NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
STATE

Provider networks in Oregon.

InPlan holds provider listings for 87 marketplace (ACA) and Medicare Advantage plans that serve Oregon. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.

MARKETPLACE PLANS
59
MEDICARE ADVANTAGE PLANS
28
INSURERS AND PLAN ORGANIZATIONS
10
LATEST READ
2026-10-29

What we hold in Oregon.

Plans whose provider directories list providers in our data. Together the marketplace plans hold more than 6.6 million provider-plan links.

Plans with provider listings in Oregon, by market
MARKETPLANSINSURERSPLAN YEARSLATEST READ
Marketplace (ACA)59620262026-10-29
Medicare Advantage28420272026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Insurers in Oregon.

Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.

Insurers with plans that list providers in Oregon
INSURERMARKETPLANS
Regence BlueCross BlueShieldMarketplace (ACA)14
Moda HealthMarketplace (ACA)13
Providence Health PlanMarketplace (ACA)11
Kaiser PermanenteMarketplace (ACA)9
PacificSource Health PlansMarketplace (ACA)9
BridgeSpan Health CompanyMarketplace (ACA)3
Devoted HealthMedicare Advantage23
AgeRight AdvantageMedicare Advantage3
CareOregon AdvantageMedicare Advantage1
Samaritan Advantage Health PlansMedicare Advantage1

Who the Medicare Advantage directories list.

More than 25,000 providers who practise in Oregon appear in the Medicare Advantage plans we hold. The most common primary specialties among them:

  • Nurse Practitioner2,906
  • Mental Health Counselor2,033
  • Physician Assistant2,000
  • Clinical Social Worker1,561
  • Family Practice1,502
  • Dentist1,147
  • Internal Medicine1,073
  • Physical Therapist in Private Practice928

Specialties as the national provider registries record them. A provider counts once per specialty.

Example plans in Oregon.

Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPEPROVIDER-PLAN LINKS
Providence Oregon Standard Gold Plan - Signature NetworkProvidence Health Plan56707OR13500042026Marketplace (ACA)Gold · EPO333,922
Samaritan Dual Advantage (HMO D-SNP)Samaritan Advantage Health PlansH3811-003-0002027Medicare AdvantageHMO D-SNP · Special Needs Plan35,515
Providence Oregon Standard Silver Plan - Signature NetworkProvidence Health Plan56707OR13600042026Marketplace (ACA)Silver · EPO333,922
Providence Oregon Standard Bronze Plan - Signature NetworkProvidence Health Plan56707OR14100032026Marketplace (ACA)Expanded Bronze · EPO333,922
Providence Oregon Standard Gold Plan - Choice NetworkProvidence Health Plan56707OR13200042026Marketplace (ACA)Gold · EPO265,586
SAMPLE ANSWER

A real Oregon answer.

Evagelia Baros, DO, who practises in Tigard, is listed in 56707OR1350004. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003019340&plan_id=56707OR1350004"
Response, trimmed200 OK
{
  "npi": "1003019340",
  "plan_id": "56707OR1350004",
  "market": "aca",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2026,
  "source": { "type": "insurer_directory", "as_of": "2026-10-29" }
}
NPI 1003019340PLAN 56707OR1350004

Evagelia Baros, DO

Internal Medicine · Tigard, OR

Listed

PLAN
Providence Oregon Standard Gold Plan - Signature Network
INSURER
Providence Health Plan
MARKET
Marketplace (ACA), plan year 2026
PLAN TYPE
Gold · EPO
NETWORK TIER
EPO
SOURCE
insurer_directory · read 2026-10-29
One real answer, as the API returns itCheck another pair
DATA FILE

Every Oregon provider, with every plan that lists them.

The Oregon data file is one CSV: one row for each provider and plan pair, for every provider practising in Oregon, with the source type and read date on each row.

FREE API KEY

Check Oregon providers in your own product.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.