MARC EDDY THEODOR PMHNP
Accepted Insurance for NPI 1750105995
Nurse Practitioner - Psychiatric/Mental Health in Port Charlotte, FL
Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
Does Marc Theodor take my insurance?
81 Florida plans sold on HealthCare.gov for 2026 include Marc Theodor, from Oscar Health, Cigna Healthcare and UnitedHealthcare.
Call before you book: insurer directories can be out of date, so call the office at (941) 883-4518 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.
No plans match your search or filters.
Florida plans 81 plans · 82 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
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
Cigna Healthcare
Florida Connect Network · 26 plans · Preferred tier
Connect Gold Mid-South 850 Indiv Med DeductibleEPOGold$85048121FL0070057
Connect Gold Orlando 1500 Indiv Med DeductibleEPOGold$1,50048121FL0070142
Connect Gold South FL 1500 Indiv Med DeductibleEPOGold$1,50048121FL0070131
Connect Gold Mid-South CMS StandardEPOGold$2,00048121FL0070104
Connect Gold Orlando CMS StandardEPOGold$2,00048121FL0070147
Connect Gold South FL CMS StandardEPOGold$2,00048121FL0070137
Connect Gold Mid-South 2250 Indiv Med DeductibleEPOGold$2,25048121FL0070033
Connect Silver South FL 2850 Indiv Med DeductibleEPOSilver$2,85048121FL0070128
Connect Silver Orlando 3500 Indiv Med DeductibleEPOSilver$3,50048121FL0070139
Connect Silver Mid-South 3800 Indiv Med DeductibleEPOSilver$3,80048121FL0070029
Connect Silver Mid-South 4500 Indiv Med DeductibleEPOSilver$4,50048121FL0070030
Connect Silver South FL 4500 Indiv Med DeductibleEPOSilver$4,50048121FL0070127
Connect Silver Orlando 5000 Indiv Med DeductibleEPOSilver$5,00048121FL0070138
Connect Silver Mid-South CMS StandardEPOSilver$6,00048121FL0070105
Connect Silver Orlando CMS StandardEPOSilver$6,00048121FL0070146
Connect Silver South FL CMS StandardEPOSilver$6,00048121FL0070135
Connect Bronze Mid-South 0 Indiv Med DeductibleEPOExpanded Bronze$048121FL0070108
Connect Bronze Orlando 3000 Indiv Med DeductibleEPOExpanded Bronze$3,00048121FL0070140
Connect Bronze South FL 3800 Indiv Med DeductibleEPOExpanded Bronze$3,80048121FL0070129
Connect Bronze Mid-South 5500 Indiv Med DeductibleEPOExpanded Bronze$5,50048121FL0070122
Connect Bronze Orlando 6000 Indiv Med DeductibleEPOExpanded Bronze$6,00048121FL0070141
Connect myDiabetesCare Bronze Mid-SouthEPOExpanded Bronze$6,50048121FL0070051
Connect Bronze South FL 7000 Indiv Med DeductibleEPOExpanded Bronze$7,00048121FL0070130
Connect Bronze Mid-South CMS StandardEPOExpanded Bronze$7,50048121FL0070107
Connect Bronze Orlando CMS StandardEPOExpanded Bronze$7,50048121FL0070145
Connect Bronze South FL CMS StandardEPOExpanded Bronze$7,50048121FL0070136
Florida Partnered Care Network · 5 plans · Preferred tier
Partnered Care Premier GoldHMOGold$1,85079850FL0020003
Partnered Care Gold CMS StandardHMOGold$2,00079850FL0020006
Partnered Care Classic SilverHMOSilver$5,00079850FL0020001
Partnered Care Silver CMS StandardHMOSilver$6,00079850FL0020005
Partnered Care Premier SilverHMOSilver$7,00079850FL0020002
UnitedHealthcare
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
Questions about Marc Theodor’s insurance
What insurance does Marc Theodor take?
In Florida, Oscar Health, Cigna Healthcare and UnitedHealthcare include Marc Theodor in 81 Marketplace plans for 2026. Call the office at (941) 883-4518 to confirm your plan before booking.
Is Marc Theodor accepting new patients?
The insurers that list Marc Theodor report that Marc Theodor is accepting new patients. Call the office at (941) 883-4518 to confirm your plan before booking.
Do I need a referral to see Marc Theodor?
It depends on the plan: 22 of 81 Florida plans require a specialist referral.
Does Marc Theodor accept Medicare?
Yes. CMS files show Marc Theodor 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 UnitedHealthcare: Oct 13, 2026 Cigna Healthcare: Oct 6, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 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.
