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Medicare Doctors in St Thomas, VI

174 in-network providers across 39 specialties and 2 plans

174 Providers
39 Specialties
Medicare’s Us Virgin Islands network spans 402 providers. St Thomas accounts for 43% of that.
Showing 120 of 174 providers·
MZ
Dr. Michael Zilles, MD
Orthopedic Surgery
Po Box, St Thomas, VI 82501
32 years experience · George Washington University School Of M...
Medicare✓ Medicare10 plans
LS
Dr. Leroy Sterling, MD
Cardiovascular Disease (Cardiology)
9048 Sugar Estate, St Thomas, VI 00802
47 years experience · University Of Colorado School Of Medicin...
Medicare✓ Medicare5 plans
CP
Cynthia Portalatin, CSW
Clinical Social Worker
9048 Sugar Est, St Thomas, VI 00802
12 years experience · Other
Medicare1 plans
MK
Dr. Munish Kumar, MD
Pediatric Medicine
4007 Estate Diamond Ruby, St Thomas, VI 00820
37 years experience · Other
Medicare✓ Medicare7 plans

About Medicare Coverage in St Thomas

Medicare operates 2 distinct networks in St Thomas, VI, with a combined in-network roster of 174 doctors across 39 medical specialties. Among the five largest insurers we track in St Thomas, Medicare ranks #1 by provider count. Use this page to confirm a specific provider is in-network, understand which Medicare networks have the widest reach in St Thomas, and compare coverage against other major insurers before scheduling care.

Medicare publishes its St Thomas directory at the network level rather than the consumer-plan level. The labels on each row below (for example Original Medicare (Accepts Assignment)) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.

Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Last refreshed July 2, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.

Medicare Networks in St Thomas

Medicare contracts with doctors at the network level in St Thomas. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.

Plan / NetworkTypeDoctors

Original Medicare (Accepts Assignment)

government

141

Original Medicare (May Accept Assignment)

government

33

Top Specialties Accepting Medicare

Medicare’s St Thomas network spans 39 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.

Click any specialty below to see a filtered list of just those in-network providers in St Thomas, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.

Top Hospitals Serving Medicare Patients in St Thomas

Hospitals with the most Medicare-network physicians practicing there. Large affiliation counts indicate that Medicare has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.

Hospital coverage is a separate contract from physician coverage. your Medicare plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.

Coverage Compared in St Thomas

Side-by-side provider counts for the five largest commercial and government insurers tracked in St Thomas. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.

If Medicare’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s St Thomas provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.

Frequently Asked Questions

Common questions about Medicare coverage in St Thomas

How do I find an Medicare in-network doctor in St Thomas, VI?

Medicare has 174 in-network providers across 39 medical specialties in St Thomas. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified July 2, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.

Which hospitals in St Thomas accept Medicare?

Hospitals where Medicare doctors most commonly practice in St Thomas include NORTHEAST GEORGIA MEDICAL CENTER, INC, ROY LESTER SCHNEIDER HOSPITAL,THE, MARION COMMUNTIY HOSPITAL, SENTARA NORTHERN VIRGINIA MEDICAL CENTER. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Medicare plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.

Which medical specialties have the most Medicare providers in St Thomas?

Medicare's St Thomas network is largest in Diagnostic Radiology (55), Interventional Radiology (15), Physician Assistant (9). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.

Why don't I see specific Medicare plan names like Bronze or Silver?

Medicare files its St Thomas provider directory at the network level rather than by consumer plan name. The labels above (such as Original Medicare (Accepts Assignment)) are the network identifiers Medicare uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.

How do I verify a doctor is in-network with Medicare?

Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Medicare plan, and third check Medicare's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed July 2, 2026.

What if my doctor isn't listed here?

This list reflects Medicare's submitted network data as of the last federal filing on July 2, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Medicare, then check Medicare's own member portal for confirmation.

When was this Medicare data last updated?

The Medicare St Thomas provider list was last refreshed July 2, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.

Related healthcare resources

Patient resources for St Thomas Medicare members.

Data freshness

Last verified July 2, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly