DR. DAVID EUGENE LAPHAM D.O.
Accepted Insurance for NPI 1982964375
Surgery - Surgical Critical Care in Philadelphia, PA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. DAVID EUGENE LAPHAM D.O., a surgery provider in Philadelphia, PA, is listed as in-network for 121 health insurance plans from 4 insurance companies, led by Blue Cross and Blue Shield of NC, Cigna Healthcare and Sanford Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross Blue Shield of North Dakota
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
BlueValue Gold $30 PCP Copay (Standardized plan)
BlueValue Silver $40 PCP Copay (Standardized plan)
DakotaBlue Altru Gold ($5 Value Based Drug List)
DakotaBlue Altru Silver ($5 Value Based Drug List)
DakotaBlue Trinity Gold ($5 Value Based Drug List)
DakotaBlue Trinity Silver ($5 Value Based Drug List)
Blue Cross and Blue Shield of NC
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Silver Standard | Nationwide Doctors
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Care Bronze Standard | Statewide Doctors
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Care Gold Standard A | Statewide Doctors
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Silver Standard | Statewide Doctors
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health
Blue Home Bronze Standard | with Novant Health
Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Novant Health
Blue Home Gold Standard A | with Novant Health
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health
Blue Home Silver Standard | with Novant Health
Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors
Blue Value Bronze HSA Eligible | Integrated | Limited Statewide Doctors
Blue Value Bronze Standard | Limited Statewide Doctors
Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors
Blue Value Gold Standard A | Limited Statewide Doctors
Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Silver Standard | Limited Statewide Doctors
Cigna Healthcare
Connect Bronze 5500 Indiv Med Deductible
Connect Bronze 6500 Indiv Med Deductible
Connect Bronze CMS Standard
Connect Bronze RD 5000 Indiv Med Deductible
Connect Bronze RD 6000 Indiv Med Deductible
Connect Bronze RD CMS Standard
Connect Gold 1500 Indiv Med Deductible
Connect Gold CMS Standard
Connect Gold RD CMS Standard
Connect myDiabetesCare Bronze
Connect myDiabetesCare Silver
Connect Silver 3600 Indiv Med Deductible
Connect Silver 5000 Indiv Med Deductible
Connect Silver CMS Standard
Connect Silver RD 3500 Indiv Med Deductible
Connect Silver RD 5000 Indiv Med Deductible
Connect Silver RD CMS Standard
Sanford Health Plan
Sanford Individual Simplicity $1,750
Sanford Individual Simplicity $3,500
Sanford Individual Simplicity $4,750
Sanford Individual Simplicity $6,500
Sanford Individual Simplicity $7,200 HSA Qualified
Sanford Individual Simplicity Standardized $2,000
Sanford Individual Simplicity Standardized $6,000
Sanford Individual Simplicity Standardized $7,500
Sanford Individual TRUE $1,750
Sanford Individual TRUE $3,500
Sanford Individual TRUE $4,750
Sanford Individual TRUE $6,500
Sanford Individual TRUE $7,200 HSA Qualified
Sanford Individual TRUE Standardized $2,000
Sanford Individual TRUE Standardized $6,000
Sanford Individual TRUE Standardized $7,500
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. DAVID EUGENE LAPHAM D.O. accept?
Marketplace files for the 2026 plan year list DR. DAVID EUGENE LAPHAM D.O. as in-network for 121 plans from 4 insurance companies. The largest networks are Blue Cross and Blue Shield of NC (33 plans), Cigna Healthcare (17 plans), Sanford Health Plan (16 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. DAVID EUGENE LAPHAM D.O. 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. DAVID EUGENE LAPHAM D.O. participate in?
The accepted plans include 34 HMO plans, 31 PPO plans, 9 POS plans and 6 EPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. 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.
