Provider profile

Jorge TolosaMD, MSCE

Obstetrics & Gynecology, Maternal & Fetal Medicine

2 locationsNPI 1699780106
701 Ostrum St Ste 303, Fountain Hill, PA 18015503-494-2101

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Medicare Advantage plans for Northampton County, PA and Multnomah County, OR.

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 44 plans so far

Some of Humana, Aetna Medicare, Geisinger Gold, UPMC for Life, Capital Blue Cross, Highmark Wholecare Medicare Assured, UPMC for Life Complete Care, VISTA Health Plan Inc., AgeRight Advantage, ATRIO Health Plans, CareOregon Advantage, Devoted, HealthSpring, Jefferson Health Plans, Kaiser Permanente, UnitedHealthcare and Wellcare's 2027 plans in Northampton County, PA and Multnomah County, OR haven't been checked yet.

The 142 Medicare Advantage plans we show for Northampton County, PA and Multnomah County, OR in 2027

  • 44 list Jorge
  • 48 not listed
  • 50 not checked yet

Humana

11 plans list Jorge; not listed on 4 other plans.

11plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1251 Turnstone Dr, Fogelsville, PA, 18051
    • 2793 Geryville Pike, Pennsburg, PA, 18073
    • 3181 SW Sam Jackson Park Rd, Portland, OR, 97239
    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015

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

    PPODrug coverage4 starsH5525-085-002Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1251 Turnstone Dr, Fogelsville, PA, 18051
    • 2793 Geryville Pike, Pennsburg, PA, 18073
    • 3181 SW Sam Jackson Park Rd, Portland, OR, 97239
    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015

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

    PPONo drug coverage4 starsH5216-221-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback with Rx (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1251 Turnstone Dr, Fogelsville, PA, 18051
    • 2793 Geryville Pike, Pennsburg, PA, 18073
    • 3181 SW Sam Jackson Park Rd, Portland, OR, 97239
    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015

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

    PPODrug coverage4 starsH5525-059-000Medicare.gov
    $0a month
  • Humana Value Choice (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1251 Turnstone Dr, Fogelsville, PA, 18051
    • 2793 Geryville Pike, Pennsburg, PA, 18073
    • 3181 SW Sam Jackson Park Rd, Portland, OR, 97239
    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015

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

    PPODrug coverage4 starsH5525-051-001Medicare.gov
    $0a month

8 more Humana plans haven't been checked yet.

Aetna Medicare

10 plans list Jorge.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045
    • 1837 W Linden St, Allentown, PA, 18104

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

    HMO-POSNo drug coverage3.5 starsH3959-041-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045
    • 1837 W Linden St, Allentown, PA, 18104

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

    PPODrug coverage4.5 starsH5522-004-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045
    • 1837 W Linden St, Allentown, PA, 18104

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

    HMO-POSDrug coverage3.5 starsH3959-101-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045
    • 1837 W Linden St, Allentown, PA, 18104

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

    PPODrug coverage4 starsH5521-263-000Medicare.gov
    $0a month

2 more Aetna Medicare plans haven't been checked yet.

Geisinger Gold

9 plans list Jorge.

9plans
  • Geisinger Gold Classic 360 Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Chew St, Ste 204, Allentown, PA, 18102

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

    HMODrug coverage4 starsH3954-160-000Medicare.gov
    $0a month
  • Geisinger Gold Classic Essential Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Chew St, Ste 204, Allentown, PA, 18102

    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:

    • 450 Chew St, Ste 204, Allentown, PA, 18102

    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:

    • 450 Chew St, Ste 204, Allentown, PA, 18102

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

    PPODrug coverage4 starsH3924-065-000Medicare.gov
    $0a month

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

UPMC for Life

8 plans list Jorge.

