JAMES HSIAO PA-C
Accepted Insurance for NPI 1710691670
Physician Assistant in Delray Beach, FL

Active since January 05, 2023PECOS EnrolledAccepts Medicare Assignment

5210 LINTON BLVD STE 103, DELRAY BEACH, FL 33484(561) 381-4271 Get Directions

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Nov 12, 2024, Jan 5, 2023 (3 updates tracked since 2023).

Does James Hsiao take my insurance?

85 Florida plans sold on HealthCare.gov for 2026 include James Hsiao, from Oscar Health, Ambetter Health, UnitedHealthcare and AmeriHealth Caritas Next. Ambetter Health also lists James Hsiao in Alabama, Georgia and Texas.

InsurersOscar Health 33 plans Ambetter Health 27 plans UnitedHealthcare 17 plans AmeriHealth Caritas Next 8 plans

Also listed inAlabama, Georgia and Texas

Call before you book: insurer directories can be out of date, so call the office at (561) 381-4271 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Florida plans 85 plans · 104 plan IDs

Plans sold to Florida residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Oscar Health

33 plans · HMO

Accepting new patients

Individual Florida HMO network · 26 plans · Preferred tier

Gold Elite Saver Plus | with AdventHealthHMOGold$021525FL0010022

Gold Classic StandardHMOGold$2,00021525FL0020015

Gold Classic Standard | with AdventHealthHMOGold$2,00021525FL0010020

Gold SimpleHMOGold$3,00021525FL0020016

Gold Simple | with AdventHealthHMOGold$3,00021525FL0010023

Silver EliteHMOSilver$5,00021525FL0020008

Silver Elite | with AdventHealthHMOSilver$5,00021525FL0010012

Silver Simple PCP SaverHMOSilver$5,00021525FL0020012

Silver Simple PCP Saver | with AdventHealthHMOSilver$5,00021525FL0010016

Silver Simple Chronic Care CKMHMOSilver$5,90021525FL0020010

Silver Simple Chronic Care CKM | with AdventHealthHMOSilver$5,90021525FL0010014

Silver Classic StandardHMOSilver$6,00021525FL0020007

Silver Classic Standard | with AdventHealthHMOSilver$6,00021525FL0010010

Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0020013

Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0020009

Silver Simple DiabetesHMOSilver$6,50021525FL0020011

Silver Simple Diabetes | with AdventHealthHMOSilver$6,50021525FL0010015

Bronze Elite + PCP Saver PlusHMOExpanded Bronze$021525FL0020003

Bronze Elite + PCP Saver Plus | with AdventHealthHMOExpanded Bronze$021525FL0010005

Bronze Classic 4700HMOExpanded Bronze$4,70021525FL0020002

Bronze Classic 4700 | with AdventHealthHMOExpanded Bronze$4,70021525FL0010004

Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0020005

Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0020006

Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0020001

Bronze Classic Standard | with AdventHealthHMOExpanded Bronze$7,50021525FL0010002

Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$9,00021525FL0010006

Individual Florida HMO Broad network · 7 plans · Preferred tier

Gold Classic StandardHMOGold$2,00021525FL0010019

Silver Classic StandardHMOSilver$6,00021525FL0010009

Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0010017

Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0010013

Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0010007

Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0010008

Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0010001

Ambetter Health

27 plans · HMO

Accepting new patients

Premier network · 20 plans · Preferred tier

Everyday GoldHMOGold$80049004FL0010010

Everyday Gold + Vision + Adult DentalHMOGold$80049004FL0020009

Complete GoldHMOGold$1,45049004FL0010011

Complete Gold + Vision + Adult DentalHMOGold$1,45049004FL0020010

Standard GoldHMOGold$2,00049004FL0010013

Standard Gold + Vision + Adult DentalHMOGold$2,00049004FL0020012

Enhanced Diabetes Care Silver with $0 Drug OptionsHMOSilver$5,00049004FL0010009

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,00049004FL0020008

Standard SilverHMOSilver$6,00049004FL0010006

Standard Silver + Vision + Adult DentalHMOSilver$6,00049004FL0020027

Focused SilverHMOSilver$6,30049004FL0010007

Focused Silver + Vision + Adult DentalHMOSilver$6,30049004FL0020006

Clarity SilverHMOSilver$8,00049004FL0010031

Thrive SilverHMOSilver$8,00049004FL0010032

Elite BronzeHMOExpanded Bronze$049004FL0010004

Elite Bronze + Vision + Adult DentalHMOExpanded Bronze$049004FL0020004

Standard Expanded BronzeHMOExpanded Bronze$7,50049004FL0010001

Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50049004FL0020001

Everyday BronzeHMOExpanded Bronze$8,45049004FL0010002

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45049004FL0020002

Value network · 7 plans · Preferred tier

Complete VALUE GoldHMOGold$1,45086382FL0050010

Standard Gold VALUEHMOGold$2,00086382FL0050019

Standard Silver VALUEHMOSilver$6,00086382FL0050018

Focused VALUE SilverHMOSilver$6,30086382FL0050009

Clarity VALUE SilverHMOSilver$8,00086382FL0050014

Elite VALUE BronzeHMOExpanded Bronze$086382FL0050005

Standard Expanded Bronze VALUEHMOExpanded Bronze$7,50086382FL0050017

UnitedHealthcare

17 plans · HMO

Accepting new patients

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)HMOGold$068398FL0030034

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx)HMOGold$50068398FL0030057

UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision)HMOGold$50068398FL0060001

UHC Gold StandardHMOGold$2,00068398FL0030036

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)HMOSilver$2,70068398FL0030048

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)HMOSilver$2,70068398FL0060002

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx)HMOSilver$4,50068398FL0030046

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)HMOSilver$4,50068398FL0060004

UHC Silver StandardHMOSilver$6,00068398FL0030040

UHC Silver Standard+ (Dental + Vision)HMOSilver$6,00068398FL0060005

UHC Silver Standard-HMOSilver$6,00068398FL0090002

UHC Bronze Essential ($0 Virtual Urgent Care)HMOBronze$10,60068398FL0030058

UHC Bronze Essential- ($0 Virtual Urgent Care)HMOBronze$10,60068398FL0090001

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)HMOExpanded Bronze$068398FL0030045

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)HMOExpanded Bronze$068398FL0060007

UHC Bronze StandardHMOExpanded Bronze$7,50068398FL0030042

UHC Bronze Standard+ (Dental + Vision)HMOExpanded Bronze$7,50068398FL0060006

AmeriHealth Caritas Next

8 plans · HMO

Accepting new patients

AmeriHealth Caritas Next Gold Premier + No ReferralsHMOGold$85067926FL0010009

AmeriHealth Caritas Next Gold Signature + No ReferralsHMOGold$2,00067926FL0010004

AmeriHealth Caritas Next Silver Premier + No ReferralsHMOSilver$40067926FL0010007

AmeriHealth Caritas Next Silver Signature + No ReferralsHMOSilver$6,00067926FL0010003

AmeriHealth Caritas Next Silver Essential + No ReferralsHMOSilver$6,10067926FL0010008

AmeriHealth Caritas Next Bronze Essential + No ReferralsHMOBronze$10,60067926FL0010001

AmeriHealth Caritas Next Bronze Premier + No ReferralsHMOExpanded Bronze$3,85067926FL0010006

AmeriHealth Caritas Next Bronze Signature + No ReferralsHMOExpanded Bronze$7,50067926FL0010002

Also listed in other states 49 plans · 61 plan IDs · 3 states

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.

