FREE TOOL
Does this provider take this plan?
Enter the provider's NPI and the plan ID. We tell you whether the plan's provider directory lists the provider, with the source type and the date we read it.
10 free lookups a day for each visitor, shared by the three tools. Format checks in the page are free and unlimited.
Enter the provider's NPI and the plan ID.
How to read the answer.
- Listed
- The provider directory that the insurer or Medicare Advantage plan publishes lists this provider for this plan. The answer shows the plan years, the network tier when the directory gives one, and the date we read it.
- No listing found
- Our current directory data has no listing for this provider in this plan. That is not a statement that the provider is out of network. Directories change, so confirm with the plan or the provider before care.
- No provider network
- The plan is a prescription drug plan. It has no provider network.
FREE API KEY
Get a free key for 500 calls a month.
The tools give 10 lookups a day. The API gives the same answers in your own code: every plan that lists a provider, checks for a provider and a plan, and plan details, each with its source type and date.