 1609222421
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Greenville, SC

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
87.31/100
CMS Quality Rating
111 DOCTORS DR, GREENVILLE, SC 29605(864) 797-7060(864) 797-7065 Get Directions

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2025, Jul 7, 2022, Sep 22, 2021 and 2 more (5 updates tracked since 2016).

Accepted Insurance & Health Plans Health Insurance Marketplace

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

JAMES FARRELL MD, a orthopaedic surgery provider in Greenville, SC, is listed as in-network for 106 health insurance plans from 5 insurance companies, led by BlueCross BlueShield of South Carolina, Ambetter of North Carolina and Ambetter Health. 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.
5
Insurance Companies
106
Plan Options
4
Network Types
BlueCross BlueShield of South Carolina
Largest Network · 38 plans
View plans
106 plans · 106 plan IDs · 2026 plan year

Ambetter Health

25 plans · Individual market · listed as Preferred

Choice Bronze HSA HMO + Vision + Adult Dental

BronzeHMOGeorgia
Plan ID70893GA0030051

Choice Bronze HSA HMO

BronzeHMOGeorgia
Plan ID70893GA0010051

Clear Bronze HMO + Vision + Adult Dental

BronzeHMOGeorgia
Plan ID70893GA0030019

Clear Bronze HMO

BronzeHMOGeorgia
Plan ID70893GA0010006

Clear Gold HMO + Vision + Adult Dental

GoldHMOGeorgia
Plan ID70893GA0030074

Clear Gold HMO

GoldHMOGeorgia
Plan ID70893GA0010073

Clear Silver HMO with $0 Insulin Options

SilverHMOGeorgia
Plan ID70893GA0010068

Complete Gold HMO + Vision + Adult Dental

GoldHMOGeorgia
Plan ID70893GA0030020

Complete Gold HMO

GoldHMOGeorgia
Plan ID70893GA0010020

Complete Silver HMO + Vision + Adult Dental

SilverHMOGeorgia
Plan ID70893GA0030017

Complete Silver HMO

SilverHMOGeorgia
Plan ID70893GA0010017

Elite Gold HMO + Vision + Adult Dental

GoldHMOGeorgia
Plan ID70893GA0030075

Elite Gold HMO

GoldHMOGeorgia
Plan ID70893GA0010074

Everyday Bronze HMO + Vision + Adult Dental

BronzeHMOGeorgia
Plan ID70893GA0030064

Everyday Bronze HMO

BronzeHMOGeorgia
Plan ID70893GA0010064

Everyday Gold HMO + Vision + Adult Dental

GoldHMOGeorgia
Plan ID70893GA0030071

Everyday Gold HMO

GoldHMOGeorgia
Plan ID70893GA0010071

Focused Silver HMO + Vision + Adult Dental

SilverHMOGeorgia
Plan ID70893GA0030070

Focused Silver HMO

SilverHMOGeorgia
Plan ID70893GA0010070

Standard Expanded Bronze HMO + Vision + Adult Dental

BronzeHMOGeorgia
Plan ID70893GA0030076

Standard Expanded Bronze HMO

BronzeHMOGeorgia
Plan ID70893GA0010076

Standard Gold HMO + Vision + Adult Dental

GoldHMOGeorgia
Plan ID70893GA0030078

Standard Gold HMO

GoldHMOGeorgia
Plan ID70893GA0010078

Standard Silver HMO + Vision + Adult Dental

SilverHMOGeorgia
Plan ID70893GA0030077

Standard Silver HMO

SilverHMOGeorgia
Plan ID70893GA0010077

Ambetter from Absolute Total Care

9 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzeHMO
Plan ID79222SC0020022

Elite Bronze

BronzeHMO
Plan ID79222SC0010022

Everyday Bronze + Vision + Adult Dental

BronzeHMO
Plan ID79222SC0020011

Everyday Bronze

BronzeHMO
Plan ID79222SC0010011

Focused Silver

SilverHMO
Plan ID79222SC0010025

Standard Expanded Bronze

BronzeHMO
Plan ID79222SC0010031

Standard Gold

GoldHMO
Plan ID79222SC0010033

Standard Silver + Vision + Adult Dental

SilverHMO
Plan ID79222SC0020032

Standard Silver

SilverHMO
Plan ID79222SC0010032

Ambetter of North Carolina

29 plans · Individual market · listed as Preferred

Clear Silver with $0 Insulin Options

SilverHMONorth Carolina
Plan ID77264NC0010037

Complete Gold + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020007

Complete Gold with Atrium Health + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020053

Complete Gold with Atrium Health

GoldHMONorth Carolina
Plan ID77264NC0010056

Complete Gold

GoldHMONorth Carolina
Plan ID77264NC0010007

Elite Bronze + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020036

Elite Bronze with Atrium Health + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020047

Elite Bronze with Atrium Health

BronzeHMONorth Carolina
Plan ID77264NC0010050

Elite Bronze

BronzeHMONorth Carolina
Plan ID77264NC0010036

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

SilverHMONorth Carolina
Plan ID77264NC0020004

Enhanced Asthma/COPD Care Silver with $0 Drug Options

SilverHMONorth Carolina
Plan ID77264NC0010009

Everyday Bronze + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020028

Everyday Bronze with Atrium Health + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020046