8plans
  • UPMC for Life Essential Rx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045

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

    PPODrug coverage4.5 starsH5533-017-001Medicare.gov
    $0a month
  • UPMC for Life HMO No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045

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

    HMONo drug coverage4.5 starsH3907-002-000Medicare.gov
    $0a month
  • UPMC for Life HMO Premier Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045

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

    HMODrug coverage4.5 starsH3907-059-003Medicare.gov
    $0a month
  • UPMC for Life PPO Salute (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045

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

    PPONo drug coverage4.5 starsH5533-016-001Medicare.gov
    $0a month

Capital Blue Cross · Highmark Blue Cross Blue Shield or Highmark Blue Shield · Regence BlueCross BlueShield of Oregon

2 plans list Jorge; not listed on 9 other plans.

2plans
  • Community Blue Medicare HMO Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 801 Ostrum St, Bethlehem, PA, 18015
    • 800 Eaton Ave, Ste 202, Bethlehem, PA, 18018
    • 450 Chew St, Ste 204, Allentown, PA, 18102

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

    HMODrug coverage4.5 starsH3957-042-005Medicare.gov
    $0a month
  • Community Blue Medicare HMO Distinct (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 801 Ostrum St, Bethlehem, PA, 18015
    • 800 Eaton Ave, Ste 202, Bethlehem, PA, 18018
    • 450 Chew St, Ste 204, Allentown, PA, 18102

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

    HMODrug coverage4.5 starsH3957-049-006Medicare.gov
    $63a month

12 more Capital Blue Cross plans haven't been checked yet.

Highmark Wholecare Medicare Assured

2 plans list Jorge.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 800 Eaton Ave, Ste 202, Bethlehem, PA, 18018
    • 450 Chew St, Ste 204, Allentown, PA, 18102
    • 1872 St Lukes Blvd, Easton, PA, 18045

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-001-000Medicare.gov
    $12.80a month
  • Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 800 Eaton Ave, Ste 202, Bethlehem, PA, 18018
    • 450 Chew St, Ste 204, Allentown, PA, 18102
    • 1872 St Lukes Blvd, Easton, PA, 18045

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-009-000Medicare.gov
    $12.80a month

UPMC for Life Complete Care

1 plan lists Jorge.

1plan
  • UPMC for Life Complete Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 701 Ostrum St, Ste 303, Fountain Hill, PA, 18015
    • 1872 St Lukes Blvd, Easton, PA, 18045

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4279-007-004Medicare.gov
    $0a month

VISTA Health Plan Inc.

1 plan lists Jorge.

1plan
  • Amerihealth Caritas VIP Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1872 St Lukes Blvd, Easton, PA, 18045
    • 1736 Hamilton St, Allentown, PA, 18104

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4227-002-000Medicare.gov
    $9a month

AgeRight Advantage

Not checked yet.

ATRIO Health Plans

Not checked yet.

CareOregon Advantage

Not checked yet.

Devoted

Not checked yet.

7 more Devoted plans haven't been checked yet.

HealthSpring

Not listed on its 3 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.

Kaiser Permanente

Not checked yet.

UnitedHealthcare

Not checked yet.

7 more UnitedHealthcare plans haven't been checked yet.

Wellcare

Not checked yet.

6 more Wellcare plans haven't been checked yet.

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 Jorge 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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2 practice locations

701 Ostrum St Ste 303
Fountain Hill, PA 18015

NPI Registry

3181 Sam Jackson Park Rd, L468
Portland, OR 97239

NPI Registry
NPI issued
2006
Registry record updated
Jun 5, 2020

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

Common questions

Which 2027 Medicare Advantage plans list Jorge Tolosa?

In Northampton County, PA and Multnomah County, OR, 44 Medicare Advantage plans for 2027 list Jorge in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO), Humana USAA Honor Giveback (PPO) and Humana USAA Honor Giveback with Rx (PPO). 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.

Where does Jorge Tolosa practice?

2 locations, including 701 Ostrum St Ste 303, Fountain Hill, PA. All of them are listed on this page.

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

Call the member services number on your plan card and give them the NPI 1699780106, or ask a Silverpath advisor to check for you. It's free.

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

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Northampton County, PA and Multnomah County, OR. 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 2020-06-05). Plan networks: carrier provider directories and Medicare.gov provider data, checked Nov 1, 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 Jorge Tolosa 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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