ONTARIO MEDICAL ASSOCIATES
Accepted Insurance for NPI 1871663195
Ophthalmology in Ontario, OR

Active since November 08, 2006
269 SW 19TH ST, ONTARIO, OR 97914(541) 889-3106(541) 889-3904 Get Directions

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

ONTARIO MEDICAL ASSOCIATES, a ophthalmology provider in Ontario, OR, is listed as in-network for 11 health insurance plans from 2 insurance companies, led by Regence BlueCross BlueShield of Oregon and BridgeSpan Health Company. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
2
Insurance Companies
11
Plan Options
1
Network Type
Regence BlueCross BlueShield of Oregon
Largest Network · 8 plans
View plans
11 plans · 11 plan IDs · 2026 plan year

BridgeSpan Health Company

3 plans · Individual market · listed as Preferred

BridgeSpan Standard Bronze Plan

BronzeEPO
Plan ID63474OR0600009

BridgeSpan Standard Gold Plan

GoldEPO
Plan ID63474OR0600007

BridgeSpan Standard Silver Plan

SilverEPO
Plan ID63474OR0600010

Regence BlueCross BlueShield of Oregon

8 plans · Individual market · listed as Preferred

Bronze 8000 Individual Connect

BronzeEPO
Plan ID77969OR5350001

Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect

BronzeEPO
Plan ID77969OR5280010

Bronze HSA 7000 Individual Connect

BronzeEPO
Plan ID77969OR5280003

Gold 2300 Individual Connect

GoldEPO
Plan ID77969OR5280023

Regence Standard Bronze Plan Individual Connect

BronzeEPO
Plan ID77969OR5290002

Regence Standard Gold Plan Individual Connect

GoldEPO
Plan ID77969OR5290005

Regence Standard Silver Plan Individual Connect

SilverEPO
Plan ID77969OR5290001

Silver 6500 Individual Connect

SilverEPO
Plan ID77969OR5280021
No plans match your current filters. Clear filters to see the full list.

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 ONTARIO MEDICAL ASSOCIATES accept?

Marketplace files for the 2026 plan year list ONTARIO MEDICAL ASSOCIATES as in-network for 11 plans from 2 insurance companies. The largest networks are Regence BlueCross BlueShield of Oregon (8 plans), BridgeSpan Health Company (3 plans). The full list above shows each plan's metal level, network type, and plan IDs.

Is ONTARIO MEDICAL ASSOCIATES enrolled in Medicare?

The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.

What network types does ONTARIO MEDICAL ASSOCIATES participate in?

The accepted plans include 11 EPO plans. 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.