MR. MARC ALAN GREGG LPC
Accepted Insurance for NPI 1902933708
Counselor - Professional in Amarillo, TX

Active since February 27, 2007PECOS Enrolled

3611 S SONCY RD STE 4A, AMARILLO, TX 79119(806) 674-5026(806) 355-6842 Get Directions

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Does Marc Gregg take my insurance?

106 Texas plans sold on HealthCare.gov for 2027 include Marc Gregg, from UnitedHealthcare, Antidote Health of TX, Blue Cross and Blue Shield of Texas and WellPoint. UnitedHealthcare also lists Marc Gregg in Oklahoma.

InsurersUnitedHealthcare 31 plans Antidote Health of TX 27 plans Blue Cross and Blue Shield of Texas 25 plans WellPoint 23 plans

Also listed inOklahoma

Call before you book: insurer directories can be out of date, so call the office at (806) 674-5026 to confirm your plan is accepted.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 Texas Medicaid ID; ask the office which Medicaid plans it takes.

Texas plans 106 plans · 632 plan IDs

Plans sold to Texas 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.

UnitedHealthcare

31 plans · HMO

Accepting new patients

Individual Exchange Benefit Plan Network · 14 plans · Non Preferred tier

UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOGold$040220TX0080055View details

UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOGold$040220TX0090008View details

UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOGold$1,40040220TX0080028View details

UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOGold$1,40040220TX0090002View details

UHC Gold Standard ($0 Insulin)Network tier: Non PreferredHMOGold$2,50040220TX0080024View details

UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOSilver$3,50040220TX0080025View details

UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOSilver$3,50040220TX0090004View details

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOSilver$3,80040220TX0080026View details

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOSilver$3,80040220TX0090001View details

UHC Silver Standard ($0 Insulin)Network tier: Non PreferredHMOSilver$6,40040220TX0080020View details

UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin)Network tier: Non PreferredHMOBronze$11,75040220TX0080045View details

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin)Network tier: Non PreferredHMOExpanded Bronze$040220TX0080031View details

UHC Bronze Standard (HSA, $0 Insulin)Network tier: Non PreferredHMOExpanded Bronze$7,50040220TX0080015View details

UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOExpanded Bronze$7,50040220TX0090005View details

Sanitas Anchor Network · 11 plans · Non Preferred tier

UHC Sanitas 18 Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOGold$070754TX0020006View details

UHC Sanitas 18 Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOGold$070754TX0030003View details

UHC Sanitas 18 Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOGold$1,40070754TX0020009View details

UHC Sanitas 18 Gold Standard ($0 Insulin)Network tier: Non PreferredHMOGold$2,50070754TX0020005View details

UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin)Network tier: Non PreferredHMOSilver$070754TX0020004View details

UHC Sanitas 18 Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOSilver$070754TX0030002View details

UHC Sanitas 18 Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOSilver$3,50070754TX0020008View details

UHC Sanitas 18 Silver Standard ($0 Insulin)Network tier: Non PreferredHMOSilver$6,40070754TX0020003View details

UHC Sanitas 18 Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin)Network tier: Non PreferredHMOExpanded Bronze$070754TX0020002View details

UHC Sanitas 18 Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOExpanded Bronze$070754TX0030001View details

UHC Sanitas 18 Bronze Standard (HSA, $0 Insulin)Network tier: Non PreferredHMOExpanded Bronze$7,50070754TX0020001View details

Kelsey-Seybold Anchor Network · 6 plans · Non Preferred tier

UHC Kelsey Seybold Gold Copay Focus $0 Ded ($8 Tier 2 Rx, $0 Insulin)Network tier: Non PreferredHMOGold$040220TX0080034View details

UHC Kelsey Seybold Gold Copay Focus+ $0 Ded ($8 Tier 2 Rx, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOGold$040220TX0090009View details

UHC Kelsey Seybold Silver Copay Focus $0 Indiv Med Ded ($0 Insulin)Network tier: Non PreferredHMOSilver$040220TX0080033View details

UHC Kelsey Seybold Silver Copay Focus+ $0 Indiv Med Ded ($0 Insulin, Dental + Vision)Network tier: Non PreferredHMOSilver$040220TX0090007View details

UHC Kelsey Seybold Bronze Copay Focus $0 Indiv Med Ded (HSA, $0 Insulin)Network tier: Non PreferredHMOExpanded Bronze$040220TX0080032View details

UHC Kelsey Seybold Bronze Copay Focus+ $0 Indiv Med Ded (HSA, $0 Insulin, Dental + Vision)Network tier: Non PreferredHMOExpanded Bronze$040220TX0090006View details

Antidote Health of TX

27 plans · EPO

Accepting new patients

Gold StandardNetwork tier: TiertwoEPOGold$2,50011819TX0030030View details

Gold Elite Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOGold$3,00011819TX0030230View details

Gold Elite+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOGold$3,00011819TX0030231View details

Gold Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOGold$3,00011819TX0030084View details

Gold Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOGold$3,00011819TX0030085View details

Gold Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOGold$3,00011819TX0030082View details

Gold Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOGold$3,00011819TX0030083View details

