Provider networks in Texas.
InPlan holds provider listings for 930 marketplace (ACA) and Medicare Advantage plans that serve Texas. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.
- MARKETPLACE PLANS
- 832
- MEDICARE ADVANTAGE PLANS
- 98
- INSURERS AND PLAN ORGANIZATIONS
- 19
- LATEST READ
- 2026-10-29
What we hold in Texas.
Plans whose provider directories list providers in our data. Together the marketplace plans hold more than 179 million provider-plan links.
| MARKET | PLANS | INSURERS | PLAN YEARS | LATEST READ |
|---|---|---|---|---|
| Marketplace (ACA) | 832 | 15 | 2026 | 2026-10-29 |
| Medicare Advantage | 98 | 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 Texas.
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 |
|---|---|---|
| Blue Cross and Blue Shield of Texas | Marketplace (ACA) | 546 |
| Oscar Health | Marketplace (ACA) | 100 |
| UnitedHealthcare | Marketplace (ACA) | 31 |
| Ambetter Health | Marketplace (ACA) | 30 |
| Cigna Healthcare | Marketplace (ACA) | 22 |
| Wellpoint | Marketplace (ACA) | 21 |
| CHRISTUS Health Plan | Marketplace (ACA) | 18 |
| Community Health Choice | Marketplace (ACA) | 15 |
| Molina Healthcare | Marketplace (ACA) | 12 |
| Baylor Scott and White Health Plan | Marketplace (ACA) | 10 |
| Imperial Insurance Companies | Marketplace (ACA) | 7 |
| Sendero Health Plans, Local Nonprofit | Marketplace (ACA) | 7 |
| Moda Health | Marketplace (ACA) | 5 |
| Community First | Marketplace (ACA) | 4 |
| Harbor Health | Marketplace (ACA) | 4 |
| Devoted Health | Medicare Advantage | 55 |
| HealthSpring | Medicare Advantage | 31 |
| Molina Healthcare | Medicare Advantage | 7 |
| ProCare Advantage | Medicare Advantage | 3 |
| Clover Health | Medicare Advantage | 2 |
Who the Medicare Advantage directories list.
More than 99,000 providers who practise in Texas appear in the Medicare Advantage plans we hold. The most common primary specialties among them:
- Nurse Practitioner14,489
- Dentist7,966
- Mental Health Counselor6,670
- Family Practice5,821
- Internal Medicine5,391
- Physician Assistant4,995
- Optometry4,112
- Clinical Social Worker3,523
Specialties as the national provider registries record them. A provider counts once per specialty.
Example plans in Texas.
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 | H7849-154-000 | 2027 | Medicare AdvantagePPO | 373,995 |
| Blue Advantage Gold HMO℠ 206Blue Cross and Blue Shield of Texas | 33602TX0460548 | 2026 | Marketplace (ACA)Gold · HMO | 295,345 |
| Blue Advantage Security HMO℠ 200Blue Cross and Blue Shield of Texas | 33602TX0460552 | 2026 | Marketplace (ACA)Catastrophic · HMO | 295,345 |
| Blue Advantage Silver HMO℠ 205Blue Cross and Blue Shield of Texas | 33602TX0460553 | 2026 | Marketplace (ACA)Silver · HMO | 295,345 |
| Blue Advantage Bronze HMO℠ 204Blue Cross and Blue Shield of Texas | 33602TX0460554 | 2026 | Marketplace (ACA)Expanded Bronze · HMO | 295,345 |
A real Texas answer.
Danielle M. Pesce, DO, who practises in Fort Hood, is listed in 33602TX0460548. 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=1003017047&plan_id=33602TX0460548"
{
"npi": "1003017047",
"plan_id": "33602TX0460548",
"market": "aca",
"in_network": true,
"answer": "listed",
"plan_year": 2026,
"source": { "type": "insurer_directory", "as_of": "2026-07-27" }
}Danielle M. Pesce, DO
Emergency Medicine · Fort Hood, TX
Listed
- PLAN
- Blue Advantage Gold HMO℠ 206
- INSURER
- Blue Cross and Blue Shield of Texas
- MARKET
- Marketplace (ACA), plan year 2026
- PLAN TYPE
- Gold · HMO
- NETWORK TIER
- BLUE-ADVANTAGE-HMO
- SOURCE
- insurer_directory · read 2026-07-27
Every Texas provider, with every plan that lists them.
The Texas data file is one CSV: one row for each provider and plan pair, for every provider practising in Texas, with the source type and read date on each row.
Check Texas 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
- Pennsylvania
- Puerto Rico
- South Carolina
- South Dakota
- Tennessee
- 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.