Provider profile

James CongdonMD

Psychiatry & Neurology, Psychiatry

NPI 1588764153
722 E Butler Pike, Ambler, PA 19002610-524-1552

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Medicare Advantage plans for Montgomery County, PA.

Checked Oct 29, 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 19 Medicare Advantage plans for 2027

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

The 87 Medicare Advantage plans we show for Montgomery County, PA in 2027

  • 19 list James
  • 66 not listed
  • 2 not checked yet

Devoted

9 plans list James.

9plans
  • DEVOTED CHOICE 007 PA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 722 E Butler Pike, Ambler, PA, 19002
    • 7170 Lafayette Ave, Fort Washington, PA, 19034
    • 561 Fairthorne Ave, Philadelphia, PA, 19128
    • 4641 E Roosevelt Blvd, Philadelphia, PA, 19124
    • 2001 Providence Ave, Chester, PA, 19013
    • 601 Roxbury Rd, Shippensburg, PA, 17257
    • 132 The Meadows Dr, Centre Hall, PA, 16828
    • 2 Hospital Dr, Clarion, PA, 16214

    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: Medicare.gov provider data.

    Listed offices for this plan:

    • 722 E Butler Pike, Ambler, PA, 19002
    • 7170 Lafayette Ave, Fort Washington, PA, 19034
    • 561 Fairthorne Ave, Philadelphia, PA, 19128
    • 4641 E Roosevelt Blvd, Philadelphia, PA, 19124
    • 2001 Providence Ave, Chester, PA, 19013
    • 601 Roxbury Rd, Shippensburg, PA, 17257
    • 132 The Meadows Dr, Centre Hall, PA, 16828
    • 2 Hospital Dr, Clarion, PA, 16214

    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: Medicare.gov provider data.

    Listed offices for this plan:

    • 722 E Butler Pike, Ambler, PA, 19002
    • 7170 Lafayette Ave, Fort Washington, PA, 19034
    • 561 Fairthorne Ave, Philadelphia, PA, 19128
    • 4641 E Roosevelt Blvd, Philadelphia, PA, 19124
    • 2001 Providence Ave, Chester, PA, 19013
    • 601 Roxbury Rd, Shippensburg, PA, 17257
    • 132 The Meadows Dr, Centre Hall, PA, 16828
    • 2 Hospital Dr, Clarion, PA, 16214

    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: Medicare.gov provider data.

    Listed offices for this plan:

    • 722 E Butler Pike, Ambler, PA, 19002
    • 7170 Lafayette Ave, Fort Washington, PA, 19034
    • 561 Fairthorne Ave, Philadelphia, PA, 19128
    • 4641 E Roosevelt Blvd, Philadelphia, PA, 19124
    • 2001 Providence Ave, Chester, PA, 19013
    • 601 Roxbury Rd, Shippensburg, PA, 17257
    • 132 The Meadows Dr, Centre Hall, PA, 16828
    • 2 Hospital Dr, Clarion, PA, 16214

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

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

HealthSpring

7 plans list James.

7plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 722 E Butler Pike, Ambler, PA, 19002

    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:

    • 722 E Butler Pike, Ambler, PA, 19002

    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:

    • 722 E Butler Pike, Ambler, PA, 19002

    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:

    • 722 E Butler Pike, Ambler, PA, 19002

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

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

Wellcare

3 plans list James.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 722 E Butler Pike, Ambler, PA, 19002

    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:

    • 722 E Butler Pike, Ambler, PA, 19002

    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:

    • 722 E Butler Pike, Ambler, PA, 19002

    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

Aetna Medicare

Not listed on its 10 plans here. That isn't proof they're out of network.

Geisinger Gold

Not listed on its 3 plans here. That isn't proof they're out of network.

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

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

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

Highmark Wholecare Medicare Assured

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

Humana

Not listed on its 13 plans here. That isn't proof they're out of network.

Jefferson Health Plans

Not listed on its 8 plans here. That isn't proof they're out of network.

Perennial Advantage

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

UnitedHealthcare

Not listed on its 14 plans here. That isn't proof they're out of network.

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.

VISTA Health Plan Inc.

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 James 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

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Practice location

722 E Butler Pike
Ambler, PA 19002

NPI Registry
NPI issued
2006
Registry record updated
Jul 8, 2007

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

Common questions

Which 2027 Medicare Advantage plans list James Congdon?

In Montgomery County, PA, 19 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including DEVOTED CHOICE 007 PA (PPO), DEVOTED CHOICE GIVEBACK 003 PA (PPO) and DEVOTED CORE 023 PA (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 James Congdon take Devoted Medicare Advantage plans?

Medicare.gov provider data lists James on 9 Medicare Advantage plans for 2027 in Montgomery County, PA, including DEVOTED CHOICE 007 PA (PPO) and DEVOTED CHOICE GIVEBACK 003 PA (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Devoted before you enroll.

Does James Congdon take HealthSpring Medicare Advantage plans?

Medicare.gov provider data lists James on 7 Medicare Advantage plans for 2027 in Montgomery County, PA, including HealthSpring Preferred (HMO) and HealthSpring Preferred PA (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or HealthSpring before you enroll.

Does James Congdon take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists James on 3 Medicare Advantage plans for 2027 in Montgomery County, PA, including Wellcare Simple (HMO-POS) and Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Where does James Congdon practice?

722 E Butler Pike, Ambler, PA 19002.

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

Call the member services number on your plan card and give them the NPI 1588764153, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for James Congdon on 55 plans from Aetna Medicare, Geisinger Gold, Highmark Wholecare Medicare Assured, Humana, Jefferson Health Plans, Perennial Advantage, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care and VISTA Health Plan Inc. in Montgomery 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 2007-07-08). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 29, 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 James Congdon 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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