NEIL E SEETHALER M.D.
Accepted Insurance for NPI 1982699708
Pediatrics in Brentwood, TN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
NEIL E SEETHALER M.D., a pediatrics provider in Brentwood, TN, is listed as in-network for 51 health insurance plans from 3 insurance companies, led by Oscar Insurance Company, UnitedHealthcare and BlueCross BlueShield of Tennessee. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
BlueCross BlueShield of Tennessee
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health�
Oscar Insurance Company
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Bronze Simple
Gold Classic Standard
Gold Elite
Silver Classic Standard
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits
Silver Simple Chronic Care CKM
Silver Simple Diabetes
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
UnitedHealthcare
UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Gold Advantage (Virtual Urgent Care, No Referrals)
UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Gold Copay Focus (Virtual Urgent Care, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Advantage (Virtual Urgent Care, No Referrals)
UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Copay Focus (Virtual Urgent Care, No Referrals)
UHC Silver Standard (No Referrals)
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 NEIL E SEETHALER M.D. accept?
Marketplace files for the 2026 plan year list NEIL E SEETHALER M.D. as in-network for 51 plans from 3 insurance companies. The largest networks are Oscar Insurance Company (15 plans), UnitedHealthcare (12 plans), BlueCross BlueShield of Tennessee (3 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is NEIL E SEETHALER M.D. enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does NEIL E SEETHALER M.D. participate in?
The accepted plans include 30 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.
