DR. WILLIAM JAMES FERGES M.D.
Accepted Insurance for NPI 1982909040
Internal Medicine - Gastroenterology in Somerset, NJ
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. WILLIAM JAMES FERGES M.D., a internal medicine provider in Somerset, NJ, is listed as in-network for 33 health insurance plans from 2 insurance companies, led by Ambetter Health of Delaware and Ambetter Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter Health of Delaware
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Silver + Vision + Adult Dental
Elite Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Principal Bronze HSA + Vision + Adult Dental
Principal Bronze HSA
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver
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. WILLIAM JAMES FERGES M.D. accept?
Marketplace files for the 2026 plan year list DR. WILLIAM JAMES FERGES M.D. as in-network for 33 plans from 2 insurance companies. The largest networks are Ambetter Health of Delaware (17 plans), Ambetter Health (16 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. WILLIAM JAMES FERGES M.D. 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. WILLIAM JAMES FERGES M.D. participate in?
The accepted plans include 17 EPO plans and 16 HMO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
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.
