MICHAEL T. DIBARTOLA M.D.
Accepted Insurance for NPI 1982947925
Pediatrics in Columbus, OH

Active since March 28, 2013PECOS Enrolled

4885 OLENTANGY RIVER RD, SUITE 2-10, COLUMBUS, OH 43214(614) 267-7878(614) 267-7077 Get Directions

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Dr. Dibartola take my insurance?

92 Ohio plans sold on HealthCare.gov for 2026 include Dr. Dibartola, from CareSource, UnitedHealthcare, Oscar Health and 3 other insurers. Anthem Blue Cross and Blue Shield also lists Dr. Dibartola in Wisconsin.

InsurersCareSource 21 plans UnitedHealthcare 17 plans Oscar Health 16 plans Antidote Health 15 plans MedMutual 12 plans Anthem Blue Cross and Blue Shield 11 plans

Also listed inWisconsin

Call before you book: insurer directories can be out of date, so call the office at (614) 267-7878 to confirm your plan is accepted.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 Ohio Medicaid ID; ask the office which Medicaid plans it takes.

Ohio plans 92 plans

Plans sold to Ohio residents. Costs are for the standard version of each plan.

CareSource

21 plans · HMO

Accepting new patients

Core Gold 1500 $10 Generic DrugsHMOGold$1,50077552OH0010212

Core Gold 1500 $10 Generic Drugs + Adult Vision & FitnessHMOGold$1,50077552OH0020212

Gold 2000 $15 Generic DrugsHMOGold$2,00077552OH0010202

Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,00077552OH0020202

Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010210

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020210

Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010215

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020215

Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010209

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020209

Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010218

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020218

HDHP Preventive Silver 5500 $0 Chronic Care DrugsHMOSilver$5,50077552OH0010219

Silver 6000 $20 Generic DrugsHMOSilver$6,00077552OH0010203

Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,00077552OH0020203

Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,20077552OH0010201

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,20077552OH0020201

Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,50077552OH0010204

Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,50077552OH0020204

Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,60077552OH0010222

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,60077552OH0020222

UnitedHealthcare

17 plans · HMO

Accepting new patients

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)HMOGold$033931OH0030032

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$033931OH0070008

UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOGold$70033931OH0030042

UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$70033931OH0070002

UHC Gold Standard (No Referrals)HMOGold$2,00033931OH0030014

UHC Gold Standard+ (Dental + Vision, No Referrals)HMOGold$2,00033931OH0070009

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOSilver$033931OH0030030

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOSilver$033931OH0070007

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)HMOSilver$3,25033931OH0030031

UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)HMOSilver$3,25033931OH0070001

UHC Silver Standard (No Referrals)HMOSilver$6,00033931OH0030021

UHC Silver Standard+ (Dental + Vision, No Referrals)HMOSilver$6,00033931OH0070006

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)HMOBronze$10,60033931OH0030044

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOExpanded Bronze$033931OH0030035

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOExpanded Bronze$033931OH0070004

UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50033931OH0030026

UHC Bronze Standard+ (Dental + Vision, No Referrals)HMOExpanded Bronze$7,50033931OH0070005

Oscar Health

16 plans · HMO

Accepting new patients

Gold Elite Saver PlusHMOGold$029341OH0100035

Gold Classic StandardHMOGold$2,00029341OH0100053

Gold ClassicHMOGold$2,25029341OH0100013

Silver Elite Saver PlusHMOSilver$029341OH0100030

Silver Simple PCP SaverHMOSilver$5,75029341OH0100025

Silver Simple Chronic Care CKMHMOSilver$5,90029341OH0100060

Silver Classic StandardHMOSilver$6,00029341OH0100052

Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00029341OH0100063

Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20029341OH0100061

Silver Simple DiabetesHMOSilver$6,50029341OH0100062

Bronze Elite + PCP Saver PlusHMOExpanded Bronze$029341OH0100064

Bronze Classic 4700HMOExpanded Bronze$4,70029341OH0100024

Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$5,50029341OH0100056

Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50029341OH0100057

Bronze Simple DiabetesHMOExpanded Bronze$5,50029341OH0100058

Bronze Classic StandardHMOExpanded Bronze$7,50029341OH0100050

Antidote Health

15 plans · HMO

Not accepting new patients

Gold StandardHMOGold$2,00031981OH0010030

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced RxHMOGold$3,00031981OH0030030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced RxHMOGold$3,00031981OH0030031

