Provider networks in West Virginia.
InPlan holds provider listings for 42 marketplace (ACA) and Medicare Advantage plans that serve West Virginia. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.
- MARKETPLACE PLANS
- 37
- MEDICARE ADVANTAGE PLANS
- 5
- INSURERS AND PLAN ORGANIZATIONS
- 3
- LATEST READ
- 2026-10-29
What we hold in West Virginia.
Plans whose provider directories list providers in our data. Together the marketplace plans hold more than 1.8 million provider-plan links.
| MARKET | PLANS | INSURERS | PLAN YEARS | LATEST READ |
|---|---|---|---|---|
| Marketplace (ACA) | 37 | 2 | 2026 | 2026-10-28 |
| Medicare Advantage | 5 | 1 | 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 West Virginia.
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 |
|---|---|---|
| CareSource | Marketplace (ACA) | 22 |
| Highmark Blue Cross Blue Shield | Marketplace (ACA) | 15 |
| The Health Plan | Medicare Advantage | 5 |
Who the Medicare Advantage directories list.
More than 7,700 providers who practise in West Virginia appear in the Medicare Advantage plans we hold. The most common primary specialties among them:
- Nurse Practitioner1,546
- Family Practice693
- Internal Medicine455
- Physician Assistant431
- Dentist352
- Mental Health Counselor319
- Clinical Social Worker303
- Optometry217
Specialties as the national provider registries record them. A provider counts once per specialty.
Example plans in West Virginia.
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 |
|---|---|---|---|---|
| my Blue Access WV PPO Bronze 3800Highmark Blue Cross Blue Shield West Virginia | 31274WV0560001 | 2026 | Marketplace (ACA)Expanded Bronze · PPO | 85,744 |
| The Health Plan SecureCare SNP (HMO D-SNP)The Health Plan | H3672-019-000 | 2027 | Medicare AdvantageHMO D-SNP · Special Needs Plan | 31,824 |
| The Health Plan SecureCare - Option II (HMO)The Health Plan | H3672-020-000 | 2027 | Medicare AdvantageHMO | 31,824 |
| my Blue Access WV PPO Gold 0Highmark Blue Cross Blue Shield West Virginia | 31274WV0560005 | 2026 | Marketplace (ACA)Gold · PPO | 85,744 |
| my Blue Access WV PPO Bronze 9200Highmark Blue Cross Blue Shield West Virginia | 31274WV0560006 | 2026 | Marketplace (ACA)Bronze · PPO | 85,744 |
A real West Virginia answer.
William A. Wade, MD, who practises in Spencer, is listed in 31274WV0560001. 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=1003029075&plan_id=31274WV0560001"
{
"npi": "1003029075",
"plan_id": "31274WV0560001",
"market": "aca",
"in_network": true,
"answer": "listed",
"plan_year": 2026,
"source": { "type": "insurer_directory", "as_of": "2026-07-27" }
}William A. Wade, MD
Pulmonary Disease · Spencer, WV
Listed
- PLAN
- my Blue Access WV PPO Bronze 3800
- INSURER
- Highmark Blue Cross Blue Shield West Virginia
- MARKET
- Marketplace (ACA), plan year 2026
- PLAN TYPE
- Expanded Bronze · PPO
- NETWORK TIER
- IN-NETWORK
- SOURCE
- insurer_directory · read 2026-07-27
Every West Virginia provider, with every plan that lists them.
The West Virginia data file is one CSV: one row for each provider and plan pair, for every provider practising in West Virginia, with the source type and read date on each row.
Check West Virginia 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
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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.