Skip to main content

UMR Doctors in Pennsburg, PA

61 in-network providers across 16 specialties and 4 plans

61 Providers
16 Specialties
UMR’s Pennsylvania network spans 63,826 providers. Pennsburg contributes 61 in-network providers. under 1% of the statewide total. The largest UMR footprint in Pennsylvania is in Philadelphia (11,790 providers).
Showing 120 of 61 providers·
RR
Dr. R. Melody Reynolds, MD
Obstetrics/Gynecology
St Lukes Physician Group Inc
2793 Geryville Pike, Pennsburg, PA 18073· 1.0 mi away
17 years experience · Other
UMR✓ Medicare13 plans
JB
Dr. Jeffrey Burtaine, MD
Preventive Medicine
St Lukes Warren Physician Group Pc
187 County Rd, Pennsburg, PA 07823
57 years experience · Other
UMR✓ Medicare9 plans
SR
Stephen Ryan, PA
Physician Assistant
Lehigh Valley Physician Group
101 W 7th St, Pennsburg, PA 18073· 0.6 mi away
24 years experience · Other
UMR✓ Medicare12 plans
JB
Julie Boyson, PA
Physician Assistant
Lehigh Valley Physician Group
320 W Pumping Station Rd, Pennsburg, PA 18951· 7.4 mi away
8 years experience · Other
UMR✓ Medicare12 plans
MD
Dr. Michael Durkin, MD
Cardiovascular Disease (Cardiology)
St Lukes Physician Group Inc
360 W Riddle St, Pennsburg, PA 18218
25 years experience · Drexel University College Of Medicine
UMR✓ Medicare13 plans
CC
Dr. Charles Campbell, MD
Ophthalmology
Eyecare Of The Valley P.C.
240 Pottstown Ave, Pennsburg, PA 18073· 0.7 mi away
54 years experience · Perelman School Of Med At The University...
UMR✓ Medicare9 plans

About UMR Coverage in Pennsburg

UMR operates 4 distinct networks in Pennsburg, PA, with a combined in-network roster of 61 doctors across 16 medical specialties. Among the five largest insurers we track in Pennsburg, UMR ranks #4 by provider count, the leader is Medicare with 77 in-network doctors. Use this page to confirm a specific provider is in-network, understand which UMR networks have the widest reach in Pennsburg, and compare coverage against other major insurers before scheduling care.

UMR publishes its Pennsburg directory at the network level rather than the consumer-plan level. The labels on each row below (for example Choice Plus POS) 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 May 29, 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.

UMR Networks in Pennsburg

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

Plan / NetworkTypeDoctors

Choice Plus POS

POS

40

Select Plus POS

POS

40

XME

40

OHPH Chiro

1

Top Specialties Accepting UMR

UMR’s Pennsburg network spans 16 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 Pennsburg, 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.

Physician Experience in UMR’s Pennsburg Network

Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For UMR’s Pennsburg network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.

A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.

Median14years of experience
197 UMR providers in Pennsburg with graduation-year data
Early career0–5 yrs
33providers
17%
Established6–15 yrs
70providers
36%
Senior16–30 yrs
53providers
27%
Veteran30+ yrs
41providers
21%

Telehealth Coverage in Pennsburg

10 of 61 UMR in-network providers (16%) offer telehealth visits in Pennsburg. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.

Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your UMR member ID to confirm your plan covers the visit type you need.

Top specialties offering telehealth in Pennsburg

Top Hospitals Serving UMR Patients in Pennsburg

Hospitals with the most UMR-network physicians practicing there. Large affiliation counts indicate that UMR 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 UMR 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 Pennsburg

Side-by-side provider counts for the five largest commercial and government insurers tracked in Pennsburg. 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 UMR’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Pennsburg provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.

Nearby Cities with UMR Coverage

Cities closest to Pennsburg where UMR has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.

The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s UMR network size. a small count doesn’t mean no coverage, just that your in-Pennsburg options are likely more plentiful.

Frequently Asked Questions

Common questions about UMR coverage in Pennsburg

How do I find an UMR in-network doctor in Pennsburg, PA?

UMR has 61 in-network providers across 16 medical specialties in Pennsburg. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 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 Pennsburg accept UMR?

Hospitals where UMR doctors most commonly practice in Pennsburg include ST LUKES HOSPITAL BETHLEHEM, ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS, ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS, LEHIGH VALLEY HOSPITAL. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your UMR 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 UMR providers in Pennsburg?

UMR's Pennsburg network is largest in Physician Assistant (17), Family Practice (10), Nurse Practitioner (10). 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.

How does UMR compare to other insurers in Pennsburg?

UMR ranks #4 of 6 major insurers tracked in Pennsburg by provider count, with 61 doctors. Medicare leads at 77 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in Pennsburg.

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

UMR files its Pennsburg provider directory at the network level rather than by consumer plan name. The labels above (such as Choice Plus POS) are the network identifiers UMR 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 UMR?

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 UMR plan, and third check UMR's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.

What if my doctor isn't listed here?

This list reflects UMR's submitted network data as of the last federal filing on May 29, 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 UMR, then check UMR's own member portal for confirmation.

When was this UMR data last updated?

The UMR Pennsburg provider list was last refreshed May 29, 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 Pennsburg UMR members.

Data freshness

Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly