STEPHEN PAUL PETERSON MD
Accepted Insurance Health Plans for NPI 1629127915
Family Medicine in Raleigh, NC
NPI Status: Active since January 09, 2007
Contact Information
8300 HEALTH PARK STE 107
RALEIGH, NC
ZIP 27615
Phone: (919) 238-2000
Fax: (919) 238-5010
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by STEPHEN PAUL PETERSON MD. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.
Aetna CVS Health (14 plans)
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100001
Dental Only? No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100016
Dental Only? No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100022
Dental Only? No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100006
Dental Only? No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100023
Dental Only? No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100024
Dental Only? No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100017
Dental Only? No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100025
Dental Only? No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100007
Dental Only? No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100026
Dental Only? No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100027
Dental Only? No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100019
Dental Only? No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100009
Dental Only? No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 61671NC0100028
Dental Only? No
Ambetter from Absolute Total Care (17 plans)
Clear Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010023
Dental Only? No
Elite Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010022
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020022
Dental Only? No
Elite Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010029
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020030
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010011
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020011
Dental Only? No
Everyday Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010026
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020026
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010025
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020025
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010031
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020031
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010033
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020033
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010032
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020032
Dental Only? No
Ambetter of North Carolina (31 plans)
Clear Silver with $0 Insulin Options
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010037
Dental Only? No
Complete Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010007
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020007
Dental Only? No
Complete Gold with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010056
Dental Only? No
Complete Gold with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020053
Dental Only? No
Complete Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010051
Dental Only? No
Complete Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020048
Dental Only? No
Elite Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010036
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020036
Dental Only? No
Elite Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010050
Dental Only? No
Elite Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020047
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010028
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020028
Dental Only? No
Everyday Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010049
Dental Only? No
Everyday Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020046
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010039
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020039
Dental Only? No
Focused Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010054
Dental Only? No
Focused Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020051
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010044
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020055
Dental Only? No
Standard Expanded Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010059
Dental Only? No
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020058
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010046
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020057
Dental Only? No
Standard Gold with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010061
Dental Only? No
Standard Gold with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020060
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010045
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020056
Dental Only? No
Standard Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010060
Dental Only? No
Standard Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020059
Dental Only? No
Ambetter of Tennessee (19 plans)
Clear Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110027
Dental Only? No
Elite Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110026
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120026
Dental Only? No
Elite Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110031
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120034
Dental Only? No
Enhanced Diabetes Care Silver with $0 Drug Options
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110018
Dental Only? No
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120001
Dental Only? No
Everyday Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110023
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120023
Dental Only? No
Everyday Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110030
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120030
Dental Only? No
Focused Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110029
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120029
Dental Only? No
Standard Expanded Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110033
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120035
Dental Only? No
Standard Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110035
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120037
Dental Only? No
Standard Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110034
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120036
Dental Only? No
Blue Cross and Blue Shield of NC (11 plans)
Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060004
Dental Only? No
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060031
Dental Only? No
Blue Advantage Bronze Standard | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060052
Dental Only? No
Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060018
Dental Only? No
Blue Advantage Gold Standard | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060050
Dental Only? No
Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060028
Dental Only? No
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060002
Dental Only? No
Blue Advantage Silver Standard | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060051
Dental Only? No
Blue Care Bronze Standard | Statewide Doctors
Type: HMO
Market: Individual
Network Tier: HMO
Plan ID: 11512NC0430003
Dental Only? No
Blue Care Gold Standard | Statewide Doctors
Type: HMO
Market: Individual
Network Tier: HMO
Plan ID: 11512NC0430001
Dental Only? No
Blue Care Silver Standard | Statewide Doctors
Type: HMO
Market: Individual
Network Tier: HMO
Plan ID: 11512NC0430002
Dental Only? No
Cigna Healthcare (7 plans)
Connect Bronze 5500 Indiv Med Deductible
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 73943NC0070028
Dental Only? No
Connect Bronze 6500 Indiv Med Deductible
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 73943NC0070027
Dental Only? No
Connect Bronze CMS Standard
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 73943NC0070046
Dental Only? No
Connect Gold CMS Standard
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 73943NC0070050
Dental Only? No
Connect Silver 3500 Indiv Med Deductible
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 73943NC0070030
Dental Only? No
Connect Silver 4400 Indiv Med Deductible
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 73943NC0070029
Dental Only? No
Connect Silver CMS Standard
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 73943NC0070049
Dental Only? No
WellCare of North Carolina (3 plans)
Standard Expanded Bronze WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120004
Dental Only? No
Standard Gold WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120006
Dental Only? No
Standard Silver WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120005
Dental Only? No
Frequently Asked Questions
- EPO
- See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
- HMO
- Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
- POS
- Acts like HMO in-network but allows out-of-network visits at a higher cost.
- PPO
- No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
- Indemnity
- Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
- Individual & Family
- Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
- SHOP
- Small group coverage for businesses with up to 50 full-time employees.
- Tier-One
- Lowest-cost, highest-value in-network providers.
- Preferred
- Good in-network options with slightly higher copays than Tier-One.
- Non-Preferred
- More expensive tier within the network. Cheaper than going out-of-network.