Everyday Bronze with Atrium Health

BronzeHMONorth Carolina
Plan ID77264NC0010049

Everyday Bronze

BronzeHMONorth Carolina
Plan ID77264NC0010028

Focused Silver with Atrium Health + Vision + Adult Dental

SilverHMONorth Carolina
Plan ID77264NC0020051

Focused Silver with Atrium Health

SilverHMONorth Carolina
Plan ID77264NC0010054

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020055

Standard Expanded Bronze with Atrium Health + Vision + Adult Dental

BronzeHMONorth Carolina
Plan ID77264NC0020058

Standard Expanded Bronze with Atrium Health

BronzeHMONorth Carolina
Plan ID77264NC0010059

Standard Expanded Bronze

BronzeHMONorth Carolina
Plan ID77264NC0010044

Standard Gold + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020057

Standard Gold with Atrium Health + Vision + Adult Dental

GoldHMONorth Carolina
Plan ID77264NC0020060

Standard Gold with Atrium Health

GoldHMONorth Carolina
Plan ID77264NC0010061

Standard Gold

GoldHMONorth Carolina
Plan ID77264NC0010046

Standard Silver + Vision + Adult Dental

SilverHMONorth Carolina
Plan ID77264NC0020056

Standard Silver with Atrium Health + Vision + Adult Dental

SilverHMONorth Carolina
Plan ID77264NC0020059

Standard Silver with Atrium Health

SilverHMONorth Carolina
Plan ID77264NC0010060

Standard Silver

SilverHMONorth Carolina
Plan ID77264NC0010045

BlueCross BlueShield of South Carolina

38 plans · Individual market · listed as Preferred

Blue Direction Bronze 1

BronzePOS
Plan ID26065SC0760006

Blue Direction Silver 1 + Adult Vision

SilverPOS
Plan ID26065SC0760002

Blue Direction Silver 1

SilverPOS
Plan ID26065SC0760001

Blue Direction Silver 2

SilverPOS
Plan ID26065SC0760003

Blue Direction Standard Expanded Bronze

BronzePOS
Plan ID26065SC0760007

Blue Direction Standard Gold

GoldPOS
Plan ID26065SC0760004

Blue Direction Standard Silver

SilverPOS
Plan ID26065SC0760005

Blue Reedy Bronze 1

BronzeHMO
Plan ID26065SC0710004

Blue Reedy Bronze 2

BronzeHMO
Plan ID26065SC0710010

Blue Reedy Gold 1

GoldHMO
Plan ID26065SC0710001

Blue Reedy Silver 1

SilverHMO
Plan ID26065SC0710002

Blue Reedy Silver 2 + Adult Vision

SilverHMO
Plan ID26065SC0710009

Blue Reedy Silver 2

SilverHMO
Plan ID26065SC0710003

Blue Reedy Standard Expanded Bronze

BronzeHMO
Plan ID26065SC0710007

Blue Reedy Standard Gold

GoldHMO
Plan ID26065SC0710005

Blue Reedy Standard Silver

SilverHMO
Plan ID26065SC0710006

Blue VirtuConnect Bronze 1

BronzeEPO
Plan ID26065SC0670003

Blue VirtuConnect Gold 1

GoldEPO
Plan ID26065SC0670001

Blue VirtuConnect Silver 1

SilverEPO
Plan ID26065SC0670002

BlueEssentials Bronze 4

BronzeEPO
Plan ID26065SC0380013

BlueEssentials Bronze 6

BronzeEPO
Plan ID26065SC0380047

BlueEssentials Gold 1

GoldEPO
Plan ID26065SC0380001

BlueEssentials Gold 5

GoldEPO
Plan ID26065SC0380048

BlueEssentials Silver 14 + Adult Vision

SilverEPO
Plan ID26065SC0380051

BlueEssentials Silver 14

SilverEPO
Plan ID26065SC0380023

BlueEssentials Silver 40

SilverEPO
Plan ID26065SC0380052

BlueEssentials Standard Expanded Bronze

BronzeEPO
Plan ID26065SC0690003

BlueEssentials Standard Gold

GoldEPO
Plan ID26065SC0690001

BlueEssentials Standard Silver

SilverEPO
Plan ID26065SC0690002

BlueExtend PPO HD Bronze 1

BronzePPO
Plan ID26065SC0750005

BlueExtend PPO HD Bronze 2

BronzePPO
Plan ID26065SC0750006

BlueExtend PPO HD Gold 1

GoldPPO
Plan ID26065SC0750001

BlueExtend PPO HD Gold 2

GoldPPO
Plan ID26065SC0750002

BlueExtend PPO HD Silver 1

SilverPPO
Plan ID26065SC0750003

BlueExtend PPO HD Silver 2

SilverPPO
Plan ID26065SC0750004

BlueExtend PPO Standard Expanded Bronze

BronzePPO
Plan ID26065SC0750009

BlueExtend PPO Standard Gold

GoldPPO
Plan ID26065SC0750007

BlueExtend PPO Standard Silver

SilverPPO
Plan ID26065SC0750008

InStil Health

5 plans · Individual market · listed as Preferred

InHealth Basic 1 + Adult Vision

HMO
Plan ID33863SC0010002

InHealth Basic 1

HMO
Plan ID33863SC0010001

InHealth Basic 2

HMO
Plan ID33863SC0010003

InHealth Basic Plus Standard

HMO
Plan ID33863SC0010004

InHealth Basic Standard

HMO
Plan ID33863SC0010005
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 JAMES FARRELL MD accept?

Marketplace files for the 2026 plan year list JAMES FARRELL MD as in-network for 106 plans from 5 insurance companies. The largest networks are BlueCross BlueShield of South Carolina (38 plans), Ambetter of North Carolina (29 plans), Ambetter Health (25 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is JAMES FARRELL 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 JAMES FARRELL MD participate in?

The accepted plans include 77 HMO plans, 13 EPO plans, 9 PPO plans and 7 POS plans. 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. 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.