JAMES LEE PAULSGROVE MD
Accepted Insurance for NPI 1982964607
Internal Medicine in Blue Springs, MO
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
JAMES LEE PAULSGROVE MD, a internal medicine provider in Blue Springs, MO, is listed as in-network for 81 health insurance plans from 3 insurance companies, led by Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Oklahoma
Blue Advantage Bronze PPO℠ 202
Blue Advantage Bronze PPO℠ 203
Blue Advantage Bronze PPO℠ Standard
Blue Advantage Gold PPO℠ 309
Blue Advantage Gold PPO℠ 604
Blue Advantage Gold PPO℠ Standard
Blue Advantage Silver PPO℠ 204
Blue Advantage Silver PPO℠ 501
Blue Advantage Silver PPO℠ Standard
Blue Preferred Bronze PPO℠ Standard
Blue Preferred Gold PPO℠ Standard
Blue Preferred Security PPO℠ 200
Blue Preferred Silver PPO℠ Standard
CommunityCare
CommunityCare Bronze IH223
CommunityCare Bronze IH224
CommunityCare Catastrophic
CommunityCare Expanded Bronze Standardized
CommunityCare Gold IH221
CommunityCare Gold L21
CommunityCare Gold Standardized
CommunityCare Silver L21
CommunityCare Silver SLIH223
CommunityCare Silver Standardized
Mending Health
MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health)
MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health)
MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health)
MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze)
MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold)
MENDING Standard Silver (No Direct Primary Care, for DPC select DPC 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 JAMES LEE PAULSGROVE MD accept?
Marketplace files for the 2026 plan year list JAMES LEE PAULSGROVE MD as in-network for 81 plans from 3 insurance companies. The largest networks are Blue Cross and Blue Shield of Oklahoma (13 plans), CommunityCare (10 plans), Mending Health (6 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is JAMES LEE PAULSGROVE MD 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 JAMES LEE PAULSGROVE MD participate in?
The accepted plans include 16 HMO plans and 13 PPO 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.
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.
