DR. CLARENCE MAURICE FINDLEY MD, PHD
Accepted Insurance for NPI 1962644310
Internal Medicine - Interventional Cardiology in Fredericksburg, VA

Active since April 01, 2009PECOS EnrolledAccepts Medicare Assignment
1201 SAM PERRY BLVD STE 280, FREDERICKSBURG, VA 22401(540) 741-5501 Get Directions

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 19, 2026, Oct 3, 2023, May 11, 2023 and 1 more (4 updates tracked since 2023).

Accepted Insurance & Health Plans Health Insurance Marketplace

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

DR. CLARENCE MAURICE FINDLEY MD, PHD, a internal medicine provider in Fredericksburg, VA, is listed as in-network for 45 health insurance plans from 2 insurance companies, led by Medica and Blue Cross and Blue Shield of Kansas, Inc.. 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
45
Plan Options
2
Network Types
Medica
Largest Network · 36 plans
View plans
45 plans · 45 plan IDs · 2026 plan year

Blue Cross and Blue Shield of Kansas, Inc.

9 plans · Individual market · listed as Preferred

BlueCare EPO Bronze

BronzeEPOKansas
Plan ID18558KS0400009

BlueCare EPO Gold Plus

GoldEPOKansas
Plan ID18558KS0400014

BlueCare EPO Gold

GoldEPOKansas
Plan ID18558KS0400006

BlueCare EPO Silver Plus

SilverEPOKansas
Plan ID18558KS0400013

BlueCare EPO Simple Bronze HDHP

BronzeEPOKansas
Plan ID18558KS0400010

BlueCare EPO Simple Silver HDHP

SilverEPOKansas
Plan ID18558KS0400008

BlueCare EPO Standardized Expanded Bronze

BronzeEPOKansas
Plan ID18558KS0420002

BlueCare EPO Standardized Gold

GoldEPOKansas
Plan ID18558KS0420004

BlueCare EPO Standardized Silver

SilverEPOKansas
Plan ID18558KS0420003

Medica

36 plans · Individual market · listed as Preferred

Balance by Medica Bronze $0 Copay PCP Visits

BronzeEPOMissouri
Plan ID53461MO0080041

Balance by Medica Bronze $0 Copay PCP Visits

BronzePPOOklahoma
Plan ID21333OK0060074

Balance by Medica Bronze Premier

BronzeEPOMissouri
Plan ID53461MO0080051

Balance by Medica Bronze Premier

BronzePPOOklahoma
Plan ID21333OK0060051

Balance by Medica Expanded Bronze Standard

BronzeEPOMissouri
Plan ID53461MO0080073

Balance by Medica Expanded Bronze Standard

BronzePPOOklahoma
Plan ID21333OK0060073

Balance by Medica Gold $0 Copay PCP Visits

GoldEPOMissouri
Plan ID53461MO0080045

Balance by Medica Gold $0 Copay PCP Visits

GoldPPOOklahoma
Plan ID21333OK0060045

Balance by Medica Gold Share

GoldEPOMissouri
Plan ID53461MO0080074

Balance by Medica Gold Share

GoldPPOOklahoma
Plan ID21333OK0060075

Balance by Medica Gold Standard

GoldEPOMissouri
Plan ID53461MO0080055

Balance by Medica Gold Standard

GoldPPOOklahoma
Plan ID21333OK0060055

Balance by Medica Silver $0 Copay PCP Visits

SilverEPOMissouri
Plan ID53461MO0080047

Balance by Medica Silver $0 Copay PCP Visits

SilverPPOOklahoma
Plan ID21333OK0060047

Balance by Medica Silver Share

SilverEPOMissouri
Plan ID53461MO0080075

Balance by Medica Silver Share

SilverPPOOklahoma
Plan ID21333OK0060076

Balance by Medica Silver Standard

SilverEPOMissouri
Plan ID53461MO0080057

Balance by Medica Silver Standard

SilverPPOOklahoma
Plan ID21333OK0060057

Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam

BronzePPOOklahoma
Plan ID21333OK0070003

Harmony by Medica Bronze $0 Copay PCP Visits

BronzePPOOklahoma
Plan ID21333OK0010041

Harmony by Medica Bronze Premier + Adult Eye Exam

BronzePPOOklahoma
Plan ID21333OK0070006

Harmony by Medica Bronze Premier

BronzePPOOklahoma
Plan ID21333OK0010051

Harmony by Medica Expanded Bronze Standard + Adult Eye Exam

BronzePPOOklahoma
Plan ID21333OK0070009

Harmony by Medica Expanded Bronze Standard

BronzePPOOklahoma
Plan ID21333OK0010073

Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam

GoldPPOOklahoma
Plan ID21333OK0070001

Harmony by Medica Gold $0 Copay PCP Visits

GoldPPOOklahoma
Plan ID21333OK0010045

Harmony by Medica Gold Share + Adult Eye Exam

GoldPPOOklahoma
Plan ID21333OK0070004

Harmony by Medica Gold Share

GoldPPOOklahoma
Plan ID21333OK0010074

Harmony by Medica Gold Standard + Adult Eye Exam

GoldPPOOklahoma
Plan ID21333OK0070007

Harmony by Medica Gold Standard

GoldPPOOklahoma
Plan ID21333OK0010055

Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam

SilverPPOOklahoma
Plan ID21333OK0070002

Harmony by Medica Silver $0 Copay PCP Visits

SilverPPOOklahoma
Plan ID21333OK0010047

Harmony by Medica Silver Share + Adult Eye Exam

SilverPPOOklahoma
Plan ID21333OK0070005

Harmony by Medica Silver Share

SilverPPOOklahoma
Plan ID21333OK0010075

Harmony by Medica Silver Standard + Adult Eye Exam

SilverPPOOklahoma
Plan ID21333OK0070008

Harmony by Medica Silver Standard

SilverPPOOklahoma
Plan ID21333OK0010057
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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 DR. CLARENCE MAURICE FINDLEY MD, PHD accept?

Marketplace files for the 2026 plan year list DR. CLARENCE MAURICE FINDLEY MD, PHD as in-network for 45 plans from 2 insurance companies. The largest networks are Medica (36 plans), Blue Cross and Blue Shield of Kansas, Inc. (9 plans). The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. CLARENCE MAURICE FINDLEY MD, PHD enrolled in Medicare?

Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.

What network types does DR. CLARENCE MAURICE FINDLEY MD, PHD participate in?

The accepted plans include 27 PPO plans and 18 EPO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. 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.