Provider profile

Peter MerkelMD, MPH

Internal Medicine, Rheumatology

NPI 1437136173
250 King of Prussia, Radnor, PA 19087610-902-5700

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Medicare Advantage plans for Chester County, PA.

Checked Oct 25, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 88 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Peter on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 94 Medicare Advantage plans we show for Chester County, PA in 2027

  • 88 list Peter
  • 3 not listed
  • 3 not checked yet

Humana

15 plans list Peter.

15plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-085-002Medicare.gov
    $0a month
  • Humana Gold Choice H8145-052 (PFFS)

    Source: Humana provider directory.

    The source lists the clinician on this plan, but hasn't identified a covered office. Confirm your office before enrolling.

    PFFSDrug coverage4 starsH8145-052-000Medicare.gov
    $0a month
  • Humana Total Complete (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-037-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-221-000Medicare.gov
    $0a month

UnitedHealthcare

14 plans list Peter.

14plans
  • AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-154-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-203-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC PA-0010 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-071-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC PA-12 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-101-000Medicare.gov
    $0a month

Highmark Blue Cross Blue Shield or Highmark Blue Shield · Independence Blue Cross

11 plans list Peter.

11plans
  • Keystone 65 Assured Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 145 King of Prussia Rd, Ste 305, Radnor, PA, 19087
    • 501 S 54th St, Philadelphia, PA, 19143
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3952-062-000Medicare.gov
    $0a month
  • Keystone 65 Liberty Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 145 King of Prussia Rd, Ste 305, Radnor, PA, 19087
    • 501 S 54th St, Philadelphia, PA, 19143
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3952-059-000Medicare.gov
    $0a month
  • Keystone 65 Preferred Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 145 King of Prussia Rd, Ste 305, Radnor, PA, 19087
    • 501 S 54th St, Philadelphia, PA, 19143
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3952-008-000Medicare.gov
    $0a month
  • Keystone 65 Select Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 145 King of Prussia Rd, Ste 305, Radnor, PA, 19087
    • 501 S 54th St, Philadelphia, PA, 19143
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3952-050-000Medicare.gov
    $0a month

2 more Highmark Blue Cross Blue Shield or Highmark Blue Shield plans haven't been checked yet.

Aetna Medicare

10 plans list Peter.

10plans
  • Aetna Medicare Advantra Eagle (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3959-094-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3959-052-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-017-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-028-000Medicare.gov
    $0a month

Devoted

9 plans list Peter.

9plans
  • DEVOTED CHOICE 007 PA (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 800 Walnut St Fl 9, Philadelphia, PA, 19107
    • 3737 Market St # 8, Philadelphia, PA, 19104
    • 3737 Market St Fl 4, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd Fl 1, Philadelphia, PA, 19104
    • 1865 Route 70 E Ste 220, Cherry Hill, NJ, 08003

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-007-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 003 PA (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 800 Walnut St Fl 9, Philadelphia, PA, 19107
    • 3737 Market St # 8, Philadelphia, PA, 19104
    • 3737 Market St Fl 4, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd Fl 1, Philadelphia, PA, 19104
    • 1865 Route 70 E Ste 220, Cherry Hill, NJ, 08003

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-003-000Medicare.gov
    $0a month
  • DEVOTED CORE 023 PA (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 3400 Civic Center Blvd Fl 1, Philadelphia, PA, 19104
    • 800 Walnut St Fl 9, Philadelphia, PA, 19107
    • 3737 Market St Fl 4, Philadelphia, PA, 19104
    • 1865 Route 70 E Ste 220, Cherry Hill, NJ, 08003
    • 3737 Market St # 8, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-023-000Medicare.gov
    $0a month
  • DEVOTED GIVEBACK EXTRAS 036 PA (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 3400 Civic Center Blvd Fl 1, Philadelphia, PA, 19104
    • 800 Walnut St Fl 9, Philadelphia, PA, 19107
    • 3737 Market St Fl 4, Philadelphia, PA, 19104
    • 1865 Route 70 E Ste 220, Cherry Hill, NJ, 08003
    • 3737 Market St # 8, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-036-000Medicare.gov
    $0a month

Geisinger Gold

8 plans list Peter.

