ABC PEDIATRICS LLC
Accepted Insurance for NPI 1982960464
Pediatrics in Dover, DE
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
ABC PEDIATRICS LLC, a pediatrics provider in Dover, DE, is listed as in-network for 23 health insurance plans from 2 insurance companies, led by Highmark Blue Cross Blue Shield Delaware and AmeriHealth Caritas Next. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
AmeriHealth Caritas Next
AmeriHealth Caritas Next Bronze Essential + No Referrals
AmeriHealth Caritas Next Bronze Premier + No Referrals
AmeriHealth Caritas Next Bronze Signature + No Referrals
AmeriHealth Caritas Next Gold Premier + No Referrals
AmeriHealth Caritas Next Gold Signature + No Referrals
AmeriHealth Caritas Next Silver Essential + No Referrals
AmeriHealth Caritas Next Silver Premier + No Referrals
AmeriHealth Caritas Next Silver Signature + No Referrals
Highmark Blue Cross Blue Shield Delaware
my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits
my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision
my Blue Access Select PPO Bronze 3800
my Blue Access Select PPO Bronze 9200
my Blue Access Select PPO Gold 0 + Adult Dental and Vision
my Blue Access Select PPO Gold 0
my Blue Access Select PPO Gold 1700 HSA
my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision
my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision
my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision
my Blue Access Select PPO Standard Bronze 7500
my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision
my Blue Access Select PPO Standard Gold 2000
my Blue Access Select PPO Standard Platinum 0
my Blue Access Select PPO Standard Silver 6000
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 ABC PEDIATRICS LLC accept?
Marketplace files for the 2026 plan year list ABC PEDIATRICS LLC as in-network for 23 plans from 2 insurance companies. The largest networks are Highmark Blue Cross Blue Shield Delaware (15 plans), AmeriHealth Caritas Next (8 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is ABC PEDIATRICS LLC enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does ABC PEDIATRICS LLC participate in?
The accepted plans include 15 PPO plans and 8 HMO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. 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.
