Provider profile

Cong PhanMD

Ophthalmology, Retina Specialist

3 locationsNPI 1104454164
300 Oxford Dr Ste 300, Monroeville, PA 15146412-683-5300

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Medicare Advantage plans for Allegheny County, PA, Ohio County, WV and Dallas County, TX.

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Directory results See what each insurance company reports

Listed on 35 plans so far

Some of Humana, Aetna Medicare, Highmark Blue Cross Blue Shield or Highmark Blue Shield, Geisinger Gold, Wellcare, Highmark Wholecare Medicare Assured, Jefferson Health Plans, Baylor Scott & White Health Plan, Devoted, HealthSpring, Molina Healthcare of Texas, Inc., Peak Health, Perennial Advantage, ProCare Advantage, The Health Plan, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care, Verda Health Plan of Texas, VISTA Health Plan Inc. and Wellpoint's 2027 plans in Allegheny County, PA, Ohio County, WV and Dallas County, TX haven't been checked yet.

The 206 Medicare Advantage plans we show for Allegheny County, PA, Ohio County, WV and Dallas County, TX in 2027

  • 35 list Cong
  • 45 not listed
  • 126 not checked yet

Humana

11 plans list Cong; not listed on 1 other plan.

11plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 5303 Harry Hines Blvd, Fl 6, Dallas, TX, 75390

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

    PPODrug coverage4 starsH5525-085-001Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 5303 Harry Hines Blvd, Fl 6, Dallas, TX, 75390

    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:

    • 5303 Harry Hines Blvd, Fl 6, Dallas, TX, 75390

    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:

    • 5303 Harry Hines Blvd, Fl 6, Dallas, TX, 75390

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

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

33 more Humana plans haven't been checked yet.

Aetna Medicare

10 plans list Cong.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 221 Cabela Dr, Triadelphia, WV, 26059

    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 Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 221 Cabela Dr, Triadelphia, WV, 26059

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

    PPODrug coverage4.5 starsH5522-017-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 221 Cabela Dr, Triadelphia, WV, 26059

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

    HMO-POSDrug coverage3.5 starsH3959-010-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 221 Cabela Dr, Triadelphia, WV, 26059

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

    PPODrug coverage4 starsH5521-261-000Medicare.gov
    $0a month

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

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

4 plans list Cong; not listed on 3 other plans.

4plans
  • Security Blue HMO-POS Basic (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 221 Cabela Dr, Triadelphia, WV, 26059

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

    HMO-POSNo drug coverage4.5 starsH3957-043-001Medicare.gov
    $0a month
  • Security Blue HMO-POS ValueRx (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 221 Cabela Dr, Triadelphia, WV, 26059

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

    HMO-POSDrug coverage4.5 starsH3957-031-000Medicare.gov
    $53a month
  • Security Blue HMO-POS Standard (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 221 Cabela Dr, Triadelphia, WV, 26059

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

    HMO-POSDrug coverage4.5 starsH3957-045-001Medicare.gov
    $132a month
  • Security Blue HMO-POS Deluxe (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 221 Cabela Dr, Triadelphia, WV, 26059

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

    HMO-POSDrug coverage4.5 starsH3957-046-001Medicare.gov
    $188a month

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

Geisinger Gold

3 plans list Cong.

3plans
  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 2000 Oxford Dr, Ste 670, Bethel Park, PA, 15102
    • 51 Dutilh Rd, Ste 200, Cranberry Township, PA, 16066
    • 969 Eisenhower Blvd, Ste H, Johnstown, PA, 15904
    • 501 Howard Ave, Ste C200, Altoona, PA, 16601

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

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 2000 Oxford Dr, Ste 670, Bethel Park, PA, 15102
    • 51 Dutilh Rd, Ste 200, Cranberry Township, PA, 16066
    • 969 Eisenhower Blvd, Ste H, Johnstown, PA, 15904
    • 501 Howard Ave, Ste C200, Altoona, PA, 16601

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

    HMODrug coverage4 starsH3954-163-000Medicare.gov
    $29a month
  • Geisinger Gold Secure Rx (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 2000 Oxford Dr, Ste 670, Bethel Park, PA, 15102
    • 51 Dutilh Rd, Ste 200, Cranberry Township, PA, 16066
    • 969 Eisenhower Blvd, Ste H, Johnstown, PA, 15904
    • 501 Howard Ave, Ste C200, Altoona, PA, 16601

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

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH3954-097-000Medicare.gov
    $1a month

Wellcare

3 plans list Cong.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146

    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:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146

    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:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146

    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

5 more Wellcare plans haven't been checked yet.

