Medicare Provider Directory
One of the most important steps in choosing a Medicare plan is confirming that your doctors and preferred hospitals participate in that plan's network. This free provider directory uses official Centers for Medicare & Medicaid Services (CMS) data to give you accurate, up-to-date results.
If you have Original Medicare (Parts A & B), you can see nearly any provider in the country who accepts Medicare — no network restrictions. However, if you're considering a Medicare Advantage (Part C) plan, your coverage is limited to that plan's network, so verifying your providers beforehand is essential.
Use the tool below to search for physicians, specialists, hospitals, home health agencies, and other Medicare-approved providers in your area. If you have questions about how a provider's participation affects your specific plan options, reach out to Scott — a licensed Medicare broker serving Eugene and all of Oregon.
Frequently Asked Questions
What is the Medicare Provider Directory?
The Medicare Provider Directory is an official CMS database listing all healthcare providers — doctors, hospitals, clinics, and specialists — who are approved to bill Medicare. You can search by name, location, or specialty to verify whether a provider accepts Medicare and, for Medicare Advantage plans, whether they are in-network.
Why does in-network status matter for Medicare Advantage?
Medicare Advantage plans use provider networks (HMO or PPO). Seeing an out-of-network provider can result in significantly higher costs or no coverage at all for HMO plans. Always verify your doctors are in-network before enrolling in a Medicare Advantage plan.
Do I need to check the directory if I have Original Medicare?
With Original Medicare, you can visit any provider that "accepts assignment" — meaning they accept Medicare's approved amount as full payment. Most providers in the U.S. do accept Medicare, but it's still worth confirming, especially for specialists.
How often is the CMS provider data updated?
The CMS provider data is updated regularly, but there can be a lag between when a provider joins or leaves a plan network and when it appears in the directory. Always call the provider's office directly to confirm their current Medicare participation status before scheduling care.
Can Scott help me verify my doctors are covered under a specific plan?
Absolutely. Scott Sims is a licensed Medicare broker serving Eugene, Oregon. He can verify your specific doctors and preferred hospitals are in-network for any plan you're considering, free of charge. Call (541) 762-5599 or use the contact form below.
Have Questions? Talk to Scott.
Scott is a licensed Medicare broker in Eugene, Oregon. No sales pressure — just honest guidance.