Provider profile

Robert AfraMD

Orthopedic Surgery · Sports Medicine

Accepts Medicare Offers telehealth 2 locationsNPI 1528178837
317 N El Camino Real, Suite 405, Encinitas, CA 92024(760) 942-0565

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Medicare Advantage plans for San Diego County, CA.

Checked Oct 12, 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 40 Medicare Advantage plans for 2027

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

The 85 Medicare Advantage plans we show for San Diego County, CA in 2027

  • 40 list Robert
  • 41 not listed
  • 4 not checked yet

SCAN Health Plan

7 plans list Robert; not listed on 1 other plan.

7plans
  • SCAN Alta (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH5425-082-000Medicare.gov
    $0a month
  • SCAN Classic (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH5425-005-000Medicare.gov
    $0a month
  • SCAN Select (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH5425-134-000Medicare.gov
    $80a month
  • SCAN Balance (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with certain chronic conditionsDrug coverageH5425-105-000Medicare.gov
    $0a month

Clever Care Health Plan

6 plans list Robert.

6plans
  • Clever Care Longevity (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH7607-014-000Medicare.gov
    $0a month
  • Clever Care Value (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH7607-015-000Medicare.gov
    $0a month
  • Clever Care Breathe Select+ (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with certain chronic conditionsDrug coverageH7607-019-000Medicare.gov
    $0a month
  • Clever Care Breathe+ (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with certain chronic conditionsDrug coverageH7607-017-000Medicare.gov
    $0a month

Humana

6 plans list Robert.

6plans
  • Humana Gold Plus Giveback H5619-150 (HMO)

    HMODrug coverageH5619-150-000Medicare.gov
    $0a month
  • Humana Gold Plus H3767-001 (HMO)

    HMODrug coverageH3767-001-000Medicare.gov
    $0a month
  • Humana Gold Plus H5619-016 (HMO)

    HMODrug coverageH5619-016-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (HMO)

    HMONo drug coverageH5619-121-000Medicare.gov
    $0a month

Astiva Health

5 plans list Robert.

5plans
  • Astiva Health Savings Plan (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH1993-001-000Medicare.gov
    $0a month
  • Astiva Health C-SNP Bloom (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with certain chronic conditionsDrug coverageH1993-020-000Medicare.gov
    $0a month
  • Astiva Health C-SNP Deluxe (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with certain chronic conditionsDrug coverageH1993-007-000Medicare.gov
    $0a month
  • Astiva Health C-SNP Fountain (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with certain chronic conditionsDrug coverageH1993-019-000Medicare.gov
    $0a month

UnitedHealthcare

4 plans list Robert; not listed on 5 other plans.

4plans
  • AARP Medicare Advantage from UHC CA-0012 (HMO-POS)

    HMO-POSDrug coverageH0543-152-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx CA-MA2 (HMO-POS)

    HMO-POSNo drug coverageH0543-258-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC CA-0001 (HMO-POS)

    HMO-POSDrug coverageH0543-013-000Medicare.gov
    $29a month
  • AARP Medicare Advantage from UHC CA-0007 (HMO-POS)

    HMO-POSDrug coverageH0543-060-000Medicare.gov
    $52a month

Wellcare

4 plans list Robert.

4plans
  • Wellcare Low Premium Focus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH0562-012-000Medicare.gov
    $27a month
  • Wellcare Low Premium (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH0562-137-000Medicare.gov
    $47a month
  • Wellcare Health Net Dual Liberty (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with Medicare and MedicaidDrug coverageH3561-009-000Medicare.gov
    $0a month
  • Wellcare Specialty Simple (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMOFor people with certain chronic conditionsDrug coverageH0562-092-000Medicare.gov
    $0a month

Anthem Blue Cross · Anthem Blue Cross and Blue Shield · Anthem Blue Cross Partnership Plan

3 plans list Robert.

3plans
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Encinitas, CA, 92024
    • 5575 Ruffin Rd, San Diego, CA, 92123
    • 3910 Vista Way, Oceanside, CA, 92056

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

    HMO-POSDrug coverageH0544-065-000Medicare.gov
    $0a month
  • Anthem Prime (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Encinitas, CA, 92024
    • 5575 Ruffin Rd, San Diego, CA, 92123
    • 3910 Vista Way, Oceanside, CA, 92056

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

    HMO-POSDrug coverageH4161-003-000Medicare.gov
    $0a month
  • Anthem Select (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Encinitas, CA, 92024
    • 5575 Ruffin Rd, San Diego, CA, 92123
    • 3910 Vista Way, Oceanside, CA, 92056

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

    HMO-POSDrug coverageH0544-091-000Medicare.gov
    $0a month

1 more Anthem Blue Cross plan hasn't been checked yet.

