DR. PATRICIO SEBASTIAN ESPINOSA MD,MPH.
Accepted Insurance for NPI 1861697948
Neuromusculoskeletal Medicine & OMM in Boca Raton, FL

Q: What managed care network types are accepted by this provider?

DR. PATRICIO SEBASTIAN ESPINOSA MD,MPH. is enrolled across the following managed care network types: HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.

Quality Rating: 76.22 out of 100 score

NPI Status: Active since June 18, 2007

Contact Information

2900 N MILITARY TRL
SUITE 110
BOCA RATON, FL
ZIP 33431
Phone: (617) 640-3484

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. PATRICIO SEBASTIAN ESPINOSA MD,MPH., a practicing neuromusculoskeletal medicine & omm professional in Boca Raton, FL. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 77 individual coverage options managed by medical networks, including networks like AvMed, and Wellpoint. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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AvMed

AvMed Entrust Bronze 600 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000619898FL034001619898FL034002619898FL034003619898FL0340046

AvMed Entrust Bronze 650 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000719898FL034001719898FL034002719898FL034003719898FL0340047

AvMed Entrust Expanded Bronze Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034009119898FL034009219898FL034009319898FL034009419898FL0340095

AvMed Entrust Gold 125 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000119898FL034001119898FL034002119898FL034003119898FL0340041

AvMed Entrust Gold 125 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000119898FL035001119898FL035002119898FL035003119898FL0350041

AvMed Entrust Gold Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034007119898FL034007219898FL034007319898FL034007419898FL0340075

AvMed Entrust Platinum 25 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034002019898FL034006119898FL0340064

AvMed Entrust Platinum 25 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035002019898FL035006119898FL0350064

AvMed Entrust Platinum Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034006219898FL034006319898FL0340065

AvMed Entrust Silver 350 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000319898FL034001319898FL034002319898FL034003319898FL0340043

AvMed Entrust Silver 350 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000319898FL035001319898FL035002319898FL035003319898FL0350043

AvMed Entrust Silver 550 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000519898FL034001519898FL034002519898FL034003519898FL0340045

AvMed Entrust Silver 550 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000519898FL035001519898FL035002519898FL035003519898FL0350045

AvMed Entrust Silver Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034008119898FL034008219898FL034008319898FL034008419898FL0340085

Wellpoint

Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040008

Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040007

Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040005

Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040001

Wellpoint Essential Catastrophic (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040004

Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040009

Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040003

Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040010

Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040014

Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040011

Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040012

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040013

Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040002

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. PATRICIO SEBASTIAN ESPINOSA MD,MPH. accept?

This provider accepts health insurance plans managed by the following insurance companies: AvMed, Wellpoint. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

DR. PATRICIO SEBASTIAN ESPINOSA MD,MPH. is enrolled across the following managed care network types: HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.