8plans
  • Geisinger Gold Classic Essential Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 King of Prussia Rd, Radnor, PA, 19087
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-161-000Medicare.gov
    $0a month
  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 King of Prussia Rd, Radnor, PA, 19087
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3954-162-000Medicare.gov
    $0a month
  • Geisinger Gold Preferred Complete Rx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 King of Prussia Rd, Radnor, PA, 19087
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3924-065-000Medicare.gov
    $0a month
  • Geisinger Gold Value Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 King of Prussia Rd, Radnor, PA, 19087
    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-163-000Medicare.gov
    $29a month

1 more Geisinger Gold plan hasn't been checked yet.

Jefferson Health Plans

8 plans list Peter.

8plans
  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-012-000Medicare.gov
    $0a month
  • Jefferson Health Plans Flex (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1619-001-000Medicare.gov
    $0a month
  • Jefferson Health Plans Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-015-000Medicare.gov
    $0a month
  • Jefferson Health Plans Prime (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-002-000Medicare.gov
    $12.80a month

HealthSpring

7 plans list Peter.

7plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, # 4, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-052-000Medicare.gov
    $0a month
  • HealthSpring Preferred PA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, # 4, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-031-000Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, # 4, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-053-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, # 4, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-151-000Medicare.gov
    $9a month

Wellcare

3 plans list Peter.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2915-003-000Medicare.gov
    $0a month
  • Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-002-000Medicare.gov
    $0a month
  • Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-018-000Medicare.gov
    $0a month

Highmark Wholecare Medicare Assured

2 plans list Peter.

2plans
  • Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Spruce St, Fl 1, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-012-000Medicare.gov
    $0a month
  • Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3737 Market St, Fl 8, Philadelphia, PA, 19104
    • 3400 Spruce St, Fl 1, Philadelphia, PA, 19104
    • 3400 Civic Center Blvd, Fl 1, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-013-000Medicare.gov
    $12.80a month

VISTA Health Plan Inc.

1 plan lists Peter.

1plan
  • Keystone First VIP Choice (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 King of Prussia Rd, Fl 2, Radnor, PA, 19087

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4227-001-000Medicare.gov
    $12.80a month

UPMC for Life

Not listed on its 2 plans here. That isn't proof they're out of network.

UPMC for Life Complete Care

Not listed on its 1 plan here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Peter takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

250 King of Prussia
Radnor, PA 19087

NPI Registry
NPI issued
2005
Registry record updated
Feb 3, 2012

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Peter Merkel?

In Chester County, PA, 88 Medicare Advantage plans for 2027 list Peter in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO), Humana Gold Choice H8145-052 (PFFS) and Humana Total Complete (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Peter Merkel take Humana Medicare Advantage plans?

Humana's own provider directory lists Peter on 15 Medicare Advantage plans for 2027 in Chester County, PA, including Humana Essentials Plus Giveback (PPO) and Humana Gold Choice H8145-052 (PFFS). Confirm with the office or Humana before you enroll.

Does Peter Merkel take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Peter on 14 Medicare Advantage plans for 2027 in Chester County, PA, including AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) and AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Peter Merkel take Highmark Blue Cross Blue Shield or Highmark Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Peter on 11 Medicare Advantage plans for 2027 in Chester County, PA, including Keystone 65 Assured Rx (HMO) and Keystone 65 Liberty Medical Only (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Highmark Blue Cross Blue Shield or Highmark Blue Shield before you enroll.

Where does Peter Merkel practice?

250 King of Prussia, Radnor, PA 19087.

How do I confirm Peter is in my plan's network?

Call the member services number on your plan card and give them the NPI 1437136173, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Peter's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Peter Merkel on 3 plans from UPMC for Life and UPMC for Life Complete Care in Chester County, PA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2012-02-03). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Peter Merkel or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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