Compare 124 pulmonologists in Pittsburgh, PA. Check ratings, insurance, and availability.
124
Pulmonologists
100%
Accepting patients
63%
Most common: MD
Ranked by Clarity Score, based on profile detail, verification, and patient activity.
Pittsburgh is a UPMC town, and there is no getting around it. UPMC is one of the largest nonprofit health systems in the country, and it functions as both a hospital operator and an insurance company. Allegheny Health Network (AHN), backed by Highmark Blue Cross, provides the main alternative. The rivalry between UPMC and Highmark shapes nearly every healthcare decision a Pittsburgh resident makes.
Pittsburgh has 124 pulmonologists. The most common credential is MD (63%). 100% are currently accepting new patients. Practitioners see patients in neighborhoods including Shadyside, Squirrel Hill, Lawrenceville, and Strip District.
The Oakland neighborhood is Pittsburgh's medical hub, home to UPMC Presbyterian, UPMC Magee-Womens, and UPMC Children's. Allegheny General Hospital sits on the North Side. Pittsburgh's geography (rivers, bridges, hills) makes cross-city travel unpredictable, so most residents choose the hospital system closest to their neighborhood. The T light rail connects South Hills communities to downtown, but bus routes are the primary transit option for hospital access.
Nearby hospitals include UPMC Presbyterian, UPMC Shadyside, and Allegheny General Hospital. Local training programs run through University of Pittsburgh School of Medicine and Carnegie Mellon University. UPMC is one of the largest nonprofit health systems in the US, employing over 95,000 people.
The Pittsburgh insurance market is a two-player game: UPMC Health Plan and Highmark Blue Cross Blue Shield. Employer plans typically align with one system. On the ACA marketplace, both plans compete on price and network breadth. Medicaid managed care is served by UPMC for You, Highmark Wholecare (formerly Gateway Health), and AmeriHealth Caritas. Choosing between the two plans is, effectively, choosing between the two hospital systems. 89% accept Medicare.
The first visit includes a review of your symptoms, smoking history, environmental exposures, and current medications. The pulmonologist will listen to your lungs and may order pulmonary function tests (PFTs), which measure how well your lungs move air and exchange oxygen. PFTs involve breathing into a mouthpiece in various patterns. You may also need imaging or a bronchoscopy depending on your symptoms.
The first question every new Pittsburgh resident should answer: are you on UPMC insurance or Highmark insurance? Your insurance determines which hospital system and physicians are in-network. This is not optional advice; it is the most important healthcare decision you will make here.
See a pulmonologist for a chronic cough lasting more than eight weeks, shortness of breath that worsens over time, COPD management, severe or hard-to-control asthma, recurrent pneumonia, abnormal chest imaging (nodules, masses, scarring), coughing up blood, occupational lung exposures (asbestos, silica), or sleep-disordered breathing that a sleep study has confirmed.
Office visit copay: $30-75 · Pulmonary function test: $150-500 · Chest CT: $300-3,000 · Bronchoscopy: $1,500-5,000
Air quality in Pittsburgh has improved dramatically since the steel era, but the region still has days with elevated particulate matter, particularly in river valleys where inversions trap pollution. Respiratory conditions and allergies are common complaints.
Pulmonologists manage moderate to severe asthma, perform pulmonary function testing, and develop treatment plans that reduce flares and keep your airways open.
COPD is a progressive lung condition most commonly caused by smoking. Pulmonologists prescribe inhalers, pulmonary rehabilitation, and oxygen therapy to slow progression and improve quality of life.
Loud snoring, gasping during sleep, and daytime exhaustion may indicate obstructive sleep apnea. Pulmonologists order sleep studies and manage CPAP therapy or other treatments.
A cough that lasts more than eight weeks has a cause, whether it is acid reflux, postnasal drip, asthma, or something else. Pulmonologists work through the differential to find and treat it.
Pulmonary fibrosis and other interstitial lung diseases cause progressive scarring of the lungs. Pulmonologists manage these complex conditions with medication and monitoring to slow disease progression.
Pittsburgh, PA has 124 licensed pulmonologists. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of pulmonologists in Pittsburgh, PA are currently accepting new patients. You can filter your search on FindClarity to show only providers who are taking new patients.
The Pittsburgh insurance market is defined by the UPMC Health Plan and Highmark Blue Cross Blue Shield rivalry. Employer plans tend to offer one or the other, rarely both. On the ACA marketplace, UPMC Health Plan and Highmark compete directly. Medicaid is administered through UPMC for You, Highmark Wholecare (formerly Gateway Health), and AmeriHealth Caritas.
An office visit copay is $30 to $75. Pulmonary function tests cost $150 to $500. A chest CT runs $300 to $3,000. A bronchoscopy costs $1,500 to $5,000. Actual costs in Pittsburgh, PA depend on the provider and your insurance plan. Brand-name inhalers can be expensive ($200 to $500 per month). Generic alternatives exist for many common inhalers. Ask your pulmonologist about cost-effective options and manufacturer savings programs.
Pittsburgh healthcare revolves around the UPMC vs. AHN/Highmark divide. UPMC Health Plan members can use UPMC facilities at in-network rates. Highmark members have full access to AHN facilities and limited (though expanding) access to UPMC. Before choosing a primary care doctor, verify that your insurance covers their hospital system.
MD stands for Doctor of Medicine and DO stands for Doctor of Osteopathic Medicine. Both are equivalent qualifications. In Pittsburgh, PA, 63% hold the MD credential and 8% hold DO. The difference is in training pathway, not quality of care.
89% of pulmonologists in Pittsburgh, PA accept Medicare. Medicare covers pulmonology visits, PFTs, and pulmonary rehabilitation (up to 36 sessions). Supplemental oxygen and nebulizers are covered under durable medical equipment. You can filter for Medicare-accepting providers on FindClarity.
UPMC and Highmark Blue Cross Blue Shield have been in a long-running business dispute because UPMC operates its own competing insurance plan. As a result, UPMC hospitals and many UPMC physicians are not fully in-network for Highmark insurance members, and vice versa. A consent decree required some continued access, but the terms have evolved. Always verify your coverage before scheduling appointments.
It depends. Under various agreements, some UPMC facilities and physicians remain accessible to Highmark members, particularly for emergency care and certain community hospitals. However, flagship UPMC hospitals like Presbyterian and Shadyside may be out-of-network for Highmark plans. Check with both your insurer and the provider before booking.
Top accepted carriers in Pittsburgh, PA include medicare, unitedhealthcare, centene, qhp-54192, and molina.
Pulmonology visits are covered as specialist visits. PFTs and imaging require prior authorization in many plans. Inhalers can be expensive, with brand-name combination inhalers costing $200 to $500 per month without insurance. Ask about generic alternatives and manufacturer copay programs. Pulmonary rehabilitation is covered by Medicare and most insurance plans with a physician order.