Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.
CAITLIN LI MD
Accepted Insurance for NPI 1831754316
Surgery in Marinette, WI
Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
Does Dr. Li take my insurance?
108 Wisconsin plans sold on HealthCare.gov for 2026 include Dr. Li, from Quartz, Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and 2 other insurers.
Call before you book: insurer directories can be out of date, so call the office at (715) 735-8056 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Wisconsin Medicaid ID; ask the office which Medicaid plans it takes.
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Wisconsin plans 108 plans · 144 plan IDs
Plans sold to Wisconsin 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.
Quartz
Quartz One Achieve network · 38 plans · Preferred tier
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DEDHMOGold$70037833WI0510319
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DEDHMOGold$70037833WI0380319
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DEDHMOGold$70037833WI0510194
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DEDHMOGold$70037833WI0380194
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICINGHMOGold$2,00037833WI0380320
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICINGHMOGold$2,00037833WI0510320
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICINGHMOGold$2,00037833WI0380196
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICINGHMOGold$2,00037833WI0510196
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DEDHMOGold$4,00037833WI0510318
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DEDHMOGold$4,00037833WI0380318
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DEDHMOGold$4,00037833WI0510268
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DEDHMOGold$4,00037833WI0380268
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICINGHMOSilver$6,00037833WI0380323
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICINGHMOSilver$6,00037833WI0510323
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICINGHMOSilver$6,00037833WI0380274
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICINGHMOSilver$6,00037833WI0510200
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DEDHMOSilver$8,00037833WI0510321
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DEDHMOSilver$8,00037833WI0380321
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DEDHMOSilver$8,00037833WI0510272
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DEDHMOSilver$8,00037833WI0380272
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DEDHMOSilver$9,00037833WI0510343
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DEDHMOSilver$9,00037833WI0380343
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DEDHMOSilver$9,00037833WI0510342
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DEDHMOSilver$9,00037833WI0380342
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DEDHMOExpanded Bronze$037833WI0510325
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DEDHMOExpanded Bronze$037833WI0380325
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DEDHMOExpanded Bronze$037833WI0510204
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DEDHMOExpanded Bronze$037833WI0380204
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0380326
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0510326
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0380275
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0510205
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DEDHMOExpanded Bronze$10,15037833WI0510340
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DEDHMOExpanded Bronze$10,15037833WI0380340
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DEDHMOExpanded Bronze$10,15037833WI0510338
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DEDHMOExpanded Bronze$10,15037833WI0380338
QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DEDHMOCatastrophic$10,60037833WI0540089
QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DEDHMOCatastrophic$10,60037833WI0540008
Quartz Gundersen Performance network · 19 plans · Preferred tier
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DEDHMOGold$70037833WI0510305
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DEDHMOGold$70037833WI0380305
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICINGHMOGold$2,00037833WI0380281
QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICINGHMOGold$2,00037833WI0510281
QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DEDHMOGold$4,00037833WI0510280
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DEDHMOGold$4,00037833WI0380280
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICINGHMOSilver$6,00037833WI0380288
QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICINGHMOSilver$6,00037833WI0510288
QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DEDHMOSilver$8,00037833WI0510284
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DEDHMOSilver$8,00037833WI0380284
QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DEDHMOSilver$9,00037833WI0510344
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DEDHMOSilver$9,00037833WI0380344
QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DEDHMOExpanded Bronze$037833WI0510292
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DEDHMOExpanded Bronze$037833WI0380292
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0380289
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICINGHMOExpanded Bronze$7,50037833WI0510289
QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DEDHMOExpanded Bronze$10,15037833WI0510341
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DEDHMOExpanded Bronze$10,15037833WI0380341
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DEDHMOCatastrophic$10,60037833WI0540084
Anthem Blue Cross and Blue Shield
Pathway and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$1,00079475WI0550006
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)HMOSilver$4,00079475WI0550003
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$5,50079475WI0550005
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)HMOExpanded Bronze$079475WI0550007
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)HMOExpanded Bronze$5,00079475WI0550002
Anthem Bronze Pathway/Lean HSA (+ Incentives)HMOExpanded Bronze$8,45079475WI0550001
Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003
Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002
Pathway and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,00079475WI0550031
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,00079475WI0550030
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,50079475WI0550029
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006
CareSource (Common Ground Healthcare)
CareSource (Common Ground Healthcare) Gold $0 DedEPOGold$087416WI0030005
CareSource (Common Ground Healthcare) Gold $0 Ded - Vision ExamEPOGold$087416WI0060025
CareSource (Common Ground Healthcare) Gold Standard $2000EPOGold$2,00087416WI0030043
CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision ExamEPOGold$2,00087416WI0060001
CareSource (Common Ground Healthcare) Gold $3300EPOGold$3,30087416WI0030017
CareSource (Common Ground Healthcare) Gold $3300 - Vision ExamEPOGold$3,30087416WI0060006
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx DedEPOSilver$4,70087416WI0030023
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision ExamEPOSilver$4,70087416WI0060012
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx DedEPOSilver$5,00087416WI0030047
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision ExamEPOSilver$5,00087416WI0060011
CareSource (Common Ground Healthcare) Silver Standard $6000EPOSilver$6,00087416WI0030042
CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision ExamEPOSilver$6,00087416WI0060002
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx DedEPOExpanded Bronze$087416WI0030003
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision ExamEPOExpanded Bronze$087416WI0060023
CareSource (Common Ground Healthcare) Bronze Standard $7500EPOExpanded Bronze$7,50087416WI0030041
CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision ExamEPOExpanded Bronze$7,50087416WI0060003
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)EPOExpanded Bronze$9,60087416WI0030027
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision ExamEPOExpanded Bronze$9,60087416WI0060015
UnitedHealthcare
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOGold$080180WI0100012
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOGold$1,50080180WI0100002
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$1,50080180WI0110002
UHC Gold Standard (No Referrals)HMOGold$2,00080180WI0100010
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOSilver$3,50080180WI0100020
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)HMOSilver$3,50080180WI0110006
UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)HMOSilver$4,00080180WI0100008
UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)HMOSilver$4,00080180WI0110004
UHC Silver Standard (No Referrals)HMOSilver$6,00080180WI0100005
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)HMOBronze$10,60080180WI0100022
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOExpanded Bronze$080180WI0100019
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOExpanded Bronze$080180WI0110005
UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50080180WI0100001
HealthPartners
Oak $1,300 GoldPPOGold$1,30020173WI0130001
Oak $2,000 Standard GoldPPOGold$2,00020173WI0130011
Questions about Dr. Li’s insurance
What insurance does Dr. Li take?
In Wisconsin, Quartz, Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), UnitedHealthcare and HealthPartners include Dr. Li in 108 Marketplace plans for 2026. Call the office at (715) 735-8056 to confirm your plan before booking.
Is Dr. Li accepting new patients?
The insurers that list Dr. Li report that Dr. Li is accepting new patients. Call the office at (715) 735-8056 to confirm your plan before booking.
Do I need a referral to see Dr. Li?
Not under the Wisconsin plans that list Dr. Li: the 2026 plan files say a specialist referral is not required.
Does Dr. Li accept Medicare?
Yes. CMS files show Dr. Li 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. | CareSource (Common Ground Healthcare): Oct 15, 2026 Anthem Blue Cross and Blue Shield: Oct 14, 2026 UnitedHealthcare: Oct 13, 2026 Quartz: Sep 24, 2026 HealthPartners: Sep 10, 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.
