Provider profile

Frank BalloquiMD

Family Medicine

3 locationsNPI 1346503315
320 W Pumping Station Rd Ste 3, Quakertown, PA 18951215-529-4240

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Medicare Advantage plans for Bucks, Westmoreland and Philadelphia counties, PA.

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 72 plans so far

Some of Highmark Blue Cross Blue Shield or Highmark Blue Shield, Humana, Aetna Medicare, Devoted, Geisinger Gold, Jefferson Health Plans, HealthSpring, Wellcare, Highmark Wholecare Medicare Assured, Clover Health, Perennial Advantage, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care and VISTA Health Plan Inc.'s 2027 plans in Bucks, Westmoreland and Philadelphia counties, PA haven't been checked yet.

The 155 Medicare Advantage plans we show for Bucks, Westmoreland and Philadelphia counties, PA in 2027

  • 72 list Frank
  • 22 not listed
  • 61 not checked yet

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

12 plans list Frank.

12plans
  • Keystone 65 Assured Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951
    • 101 W 7th St, Ste 1A, Pennsburg, PA, 18073
    • 1490 8th Ave, Ste 130, Bethlehem, PA, 18018

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

    HMODrug coverage4 starsH3952-062-000Medicare.gov
    $0a month
  • Keystone 65 Focus Rx (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951
    • 101 W 7th St, Ste 1A, Pennsburg, PA, 18073
    • 1490 8th Ave, Ste 130, Bethlehem, PA, 18018

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

    HMO-POSDrug coverage4 starsH3952-053-000Medicare.gov
    $0a month
  • Keystone 65 Liberty Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951
    • 101 W 7th St, Ste 1A, Pennsburg, PA, 18073
    • 1490 8th Ave, Ste 130, Bethlehem, PA, 18018

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951
    • 101 W 7th St, Ste 1A, Pennsburg, PA, 18073
    • 1490 8th Ave, Ste 130, Bethlehem, PA, 18018

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

    HMONo drug coverage4 starsH3952-008-000Medicare.gov
    $0a month

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

Humana

12 plans list Frank.

12plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951
    • 2401 Northampton St, Easton, PA, 18045

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951
    • 2401 Northampton St, Easton, PA, 18045

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951
    • 2401 Northampton St, Easton, PA, 18045

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

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

8 more Humana plans haven't been checked yet.

Aetna Medicare

10 plans list Frank.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

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

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

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

Devoted

9 plans list Frank.

9plans
  • DEVOTED CHOICE 007 PA (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 320 W Pumping Station Rd Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

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

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

10 more Devoted plans haven't been checked yet.

Geisinger Gold

9 plans list Frank.

9plans
  • Geisinger Gold Classic 360 Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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.

Jefferson Health Plans

8 plans list Frank.

8plans
  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

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

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

HealthSpring

7 plans list Frank.

7plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Unit 3, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Unit 3, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Unit 3, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Unit 3, Quakertown, PA, 18951
    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

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

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

3 more HealthSpring plans haven't been checked yet.

Wellcare

3 plans list Frank.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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 Frank.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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:

    • 320 W Pumping Station Rd, Ste 3, Quakertown, PA, 18951

    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

2 more Highmark Wholecare Medicare Assured plans haven't been checked yet.

Clover Health

Not listed on its 2 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 checked yet.

4 more UnitedHealthcare plans haven't been checked yet.

UPMC for Life

Not checked yet.

5 more UPMC for Life plans haven't been checked yet.

UPMC for Life Complete Care

Not checked yet.

1 more UPMC for Life Complete Care plan hasn't been checked yet.

VISTA Health Plan Inc.

Not checked yet.

1 more VISTA Health Plan Inc. plan hasn'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 Frank 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

320 W Pumping Station Rd Ste 3
Quakertown, PA 18951

NPI Registry

1 Mellon Way
Latrobe, PA 15650

NPI Registry

9880 Bustleton Ave Ste 301
Philadelphia, PA 19115

NPI Registry
NPI issued
2012
Registry record updated
Feb 21, 2023

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

Common questions

Which 2027 Medicare Advantage plans list Frank Balloqui?

In Bucks, Westmoreland and Philadelphia counties, PA, 72 Medicare Advantage plans for 2027 list Frank in provider data from Medicare.gov or the carrier, including Keystone 65 Assured Rx (HMO), Keystone 65 Focus Rx (HMO-POS) and Keystone 65 Liberty Medical Only (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.

Where does Frank Balloqui practice?

3 locations, including 320 W Pumping Station Rd Ste 3, Quakertown, PA. All of them are listed on this page.

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

Call the member services number on your plan card and give them the NPI 1346503315, 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 Frank'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 Bucks, Westmoreland and Philadelphia counties, PA. 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 2023-02-21). 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 Frank Balloqui 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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