Managed Care Organizations Healthcare Taxonomy Code 305R00000X
HealthProviders DB is a comprehensive database of healthcare providers, including a complete directory of all Preferred Provider Organizations.
As of today, the following are the total number of Preferred Provider Organizations nationally, in your state, and near your location.
Medicare
The following are the total number of Preferred Provider Organizations that accept Medicare in your state, the number that have opted out of Medicare, and the total number excluded from participation in Medicare nationwide.
Alaska – Alabama – Armed Forces Pacific – Arkansas – American Samoa – Arizona – California – Colorado – Connecticut – District of Columbia – Delaware – Florida – Federated States of Micronesia – Georgia – Guam – Hawaii – Iowa – Idaho – Illinois – Indiana – Kansas – Kentucky – Louisiana – Massachusetts – Maryland – Maine – Marshall Islands – Michigan – Minnesota – Missouri – Northern Mariana Islands – Mississippi – Montana – North Carolina – North Dakota – Nebraska – New Hampshire – New Jersey – New Mexico – Nevada – New York – Ohio – Oklahoma – Oregon – Pennsylvania – Puerto Rico – Palau – Rhode Island – South Carolina – South Dakota – Tennessee – Texas – Utah – Virginia – Virgin Islands – Vermont – Washington – Wisconsin – West Virginia – Wyoming
Select the State name above or from the HealthProviders DB App filter panel to show the list of Preferred Provider Organizations by State. In addition, you can also narrow the list by City and more from the filter panel.
You can download the Preferred Provider Organizations dataset using HealthProviders DB Export.
What do Preferred Provider Organizations do?
A group of physicians and/or hospitals that contract with an employer to provide services to their employees.
In a PPO, the patient may go to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Managed Care Organizations
Exclusive Provider Organizations
Healthcare Taxonomy Code 302F00000X
An EPO is a form of PPO, in which patients must visit a caregiver who is specified on its panel of providers (who is a participating provider).
Health Maintenance Organizations
Healthcare Taxonomy Code 302R00000X
A form of health insurance in which its members prepay a premium for the HMO’s health services, which generally include inpatient and ambulatory care.
Point of Services
Healthcare Taxonomy Code 305S00000X
This product may also be referred to as an open-ended HMO and offers a transition product that incorporates features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the network for an additional cost.