Highmark Wholecare Medicare Assured

2 plans list Cong.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 2000 Oxford Dr, Ste 670, Bethel Park, PA, 15102
    • 51 Dutilh Rd, Ste 200, Cranberry Township, PA, 16066
    • 969 Eisenhower Blvd, Ste H, Johnstown, PA, 15904
    • 221 Cabela Dr, Triadelphia, WV, 26059
    • 501 Howard Ave, Ste C200, Altoona, PA, 16601

    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:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 2000 Oxford Dr, Ste 670, Bethel Park, PA, 15102
    • 51 Dutilh Rd, Ste 200, Cranberry Township, PA, 16066
    • 969 Eisenhower Blvd, Ste H, Johnstown, PA, 15904
    • 221 Cabela Dr, Triadelphia, WV, 26059
    • 501 Howard Ave, Ste C200, Altoona, PA, 16601

    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

Jefferson Health Plans

2 plans list Cong.

2plans
  • Jefferson Health Plans Dual Pearl (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 2000 Oxford Dr, Ste 670, Bethel Park, PA, 15102
    • 51 Dutilh Rd, Ste 200, Cranberry Township, PA, 16066
    • 969 Eisenhower Blvd, Ste H, Johnstown, PA, 15904
    • 501 Howard Ave, Ste C200, Altoona, PA, 16601

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH9207-016-000Medicare.gov
    $12.80a month
  • Jefferson Health Plans Special (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Oxford Dr, Ste 300, Monroeville, PA, 15146
    • 2000 Oxford Dr, Ste 670, Bethel Park, PA, 15102
    • 51 Dutilh Rd, Ste 200, Cranberry Township, PA, 16066
    • 969 Eisenhower Blvd, Ste H, Johnstown, PA, 15904
    • 501 Howard Ave, Ste C200, Altoona, PA, 16601

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH9207-004-000Medicare.gov
    $12.80a month

Baylor Scott & White Health Plan

Not checked yet.

Devoted

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

HealthSpring

Not checked yet.

6 more HealthSpring plans haven't been checked yet.

Molina Healthcare of Texas, Inc.

Not checked yet.

Peak Health

Not checked yet.

Perennial Advantage

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

ProCare Advantage

Not checked yet.

The Health Plan

Not checked yet.

UnitedHealthcare

Not checked yet.

23 more UnitedHealthcare plans haven't been checked yet.

UPMC for Life

Not listed on its 12 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.

Verda Health Plan of Texas

Not checked yet.

VISTA Health Plan Inc.

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

Wellpoint

Not 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 Cong 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

3 practice locations

300 Oxford Dr Ste 300
Monroeville, PA 15146

NPI Registry

221 Cabela Dr
Triadelphia, WV 26059

NPI Registry

5303 Harry Hines Blvd, 6th Floor
Dallas, TX 75390

NPI Registry
NPI issued
2020
Registry record updated
May 11, 2026

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

Common questions

Which 2027 Medicare Advantage plans list Cong Phan?

In Allegheny County, PA, Ohio County, WV and Dallas County, TX, 35 Medicare Advantage plans for 2027 list Cong 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 Cong Phan practice?

3 locations, including 300 Oxford Dr Ste 300, Monroeville, PA. All of them are listed on this page.

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

Call the member services number on your plan card and give them the NPI 1104454164, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

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

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For providers

Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Allegheny County, PA, Ohio County, WV and Dallas County, TX. 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 2026-05-11). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 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 Cong Phan 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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Does Cong take my plan?