BRIAN MICHAEL MCGINLEY M.D.
Accepted Insurance for NPI 1790737708
Pediatrics - Pediatric Pulmonology in Baltimore, MD
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
BRIAN MICHAEL MCGINLEY M.D., a pediatrics provider in Baltimore, MD, is listed as in-network for 52 health insurance plans from 5 insurance companies, led by Select Health, University of Utah Health Plans and Regence BlueCross BlueShield of Utah. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
BridgeSpan Health Company
BridgeSpan Standard Bronze Plan
BridgeSpan Standard Gold Plan
BridgeSpan Standard Silver Plan
Molina Healthcare
Molina Gold Core 1640 Plus with Adult Dental and Vision
Molina Gold Core 1640
Molina Gold Standard
Molina Silver Core Plus with Adult Dental and Vision
Molina Silver Core Plus with Adult Vision
Molina Silver Core
Molina Silver Saver with Four Free PCP Visits
Molina Silver Standard
Regence BlueCross BlueShield of Utah
Bronze 8000
Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits
Bronze HSA 7000
Gold 2300
Regence Standard Bronze 7500
Regence Standard Gold 2000
Regence Standard Silver 6000
Silver 6500
Select Health
Med Benchmark Expanded Bronze Select Copay Plan
Med Benchmark Expanded Bronze Standardized Plan
Med Benchmark Gold Standardized Plan
Med Benchmark Platinum Standardized Plan
Med Benchmark Platinum
Med Benchmark Silver 6000 Medical Deductible w/Vision
Med Benchmark Silver Standardized Plan
Med Gold 1500 Medical Deductible
Signature Benchmark Gold Standardized Plan
Signature Benchmark Gold
Signature Benchmark Silver 5900 Medical Deductible
Signature Benchmark Silver Standardized Plan
Value Benchmark Expanded Bronze Select Copay Plan
Value Benchmark Gold Standardized Plan
Value Benchmark Platinum Standardized Plan
Value Benchmark Platinum
Value Benchmark Silver 5900 Medical Deductible
Value Benchmark Silver Standardized Plan
Value Expanded Bronze 6900 Medical Deductible
Value Gold 1500 Medical Deductible
Value Silver 3000 Medical Deductible
University of Utah Health Plans
Healthy Premier Bronze HSA
Healthy Premier Expanded Bronze Standard
Healthy Premier Gold Copay Office Visits
Healthy Premier Gold Standard
Healthy Premier Silver Copay Office Visits
Healthy Premier Silver Standard
U Health Plus Bronze
U Health Plus Expanded Bronze Standard
U Health Plus Gold Standard
U Health Plus Gold
U Health Plus Silver Standard
U Health Plus Silver
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 BRIAN MICHAEL MCGINLEY M.D. accept?
Marketplace files for the 2026 plan year list BRIAN MICHAEL MCGINLEY M.D. as in-network for 52 plans from 5 insurance companies. The largest networks are Select Health (21 plans), University of Utah Health Plans (12 plans), Regence BlueCross BlueShield of Utah (8 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is BRIAN MICHAEL MCGINLEY M.D. 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 BRIAN MICHAEL MCGINLEY M.D. participate in?
The accepted plans include 32 HMO plans and 20 EPO 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.
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.