Aetna Medicare

2 plans list Robert; not listed on 2 other plans.

2plans
  • Aetna Medicare Eagle (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMONo drug coverageH0523-099-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Legacy (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH0523-022-000Medicare.gov
    $10a month

Alignment Health Plan

2 plans list Robert; not listed on 13 other plans.

2plans
  • Alignment Health Balance Plus 004 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    PPODrug coverageH8832-004-000Medicare.gov
    $7.30a month
  • Alignment Health Advantage 005 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    PPODrug coverageH8832-005-000Medicare.gov
    $160a month

Blue Shield of California

1 plan lists Robert; not listed on 4 other plans.

1plan
  • Blue Shield AdvantageOptimum Plan 1 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 317 N El Camino Real, Ste 405, Encinitas, CA, 92024

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

    HMODrug coverageH5928-010-000Medicare.gov
    $0a month

Champion Heath Plan

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

3 more Champion Heath Plan plans haven't been checked yet.

Community Health Group

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

Imperial Health Plan of California, Inc.

Not listed on its 4 plans here. That isn't proof they're out of network.

Kaiser Permanente

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

Molina Healthcare of California

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.

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See Robert with Original Medicare

Robert accepts Medicare at the practices Medicare lists as accepting assignment. Most Medicare Supplement (Medigap) policies have no provider network and help pay Original Medicare's cost sharing. Medicare SELECT policies can require network providers for full benefits. Confirm the location and policy before scheduling care.

Accepts Medicare. Enrolled in Medicare and accepts the Medicare-approved amount as payment in full ("accepts assignment") at every practice Medicare lists.

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 21, 2026

Compare Supplement plans

2 practice locations

Robert Afra MD A Professional Corporation

317 N El Camino Real, Suite 405
Encinitas, CA 92024

Medicare's clinician list

1251 Via Mil Cumbres
Solana Beach, CA 92075

NPI Registry
  • Tri-City Medical Center · Oceanside, CA★★★★★

Hospital star ratings are Medicare's overall Care Compare ratings.

Education
University of California, Geffen School of Medicine, 1999
Gender
Male
NPI issued
2006
Registry record updated
Jan 29, 2015

Common questions

Does Robert Afra accept Medicare?

Accepts Medicare. Enrolled in Medicare and accepts the Medicare-approved amount as payment in full ("accepts assignment") at every practice Medicare lists.

Which 2027 Medicare Advantage plans list Robert Afra?

In San Diego County, CA, 40 Medicare Advantage plans for 2027 list Robert in provider data from Medicare.gov or the carrier, including SCAN Alta (HMO), SCAN Classic (HMO) and SCAN Select (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 Robert Afra take SCAN Health Plan Medicare Advantage plans?

Medicare.gov provider data lists Robert on 7 Medicare Advantage plans for 2027 in San Diego County, CA, including SCAN Alta (HMO) and SCAN Classic (HMO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or SCAN Health Plan before you enroll.

Does Robert Afra take Clever Care Health Plan Medicare Advantage plans?

Medicare.gov provider data lists Robert on 6 Medicare Advantage plans for 2027 in San Diego County, CA, including Clever Care Longevity (HMO) and Clever Care Value (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Clever Care Health Plan before you enroll.

Does Robert Afra take Humana Medicare Advantage plans?

Humana's own provider directory lists Robert on 6 Medicare Advantage plans for 2027 in San Diego County, CA, including Humana Gold Plus Giveback H5619-150 (HMO) and Humana Gold Plus H3767-001 (HMO). Confirm with the office or Humana before you enroll.

Can I see Robert Afra with a Medicare Supplement plan?

At a practice where they accept Medicare, most Medicare Supplement (Medigap) policies help pay Original Medicare's cost sharing with no provider network. Medicare SELECT policies can require network providers for full benefits. Confirm with the office and your insurer.

Where does Robert Afra practice?

2 locations, including 317 N El Camino Real, Encinitas, CA. All of them are listed on this page.

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

Call the member services number on your plan card and give them the NPI 1528178837, or ask a Silverpath advisor to check for you. It's free.

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

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Robert Afra on 10 plans from Community Health Group, Imperial Health Plan of California, Inc., Kaiser Permanente and Molina Healthcare of California in San Diego County, CA. 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 2015-01-29). Medicare enrollment, groups and hospital affiliations: CMS Doctors and Clinicians data, read Oct 9, 2026. Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 12, 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 Robert Afra 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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