Provider networks in Pennsylvania.
InPlan holds provider listings for 59 Medicare Advantage plans that serve Pennsylvania. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.
- MEDICARE ADVANTAGE PLANS
- 59
- PLAN YEARS
- 2027
- INSURERS AND PLAN ORGANIZATIONS
- 5
- LATEST READ
- 2026-10-29
What we hold in Pennsylvania.
Plans whose provider directories list providers in our data.
| MARKET | PLANS | INSURERS | PLAN YEARS | LATEST READ |
|---|---|---|---|---|
| Medicare Advantage | 59 | 5 | 2027 | 2026-10-29 |
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 Pennsylvania.
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.
| INSURER | MARKET | PLANS |
|---|---|---|
| Devoted Health | Medicare Advantage | 35 |
| HealthSpring | Medicare Advantage | 11 |
| Jefferson Health Plans | Medicare Advantage | 8 |
| Perennial Advantage | Medicare Advantage | 3 |
| Clover Health | Medicare Advantage | 2 |
Who the Medicare Advantage directories list.
More than 69,000 providers who practise in Pennsylvania appear in the Medicare Advantage plans we hold. The most common primary specialties among them:
- Nurse Practitioner7,699
- Mental Health Counselor6,301
- Family Practice4,541
- Dentist4,448
- Internal Medicine4,061
- Clinical Social Worker3,562
- Physician Assistant3,307
- Optometry2,074
Specialties as the national provider registries record them. A provider counts once per specialty.
Example plans in Pennsylvania.
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.
| PLAN | PLAN ID | YEAR | TYPE | PROVIDER-PLAN LINKS |
|---|---|---|---|---|
| HealthSpring True Choice (PPO)HealthSpring | H7849-106-000 | 2027 | Medicare AdvantagePPO | 373,995 |
| Clover Health Valor (PPO)Clover Health | H5141-061-000 | 2027 | Medicare AdvantagePPO | 68,687 |
| HealthSpring True Choice (PPO)HealthSpring | H7849-151-000 | 2027 | Medicare AdvantagePPO | 373,995 |
| HealthSpring TotalCare Plus (HMO D-SNP)HealthSpring | H3949-009-000 | 2027 | Medicare AdvantageHMO D-SNP · Special Needs Plan | 228,196 |
| HealthSpring Preferred Plus (HMO)HealthSpring | H3949-030-000 | 2027 | Medicare AdvantageHMO | 228,196 |
A real Pennsylvania answer.
Gerald L. Fisher, D.M, who practises in Johnstown, is listed in H7849-106-000. This is the answer the API gives today for that pair, with its source type and the date we read the listing.
curl -H "Authorization: Bearer $INPLAN_KEY" \ "https://api.inplan.io/v1/check?npi=1003021734&plan_id=H7849-106-000"
{
"npi": "1003021734",
"plan_id": "H7849-106-000",
"market": "ma",
"in_network": true,
"answer": "listed",
"plan_year": 2027,
"source": { "type": "plan_directory", "as_of": "2026-10-29" }
}Gerald L. Fisher, D.M
Dentist · Johnstown, PA
Listed
- PLAN
- HealthSpring True Choice (PPO)
- INSURER
- HealthSpring
- MARKET
- Medicare Advantage, plan year 2027
- PLAN TYPE
- PPO
- SOURCE
- plan_directory · read 2026-10-29
Every Pennsylvania provider, with every plan that lists them.
The Pennsylvania data file is one CSV: one row for each provider and plan pair, for every provider practising in Pennsylvania, with the source type and read date on each row.
Check Pennsylvania 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.
Other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Puerto Rico
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries. InPlan is independent and not affiliated with any insurer named here.