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Provider profile

Stephen SmithMD

Obstetrics & Gynecology, Maternal & Fetal Medicine

NPI 1255333225
1235 Old York Rd, Suite 119, Abington, PA 19001215-481-4575

2027 Medicare Advantage

Check your plan

Medicare Advantage plans for Montgomery County, PA.

Checked Oct 24, 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 70 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Stephen 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

  • 70 list Stephen
  • 15 not listed
  • 2 not checked yet

Humana

13 plans list Stephen.

13plans

  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 830 Town Center Dr, Langhorne, PA, 19047

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

    PPODrug coverage4 starsH5525-085-002Medicare.gov
    $0a month

  • Humana Total Complete (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 830 Town Center Dr, Langhorne, PA, 19047
    • 1650 Huntingdon Pike, Ste 107, Jenkintown, PA, 19046

    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:

    • 830 Town Center Dr, Langhorne, PA, 19047

    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:

    • 830 Town Center Dr, Langhorne, PA, 19047

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

    PPODrug coverage4 starsH5525-059-000Medicare.gov
    $0a month

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

11 plans list Stephen.

11plans

  • Keystone 65 Assured Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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 Stephen.

10plans

  • Aetna Medicare Advantra Eagle (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

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

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

Devoted

9 plans list Stephen.

9plans

  • DEVOTED CHOICE 007 PA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste G01, Abington, PA, 19001
    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 306, Abington, PA, 19001
    • 1245 Highland Ave, Ste 505, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste G01, Abington, PA, 19001
    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 306, Abington, PA, 19001
    • 1245 Highland Ave, Ste 505, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste G01, Abington, PA, 19001
    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 306, Abington, PA, 19001
    • 1245 Highland Ave, Ste 505, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste G01, Abington, PA, 19001
    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 306, Abington, PA, 19001
    • 1245 Highland Ave, Ste 505, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

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

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

Jefferson Health Plans

8 plans list Stephen.

8plans

  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1235 Old York Rd, Ste 119, Abington, PA, 19001

    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:

    • 1235 Old York Rd, Ste 119, Abington, PA, 19001

    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:

    • 1235 Old York Rd, Ste 119, Abington, PA, 19001

    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:

    • 1235 Old York Rd, Ste 119, Abington, PA, 19001

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

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

HealthSpring

7 plans list Stephen.

7plans

  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1235 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

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

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

Geisinger Gold

3 plans list Stephen.

3plans

  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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 Stephen.

3plans

  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste 505, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 505, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste 505, Abington, PA, 19001

    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 Stephen.

2plans

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste G01, Abington, PA, 19001
    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1200 Old York Rd, Fl 1, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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:

    • 1245 Highland Ave, Ste G01, Abington, PA, 19001
    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1200 Old York Rd, Fl 1, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

    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

Perennial Advantage

1 plan lists Stephen.

1plan

  • Perennial Advantage Freedom (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste G01, Abington, PA, 19001
    • 1245 Highland Ave, Ste 109, Abington, PA, 19001
    • 1245 Highland Ave, Ste 306, Abington, PA, 19001
    • 1245 Highland Ave, Ste 505, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001
    • 1235 Old York Rd, Ste G18, Abington, PA, 19001

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

    HMODrug coverageH3419-006-000Medicare.gov
    $0a month

UPMC for Life

1 plan lists Stephen; not listed on 1 other plan.

1plan

  • UPMC for Life PPO Salute (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1200 Old York Rd, Fl Toll, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001

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

    PPONo drug coverage4.5 starsH5533-016-002Medicare.gov
    $0a month

UPMC for Life Complete Care

1 plan lists Stephen.

1plan

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1245 Highland Ave, Ste 404, Abington, PA, 19001
    • 1200 Old York Rd, Fl Toll, Abington, PA, 19001
    • 1235 Old York Rd, Ste 119, Abington, PA, 19001

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH7123-001-000Medicare.gov
    $0a month

VISTA Health Plan Inc.

1 plan lists Stephen.

1plan

  • Keystone First VIP Choice (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1235 Old York Rd, Ste 119, Abington, PA, 19001
    • 1200 Old York Rd, Abington, PA, 19001

    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

UnitedHealthcare

Not listed on its 14 plans 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 Stephen takes it. Free.

Original Medicare

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

Where they practice

Practice location

1235 Old York Rd, Suite 119
Abington, PA 19001

215-481-4575Directions
NPI Registry
NPI issued
2005
Registry record updated
Sep 26, 2023

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

Questions

Common questions

Which 2027 Medicare Advantage plans list Stephen Smith?

In Montgomery County, PA, 70 Medicare Advantage plans for 2027 list Stephen in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO), Humana Total Complete (HMO) and Humana USAA Honor Giveback (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.

Does Stephen Smith take Humana Medicare Advantage plans?

Humana's own provider directory lists Stephen on 13 Medicare Advantage plans for 2027 in Montgomery County, PA, including Humana Essentials Plus Giveback (PPO) and Humana Total Complete (HMO). Confirm with the office or Humana before you enroll.

Does Stephen Smith take Highmark Blue Cross Blue Shield or Highmark Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Stephen on 11 Medicare Advantage plans for 2027 in Montgomery 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.

Does Stephen Smith take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Stephen on 10 Medicare Advantage plans for 2027 in Montgomery County, PA, including Aetna Medicare Advantra Eagle (HMO-POS) and Aetna Medicare Advantra Signature (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Where does Stephen Smith practice?

1235 Old York Rd, Suite 119, Abington, PA 19001.

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

Call the member services number on your plan card and give them the NPI 1255333225, 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 Stephen Smith on 14 plans from UnitedHealthcare 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.

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Nearby

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Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2023-09-26). 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 Stephen Smith 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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