Ambetter Health · Georgia

25 plans · HMO

Accepting new patientsDeductible $0 to $9,000

Elite Gold HMOHMOGold$070893GA0010074

Elite Gold HMO + Vision + Adult DentalHMOGold$070893GA0030075

Everyday Gold HMOHMOGold$80070893GA0010071

Everyday Gold HMO + Vision + Adult DentalHMOGold$80070893GA0030071

Clear Gold HMOHMOGold$1,20070893GA0010073

Clear Gold HMO + Vision + Adult DentalHMOGold$1,20070893GA0030074

Complete Gold HMOHMOGold$1,45070893GA0010020

Complete Gold HMO + Vision + Adult DentalHMOGold$1,45070893GA0030020

Standard Gold HMOHMOGold$2,00070893GA0010078

Standard Gold HMO + Vision + Adult DentalHMOGold$2,00070893GA0030078

Complete Silver HMOHMOSilver$5,95070893GA0010017

Complete Silver HMO + Vision + Adult DentalHMOSilver$5,95070893GA0030017

Standard Silver HMOHMOSilver$6,00070893GA0010077

Standard Silver HMO + Vision + Adult DentalHMOSilver$6,00070893GA0030077

Focused Silver HMOHMOSilver$6,30070893GA0010070

Focused Silver HMO + Vision + Adult DentalHMOSilver$6,30070893GA0030070

Clear Silver HMO with $0 Insulin OptionsHMOSilver$7,00070893GA0010068

Clear Bronze HMOHMOBronze$9,00070893GA0010006

Clear Bronze HMO + Vision + Adult DentalHMOBronze$9,00070893GA0030019

Choice Bronze HSA HMOHMOExpanded Bronze$7,25070893GA0010051

Choice Bronze HSA HMO + Vision + Adult DentalHMOExpanded Bronze$7,25070893GA0030051

Standard Expanded Bronze HMOHMOExpanded Bronze$7,50070893GA0010076

Standard Expanded Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$7,50070893GA0030076

Everyday Bronze HMOHMOExpanded Bronze$8,45070893GA0010064

Everyday Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$8,45070893GA0030064

Ambetter Health · Alabama

18 plans · EPO

Accepting new patientsDeductible $0 to $8,450

Elite GoldEPOGold$053932AL0100016

Elite Gold + Vision + Adult DentalEPOGold$053932AL0110015

Complete GoldEPOGold$1,45053932AL0100015

Complete Gold + Vision + Adult DentalEPOGold$1,45053932AL0110010

Standard GoldEPOGold$2,00053932AL0100013

Standard Gold + Vision + Adult DentalEPOGold$2,00053932AL0110013

Enhanced Diabetes Care Silver with $0 Drug OptionsEPOSilver$5,00053932AL0100018

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalEPOSilver$5,00053932AL0110018

Standard SilverEPOSilver$6,00053932AL0100012

Standard Silver + Vision + Adult DentalEPOSilver$6,00053932AL0110017

Focused SilverEPOSilver$6,30053932AL0100005

Focused Silver + Vision + Adult DentalEPOSilver$6,30053932AL0110005

Elite BronzeEPOExpanded Bronze$053932AL0100014

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$053932AL0110014

Standard Expanded BronzeEPOExpanded Bronze$7,50053932AL0100011

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50053932AL0110011

Everyday BronzeEPOExpanded Bronze$8,45053932AL0100003

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45053932AL0110003

Ambetter Health · Texas

6 plans · HMO

Accepting new patientsDeductible $1,450 to $6,300

Complete VALUE GoldHMOGold$1,45087226TX0060013

Standard Gold VALUEHMOGold$2,00087226TX0060012

Standard Silver VALUEHMOSilver$6,00087226TX0060011

Standard Silver VALUE + Vision + Adult DentalHMOSilver$6,00087226TX0120005

Focused VALUE SilverHMOSilver$6,30087226TX0060009

Focused VALUE Silver + Vision + Adult DentalHMOSilver$6,30087226TX0120001

Questions about James Hsiao’s insurance

What insurance does James Hsiao take?

In Florida, Oscar Health, Ambetter Health, UnitedHealthcare and AmeriHealth Caritas Next include James Hsiao in 85 Marketplace plans for 2026. Call the office at (561) 381-4271 to confirm your plan before booking.

Is James Hsiao accepting new patients?

The insurers that list James Hsiao report that James Hsiao is accepting new patients. Call the office at (561) 381-4271 to confirm your plan before booking.

Do I need a referral to see James Hsiao?

It depends on the plan: 24 of 85 Florida plans require a specialist referral.

Does James Hsiao accept Medicare?

Yes. CMS files show James Hsiao 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.

Source	What it provides here	Source date
Insurer provider directory files	Which 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 AmeriHealth Caritas Next: Oct 15, 2026 Ambetter Health: Oct 14, 2026 UnitedHealthcare: Oct 13, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Georgia. No document links.	Plan year 2026, Jun 3, 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.