PAUL J SHAREK MD
Accepted Insurance for NPI 1710037726
Pediatrics in Palo Alto, CA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PAUL J SHAREK MD, a pediatrics provider in Palo Alto, CA, is listed as in-network for 14 health insurance plans from 2 insurance companies, led by Premera Blue Cross Blue Shield of Alaska and Providence Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Premera Blue Cross Blue Shield of Alaska
Premera Blue Cross Alaska One Gold
Premera Blue Cross Family Dental
Premera Blue Cross Pediatric Dental
Premera Blue Cross Preferred Bronze 5800 HSA
Premera Blue Cross Preferred Bronze 6350
Premera Blue Cross Preferred Gold 1500
Premera Blue Cross Preferred Silver 4500
Premera Blue Cross Standard Bronze II
Premera Blue Cross Standard Gold
Premera Blue Cross Standard Silver
Providence Health Plan
HSA-E Qualified 7500 Bronze - Signature Network
Providence Oregon Standard Bronze Plan - Signature Network
Providence Oregon Standard Gold Plan - Signature Network
Providence Oregon Standard Silver Plan - Signature Network
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 PAUL J SHAREK MD accept?
Marketplace files for the 2026 plan year list PAUL J SHAREK MD as in-network for 14 plans from 2 insurance companies. The largest networks are Premera Blue Cross Blue Shield of Alaska (10 plans), Providence Health Plan (4 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is PAUL J SHAREK MD enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does PAUL J SHAREK MD participate in?
The accepted plans include 10 PPO plans and 4 EPO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.
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.
