Provider profile

Andrew BalderMD

Internal Medicine

NPI 1720188832
11 Wilbraham Rd, Springfield, MA 01109413-794-3710

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Medicare Advantage plans for Hampden County, MA.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 53 Medicare Advantage plans we show for Hampden County, MA in 2027

  • 20 list Andrew
  • 33 not listed

Blue Cross Blue Shield of Massachusetts

7 plans list Andrew.

7plans
  • Medicare HMO Blue SaverRx (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109
    • 755 Worthington St, Springfield, MA, 01105

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

    HMO-POSDrug coverage4.5 starsH2261-024-000Medicare.gov
    $0a month
  • Medicare HMO Blue ValueRx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109
    • 755 Worthington St, Springfield, MA, 01105

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

    HMODrug coverage4.5 starsH2261-026-000Medicare.gov
    $68a month
  • Medicare PPO Blue EssentialRx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109
    • 755 Worthington St, Springfield, MA, 01105

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

    PPODrug coverage4 starsH2230-019-000Medicare.gov
    $69a month
  • Medicare PPO Blue ValueRx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109
    • 755 Worthington St, Springfield, MA, 01105

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

    PPODrug coverage4 starsH2230-020-000Medicare.gov
    $108a month

Health New England Medicare Advantage Plans

7 plans list Andrew.

7plans
  • Health New England Medicare Basic No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109

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

    HMONo drug coverage3 starsH8578-009-000Medicare.gov
    $0a month
  • Health New England Medicare Premium No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109

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

    HMONo drug coverage3 starsH8578-003-000Medicare.gov
    $0a month
  • Health New England Medicare Value (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109

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

    HMODrug coverage3 starsH8578-012-000Medicare.gov
    $15a month
  • Health New England Medicare Compass (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109

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

    PPODrug coverage3 starsH2737-001-000Medicare.gov
    $64a month

Fallon Health

2 plans list Andrew; not listed on 4 other plans.

2plans
  • NaviCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH8928-002-000Medicare.gov
    $22.70a month
  • NaviCare NHC (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Springfield, MA, 01109

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH8928-001-000Medicare.gov
    $25.20a month

Tufts Health Plan

2 plans list Andrew; not listed on 8 other plans.

2plans
  • Tufts Health One Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Ste 2, Springfield, MA, 01109
    • 11 Wilbraham Rd, Springfield, MA, 01109
    • 755 Worthington St, Springfield, MA, 01105
    • 380 Plainfield St, Springfield, MA, 01107
    • 100 S Shore Dr, Ste 200, East Haven, CT, 06512

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

    HMOFor people with Medicare and MedicaidDrug coverageH5314-001-000Medicare.gov
    $18.50a month
  • Tufts Health One Care CW (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Ste 2, Springfield, MA, 01109
    • 11 Wilbraham Rd, Springfield, MA, 01109
    • 755 Worthington St, Springfield, MA, 01105
    • 380 Plainfield St, Springfield, MA, 01107
    • 100 S Shore Dr, Ste 200, East Haven, CT, 06512

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

    HMOFor people with Medicare and MedicaidDrug coverageH5314-002-000Medicare.gov
    $25.30a month

Commonwealth Care Alliance Massachusetts

1 plan lists Andrew.

1plan
  • CCA Senior Care Options (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Ste 2, Springfield, MA, 01109
    • 11 Wilbraham Rd, Ste 1, Springfield, MA, 01109
    • 140 High St, Springfield, MA, 01105
    • 755 Worthington St, Springfield, MA, 01105

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

    HMOFor people with Medicare and MedicaidDrug coverage4.5 starsH2225-001-000Medicare.gov
    $33.80a month

Commonwealth Care Alliance, Inc.

1 plan lists Andrew.

1plan
  • CCA One Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 11 Wilbraham Rd, Ste 2, Springfield, MA, 01109
    • 11 Wilbraham Rd, Ste 1, Springfield, MA, 01109
    • 140 High St, Springfield, MA, 01105
    • 755 Worthington St, Springfield, MA, 01105

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

    HMOFor people with Medicare and MedicaidDrug coverageH1486-001-000Medicare.gov
    $33.80a month

Aetna Medicare

Not listed on its 5 plans here. That isn't proof they're out of network.

Humana

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

Molina Healthcare of Massachusetts

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

UnitedHealthcare

Not listed on its 9 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 Andrew 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 23, 2026

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Practice location

11 Wilbraham Rd
Springfield, MA 01109

NPI Registry
NPI issued
2006
Registry record updated
Jan 18, 2019

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

Common questions

Which 2027 Medicare Advantage plans list Andrew Balder?

In Hampden County, MA, 20 Medicare Advantage plans for 2027 list Andrew in provider data from Medicare.gov or the carrier, including Medicare HMO Blue SaverRx (HMO-POS), Medicare HMO Blue ValueRx (HMO) and Medicare PPO Blue EssentialRx (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 Andrew Balder take Blue Cross Blue Shield of Massachusetts Medicare Advantage plans?

Medicare.gov provider data lists Andrew on 7 Medicare Advantage plans for 2027 in Hampden County, MA, including Medicare HMO Blue SaverRx (HMO-POS) and Medicare HMO Blue ValueRx (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Blue Cross Blue Shield of Massachusetts before you enroll.

Does Andrew Balder take Health New England Medicare Advantage Plans Medicare Advantage plans?

Medicare.gov provider data lists Andrew on 7 Medicare Advantage plans for 2027 in Hampden County, MA, including Health New England Medicare Basic No Rx (HMO) and Health New England Medicare Premium No Rx (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Health New England Medicare Advantage Plans before you enroll.

Does Andrew Balder take Fallon Health Medicare Advantage plans?

Medicare.gov provider data lists Andrew on 2 Medicare Advantage plans for 2027 in Hampden County, MA, including NaviCare (HMO D-SNP) and NaviCare NHC (HMO D-SNP). 4 other plans 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 Fallon Health before you enroll.

Where does Andrew Balder practice?

11 Wilbraham Rd, Springfield, MA 01109.

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

Call the member services number on your plan card and give them the NPI 1720188832, 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 Andrew Balder on 21 plans from Aetna Medicare, Humana, Molina Healthcare of Massachusetts and UnitedHealthcare in Hampden County, MA. 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 2019-01-18). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 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 Andrew Balder 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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