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How Do I Find Medicare Doctors Near Me?

Summary: Not all doctors accept Medicare. However, over 98% of doctors nationwide do accept Medicare. So, finding a Medicare-approved doctor in your area shouldn’t be too difficult! Estimated Read Time: 6 min

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Table of Contents

  1. Do All Doctors Accept Medicare?
  2. What Doctors Can You See with Medicare?
  3. Do All Doctors Accept Medicare Advantage?
  4. Considerations When Searching for Doctors Near You Accepting Medicare
  5. How Do I Change My Primary Doctor With Medicare?

Finding doctors who accept Medicare is important for anyone enrolled in Medicare who’s looking to maintain their healthcare costs. Fortunately, 98% of physicians accept Medicare in the United States. A common search for those looking for healthcare online is for “Medicare doctors near me”. Because there are so many doctors who accept Medicare, it’s often easy to find one in your area.

Do All Doctors Accept Medicare?

No, not all doctors near you accept Medicare. However, an overwhelming number of them do. A large majority (98%) of adult primary care physicians accept Medicare, according to the Centers for Medicare & Medicaid Services.

If you’re new to Medicare or have recently made a change in your coverage, you might be looking for a new provider. Luckily, finding a doctor near you is easier when you understand how to ensure your coverage is accepted.

Networks for Original Medicare are similar to the networks you might be used to from years on a health plan through your employer or the ACA Marketplace in that to use your benefits, you’ll need to go to a facility enrolled in Medicare.

When you pair your Original Medicare with a Medicare Supplement plan (Medigap), any practitioner who accepts Original Medicare must accept your Medigap coverage for the balance. Although Medigap policies are available through private insurance companies, they do not come with specific network restrictions. Thus, your practitioner cannot refuse your Medigap plan as secondary payment if they take Original Medicare primarily.

But there is a notable difference with your Medicare coverage. There are more doctors within a Medicare network than there are in an employer or ACA insurance network. This means you can enjoy a wider range of healthcare and are likely to be afforded better options.

Additionally, for those enrolling in a Medicare Advantage plan, there is another key difference. Some Medicare Advantage plans require you to get healthcare services within the plan’s network, and other plans may allow you to receive coverage outside of the network. Always check a plan’s terms to understand where you can use your plan coverage.

What Doctors Can You See with Medicare?

Original Medicare (Medicare Part A and Part B) does not restrict you to a network of doctors. You can visit any physician who accepts Medicare.

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But, you may save money if you make sure first that providers accept Medicare Assignment. The easiest way how to find a Medicare doctor near you is to use the Physician Search tool on Medicare.gov.

To use the tool, input your location and whether you are searching for a primary care physician or a specialist. Then press the search button.
You will see a list of doctors in your area who accept Medicare.

The next step is to call the office and determine if they are accepting new patients.

You can also use the Care Compare tool to find and compare doctors, clinicians, and hospitals near you. This tool includes listings for skilled nursing facilities, hospice care, rehabs, dialysis facilities, and more.

Additionally, when searching for doctors near you that accept Medicare, here are other methods you may wish to consider:

  • Contact your insurance provider to determine whether your doctor is in your network.
  • Check the listings of your insurance provider to see which doctors accept your coverage. This can be an important option for those with Medicare Advantage plans.

Do All Doctors Accept Medicare Advantage?

Unlike Original Medicare or Medigap plans, Medicare Advantage plans come with provider networks. You’ll want to make sure that all your doctors are in the plan’s network when using Medicare Advantage. Otherwise, you’ll be paying out-of-pocket.

There are different types of Medicare Advantage plans. To understand whether or not your doctor is in your network, you must refer to the details of your individual plans as networks may vary.

Some specialty doctors are covered by Original Medicare, including Language Pathologists, Mental Health Therapists, Physical Therapists, and Podiatrists. However, for those covered by a Medicare Advantage plan, a referral may be necessary to receive healthcare from a specialist that is covered.

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Overall, the healthcare needs of each Medicare enrollee will vary, meaning the best solution for your coverage will also vary. Speaking with a licensed insurance representative can help you compare and explore plan options to find one that meets your healthcare needs.

Considerations When Searching for Doctors Near You Accepting Medicare

Having a Medicare doctor near you is important for receiving the best healthcare, but there are many other considerations you will want to remember. Sure, having a physician in your network will help you save money, but healthcare is more complicated than this.

You will want to be sure that the Medicare doctor near your home is also familiar with your healthcare needs, especially if you are dealing with a rare condition.

If you are looking for doctors who not only accept Medicare coverage but are also specialists or board-certified in a specific area, you may also do so through the many tools available.

The American Medical Association (AMA) has a search engine online specializing in helping find Medicare doctors near you. You can search by specialty and review their board certification and training.

As a nonprofit organization, the American Board of Medical Specialties (ABMS) comprises 24 medical specialty boards responsible for overseeing certification for doctors. Here, you can look up your doctor to find their credentials.

You can also use the tool to find board-certified doctors in a certain specialty near you. While you will need to sign up, this tool is free. There is also a book that lists doctors from ABMS, known as The Official ABMS Directory of Board-Certified Medical Specialists. This publication is often found at Area Agencies on Aging, Social Security offices, senior centers, libraries, and hospitals.

The Administrators in Medicine (AIM) provides a search tool online. You can look up doctors by name to view their licensing background and any if any, disciplinary actions taken against them in the past. AIM consists of state medical board directors.

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Finally, you can take advantage of the search directory provided online by the National Library of Medicine to research their primary physicians.

How Do I Change My Primary Doctor With Medicare?

Medicare Advantage plan enrollees must choose a primary care doctor. Original Medicare does not have this requirement. If you would like to switch your primary doctor, you’ll need to fill out a request of change form online through your insurance provider or by calling member services.

Because your primary care doctor is the one that makes referrals for specialty care, this is an important consideration. While you may still be able to receive treatment without a referral, the costs are often not covered by your insurance provider, meaning you’ll be responsible for expensive out-of-pocket costs.



MedicareFAQ is dedicated to providing you with authentic and trustworthy Medicare information. We have strict sourcing guidelines and work diligently to serve our readers with accurate and up-to-date content.

  1. Annual Medicare Participation Announcement, CMS. Accessed September 2023.
Jagger Esch

Jagger Esch

Medicare Educator
Jagger Esch is the Medicare Educator for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and MedicareFAQ.com. Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.
Ashlee Zareczny

Ashlee Zareczny

Compliance Manager
Ashlee Zareczny is the Compliance Manager for MedicareFAQ. As a licensed Medicare agent in all 50 states, she is dedicated to educating those eligible for Medicare by providing the necessary resources and tools. Additionally, Ashlee trains new and tenured Medicare agents on CMS compliance guidelines. Ashlee is a Medicare expert who specializes in Medicare Supplement, Medicare Advantage, and Medicare Part D education.

2 thoughts on "How Do I Find Medicare Doctors Near Me?"

  1. I am living in the Westminster area of Colorado and I am looking for doctors that take Medicare


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