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core RxHMOGold$3,50031981OH0020030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core RxHMOGold$3,50031981OH0020031

Silver StandardHMOSilver$6,00031981OH0010020

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced RxHMOSilver$6,50031981OH0030020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced RxHMOSilver$6,50031981OH0030021

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core RxHMOSilver$7,50031981OH0020020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core RxHMOSilver$7,50031981OH0020021

Bronze StandardHMOExpanded Bronze$7,50031981OH0010010

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced RxHMOExpanded Bronze$8,00031981OH0030010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced RxHMOExpanded Bronze$8,00031981OH0030011

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core RxHMOExpanded Bronze$8,70031981OH0020010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core RxHMOExpanded Bronze$8,70031981OH0020011

MedMutual

12 plans · HMO

Accepting new patients

Gold $500 w/ Virtual & Wellness ON-EXHMOGold$50099969OH0080545

Gold $1,000 w/ Adult Dental ON-EXHMOGold$1,00099969OH0080546

Gold $1,000 w/ Virtual & Wellness ON-EXHMOGold$1,00099969OH0080543

Gold Standard w/ Virtual & WellnessHMOGold$2,00099969OH0080492

Silver $5,000 w/ Adult Dental ON-EXHMOSilver$5,00099969OH0080549

Silver $5,000 w/ Virtual & Wellness ON-EXHMOSilver$5,00099969OH0080548

Silver $5,800 w/ Virtual & Wellness ON-EXHMOSilver$5,80099969OH0080547

Silver Standard w/ Virtual & WellnessHMOSilver$6,00099969OH0080496

Bronze HSA $7,300 ON-EXHMOExpanded Bronze$7,30099969OH0080498

Bronze Standard w/ Virtual & WellnessHMOExpanded Bronze$7,50099969OH0080500

Bronze $8,300 w/ Adult Dental ON-EXHMOExpanded Bronze$8,30099969OH0080550

Bronze $8,300 w/ Virtual & Wellness ON-EXHMOExpanded Bronze$8,30099969OH0080499

Anthem Blue Cross and Blue Shield

11 plans · HMO

Not accepting new patients

Pathway X HMO and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970005

Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$5,00029276OH0970006

Anthem Silver Pathway 5500 for HSAHMOSilver$5,50029276OH0970004

Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970001

Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$6,00029276OH0970002

Anthem Bronze Pathway 8500 for HSAHMOExpanded Bronze$8,50029276OH0970012

Pathway X HMO and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOGold$2,00029276OH0970009

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOSilver$6,00029276OH0970008

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$7,50029276OH0970007

Pathway X HMO, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier

Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970011

Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970010

Also listed in other states 9 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.

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS

Not accepting new patientsDeductible $0 to $8,450

Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Questions about Dr. Dibartola’s insurance

What insurance does Dr. Dibartola take?

In Ohio, CareSource, UnitedHealthcare, Oscar Health, Antidote Health, MedMutual and Anthem Blue Cross and Blue Shield include Dr. Dibartola in 92 Marketplace plans for 2026. Call the office at (614) 267-7878 to confirm your plan before booking.

Do I need a referral to see Dr. Dibartola?

Not under the Ohio plans that list Dr. Dibartola: the 2026 plan files say a specialist referral is not required.

Does Dr. Dibartola accept Medicare?

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

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.	Anthem Blue Cross and Blue Shield: Oct 15, 2026 CareSource: Oct 15, 2026 Oscar Health: Oct 15, 2026 MedMutual: Oct 14, 2026 UnitedHealthcare: Oct 13, 2026 Antidote Health: Nov 9, 2025
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 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.