Exclusive Provider Organization
There are 2,278 active exclusive provider organization providers in the United States, distributed across 56 states. (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is The directory pages currently published below cover 3 states.
By state
Top metros
- HOUSTON, TX 43 providers
- DALLAS, TX 11 providers
- ATLANTA, GA 10 providers
- AUSTIN, TX 6 providers
- SAN ANTONIO, TX 6 providers
- GARLAND, TX 5 providers
- ARLINGTON, TX 5 providers
- MISSOURI CITY, TX 4 providers
- DESOTO, TX 3 providers
- ALPHARETTA, GA 3 providers
- MCALLEN, TX 3 providers
- DECATUR, GA 3 providers
- FORT WORTH, TX 3 providers
- MARIETTA, GA 3 providers
- BEAUMONT, TX 2 providers
- BAYTOWN, TX 2 providers
- AMARILLO, TX 2 providers
- AUGUSTA, GA 2 providers
- ADDISON, TX 2 providers
- BROWNSVILLE, TX 2 providers
Related taxonomy codes
- Health Maintenance Organization 4,596 active providers 302R00000X
- Preferred Provider Organization 3,089 active providers 305R00000X
- Point of Service 2,696 active providers 305S00000X
About exclusive provider organization
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Frequently asked
What does a exclusive provider organization provider do?
Exclusive Provider Organization providers are healthcare professionals classified under the NUCC Healthcare Provider Taxonomy. Refer to the NUCC taxonomy definitions and your state licensing board for scope of practice details.
How do I verify a exclusive provider organization provider's NPI?
Every NPI on Praxis MD has a verifiable record in the official CMS NPPES registry. Open NPPES to confirm, then check the issuing state board for current license status.
How current is this data?
Each page shows the CMS NPPES source snapshot date used to build it. Use the linked CMS record when you need the latest source entry.