Gold Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOGold$4,00011819TX0030080View details

Gold Essential+Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOGold$4,00011819TX0030081View details

Silver StandardNetwork tier: TiertwoEPOSilver$6,40011819TX0030020View details

Silver Elite Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOSilver$6,50011819TX0030220View details

Silver Elite+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOSilver$6,50011819TX0030221View details

Silver Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOSilver$7,50011819TX0030074View details

Silver Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOSilver$7,50011819TX0030075View details

Silver Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOSilver$7,50011819TX0030072View details

Silver Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOSilver$7,50011819TX0030073View details

Silver Essential +Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOSilver$7,50011819TX0030071View details

Silver Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOSilver$7,50011819TX0030070View details

Bronze Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOBronze$8,70011819TX0030064View details

Bronze Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOBronze$8,70011819TX0030065View details

Bronze Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOBronze$8,70011819TX0030062View details

Bronze Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOBronze$8,70011819TX0030063View details

Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOBronze$8,70011819TX0030060View details

Bronze Essential+Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOBronze$8,70011819TX0030061View details

Bronze Elite $0 Deductible Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOExpanded Bronze$011819TX0030212View details

Bronze Elite+Dental $0 Deductible Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOExpanded Bronze$011819TX0030213View details

Bronze StandardNetwork tier: TiertwoEPOExpanded Bronze$7,50011819TX0030010View details

Blue Cross and Blue Shield of Texas

25 plans · HMO, POS

Accepting new patients

Blue Advantage network · 18 plans · Blue Advantage HMO tier

Blue Advantage Gold HMO℠ - MaxNetwork tier: Blue Advantage HMOHMOGold$55033602TX0460548View details

Blue Advantage Gold HMO℠ - SecureNetwork tier: Blue Advantage HMOHMOGold$1,80033602TX0460809View details

Blue Advantage Plus Gold℠ - SecureNetwork tier: Blue Advantage HMOPOSGold$1,80033602TX0870005View details

Blue Advantage Gold HMO℠ - StandardNetwork tier: Blue Advantage HMOHMOGold$2,50033602TX0460925View details

Blue Advantage Plus Gold℠ - BalanceNetwork tier: Blue Advantage HMOPOSGold$2,50033602TX0870011View details

Blue Advantage Plus Gold℠ - StandardNetwork tier: Blue Advantage HMOPOSGold$2,50033602TX0870006View details

Blue Advantage Plus Silver℠ - ChampionNetwork tier: Blue Advantage HMOPOSSilver$3,10033602TX0870009View details

Blue Advantage Silver HMO℠ - ChampionNetwork tier: Blue Advantage HMOHMOSilver$3,10033602TX0460553View details

Blue Advantage Plus Silver℠ - StandardNetwork tier: Blue Advantage HMOPOSSilver$6,40033602TX0870010View details

Blue Advantage Silver HMO℠ - StandardNetwork tier: Blue Advantage HMOHMOSilver$6,40033602TX0460926View details

Blue Advantage Plus Silver℠ - BalanceNetwork tier: Blue Advantage HMOPOSSilver$7,00033602TX0870007View details

Blue Advantage Silver HMO℠ - BalanceNetwork tier: Blue Advantage HMOHMOSilver$7,00033602TX0461083View details

Blue Advantage Bronze HMO℠ - Standard HSANetwork tier: Blue Advantage HMOHMOExpanded Bronze$7,50033602TX0461033View details

Blue Advantage Plus Bronze℠ - Standard HSANetwork tier: Blue Advantage HMOPOSExpanded Bronze$7,50033602TX0870004View details

Blue Advantage Plus Bronze℠ - Support HSANetwork tier: Blue Advantage HMOPOSExpanded Bronze$8,00033602TX0870002View details

Blue Advantage Bronze HMO℠ - Balance HSANetwork tier: Blue Advantage HMOHMOExpanded Bronze$11,75033602TX0460554View details

Blue Advantage Plus Security℠ - HSANetwork tier: Blue Advantage HMOPOSCatastrophic$12,00033602TX0870298View details

Blue Advantage Security HMO℠ - HSANetwork tier: Blue Advantage HMOHMOCatastrophic$12,00033602TX0460552View details

MyBlueHealth network · 7 plans · Myblue Health tier

MyBlue Health Gold℠ - ChampionNetwork tier: Myblue HealthHMOGold$1,20033602TX0461081View details

MyBlue Health Gold℠ - StandardNetwork tier: Myblue HealthHMOGold$2,50033602TX0461088View details

MyBlue Health Silver℠ - ChampionNetwork tier: Myblue HealthHMOSilver$3,10033602TX0461082View details

MyBlue Health Silver℠ - StandardNetwork tier: Myblue HealthHMOSilver$6,40033602TX0461089View details

MyBlue Health Bronze℠ - Champion HSANetwork tier: Myblue HealthHMOExpanded Bronze$5,00033602TX0461080View details

MyBlue Health Bronze℠ - Standard HSANetwork tier: Myblue HealthHMOExpanded Bronze$7,50033602TX0461087View details

MyBlue Health Security℠ - HSANetwork tier: Myblue HealthHMOCatastrophic$12,00033602TX0461226View details

WellPoint

23 plans · HMO, POS

Accepting new patients

Wellpoint Texas Essential and RX Choice Tiered Network · 15 plans · Participating tier

Wellpoint Heart Healthy Essential Gold 500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$50047501TX0040016View details

Wellpoint Essential Gold POS 700 ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSGold$70047501TX0030007View details

Wellpoint Essential Gold 800 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$80047501TX0040009View details

Wellpoint Essential Gold POS 1000 ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSGold$1,00047501TX0030005View details

Wellpoint Essential Gold 1500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$1,50047501TX0040007View details

Wellpoint Essential Silver 1850 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$1,85047501TX0040011View details

Wellpoint Essential Silver POS 2500 ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSSilver$2,50047501TX0030008View details

Wellpoint Essential Silver 3500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$3,50047501TX0040012View details

Wellpoint Essential Silver POS 4000 ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSSilver$4,00047501TX0030009View details

Wellpoint Essential Bronze 4000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$4,00047501TX0040002View details

Wellpoint Essential Bronze POS 4500 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSExpanded Bronze$4,50047501TX0030003View details

Wellpoint Heart Healthy Essential Bronze 5000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$5,00047501TX0040014View details

Wellpoint Essential Bronze POS 5500 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSExpanded Bronze$5,50047501TX0030002View details

Wellpoint Essential Bronze 6000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$6,00047501TX0040004View details

Wellpoint Essential Catastrophic HSA (+ Incentives)Network tier: ParticipatingHMOCatastrophic$12,00047501TX0040006View details

Wellpoint Texas Essential and Pharmacy Base Network · 6 plans · Participating tier

Wellpoint Essential Gold 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$2,50047501TX0040008View details

Wellpoint Essential Gold POS 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSGold$2,50047501TX0030006View details

Wellpoint Essential Silver 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$6,40047501TX0040013View details

Wellpoint Essential Silver POS 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSSilver$6,40047501TX0030001View details

Wellpoint Essential Bronze 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$7,50047501TX0040005View details

Wellpoint Essential Bronze POS 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingPOSExpanded Bronze$7,50047501TX0030004View details

Wellpoint Texas Essential, Dental Prime, and RX Choice Tiered Network · 2 plans · Participating tier

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$3,50047501TX0040010View details

Wellpoint Essential Bronze 6000 Adult Dental/Vision HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$6,00047501TX0040003View details

Also listed in other states 15 plans · 1 state

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

UnitedHealthcare · Oklahoma

15 plans · HMO

Accepting new patientsDeductible $0 to $11,750

UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$045480OK0050034View details

UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$045480OK0110007View details

UHC Gold Advantage ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$2,00045480OK0050038View details

UHC Gold Advantage+ ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$2,00045480OK0110001View details

UHC Gold Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$2,50045480OK0050028View details

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$045480OK0050044View details

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$045480OK0110006View details

UHC Silver Value ($0 Virtual Urgent Care, $9 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$3,10045480OK0050036View details

UHC Silver Value+ ($0 Virtual Urgent Care, $9 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$3,10045480OK0110004View details

UHC Silver Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$6,40045480OK0050029View details

UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOBronze$11,75045480OK0050039View details

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$045480OK0050035View details

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$045480OK0110008View details

UHC Bronze Standard (HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$7,50045480OK0050030View details

UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$7,50045480OK0110005View details

Questions about Marc Gregg’s insurance

What insurance does Marc Gregg take?

In Texas, UnitedHealthcare, Antidote Health of TX, Blue Cross and Blue Shield of Texas and WellPoint include Marc Gregg in 106 Marketplace plans for 2027. Call the office at (806) 674-5026 to confirm your plan before booking.

Is Marc Gregg accepting new patients?

The insurers that list Marc Gregg report that Marc Gregg is accepting new patients. Call the office at (806) 674-5026 to confirm your plan before booking.

Do I need a referral to see Marc Gregg?

It depends on the plan: 56 of 106 Texas plans require a specialist referral.

Does Marc Gregg accept Medicare?

CMS files show a PECOS enrollment but no Medicare assignment indicator. Ask the office.

Important notice

NPI Profile is not an insurance company, agent or broker. We do not sell insurance, enroll anyone in a plan, or give tax, legal, financial or insurance advice. This free tool organizes public files from CMS and insurers so you can compare Marketplace plans and check whether your current or future doctor is in a plan’s network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer.

Premiums, costs, coverage, provider networks and plan availability can change and may differ from what is shown here. Premiums are full prices before subsidies (premium tax credits), and your actual cost depends on your household and income. Before you enroll, confirm the details with the insurer and the doctor’s office, and enroll through HealthCare.gov. For help choosing a plan, HealthCare.gov lists free local assisters and licensed agents.

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.	WellPoint: Nov 5, 2026 UnitedHealthcare: Nov 3, 2026 Blue Cross and Blue Shield of Texas: Oct 16, 2026 Antidote Health of TX: Jan 1, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2027, Oct 20, 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.