DR. MARK ELLSWORTH KLEINMAN M.D.
Accepted Insurance for NPI 1063676310
Ophthalmology - Retina Specialist in Kingsport, TN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. MARK ELLSWORTH KLEINMAN M.D., a ophthalmology provider in Kingsport, TN, is listed as in-network for 914 health insurance plans from 7 insurance companies, led by Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Blue Cross and Blue Shield of Oklahoma. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 6500 HSA (+ Incentives)
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 8500 for HSA
Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean HSA (+ Incentives)
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Catastrophic Essential (+ Incentives)
Anthem Catastrophic Pathway (+ Incentives)
Anthem Catastrophic Pathway Essentials (+ Incentives)
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Essential 3500 HSA (+ Incentives)
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 5500 for HSA
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Blue Cross and Blue Shield of Montana
Blue Focus Bronze POS℠ 205
Blue Focus Bronze POS℠ 705
Blue Focus Bronze POS℠ Standard
Blue Focus Gold POS℠ 207
Blue Focus Gold POS℠ 902
Blue Focus Gold POS℠ Standard
Blue Focus Silver POS℠ 206
Blue Focus Silver POS℠ 903
Blue Focus Silver POS℠ Standard
Blue Preferred Bronze PPO℠ 201
Blue Preferred Bronze PPO℠ 202
Blue Preferred Bronze PPO℠ Standard
Blue Preferred Gold PPO℠ 204
Blue Preferred Gold PPO℠ 901
Blue Preferred Gold PPO℠ Standard
Blue Preferred Security PPO℠ 200
Blue Preferred Silver PPO℠ 203
Blue Preferred Silver PPO℠ 308
Blue Preferred Silver PPO℠ Standard
Blue Cross and Blue Shield of Oklahoma
Blue Advantage Bronze PPO℠ 202
Blue Advantage Bronze PPO℠ 203
Blue Advantage Bronze PPO℠ Standard
Blue Advantage Gold PPO℠ 309
Blue Advantage Gold PPO℠ 604
Blue Advantage Gold PPO℠ Standard
Blue Advantage Silver PPO℠ 204
Blue Advantage Silver PPO℠ 501
Blue Advantage Silver PPO℠ Standard
Blue Preferred Bronze PPO℠ Standard
Blue Preferred Gold PPO℠ Standard
Blue Preferred Security PPO℠ 200
Blue Preferred Silver PPO℠ Standard
MyBlue Bronze HMO℠ 902
MyBlue Bronze HMO℠ 904
MyBlue Bronze HMO℠ Standard
MyBlue Gold HMO℠ 704
MyBlue Gold HMO℠ 804
MyBlue Gold HMO℠ Standard
MyBlue Silver HMO℠ 705
MyBlue Silver HMO℠ 803
MyBlue Silver HMO℠ Standard
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO℠ 204
Blue Advantage Bronze HMO℠ 301
Blue Advantage Bronze HMO℠ Standard
Blue Advantage Gold HMO℠ 206
Blue Advantage Gold HMO℠ 603
Blue Advantage Gold HMO℠ Standard
Blue Advantage Plus Bronze℠ 303
Blue Advantage Plus Bronze℠ 305
Blue Advantage Plus Bronze℠ Standard
Blue Advantage Plus Gold℠ 203
Blue Advantage Plus Gold℠ 803
Blue Advantage Plus Gold℠ Standard
Blue Advantage Plus Silver℠ 202
Blue Advantage Plus Silver℠ 605
Blue Advantage Plus Silver℠ Standard
Blue Advantage Security HMO℠ 200
Blue Advantage Silver HMO℠ 205
Blue Advantage Silver HMO℠ 801
Blue Advantage Silver HMO℠ Standard
MyBlue Health Bronze℠ 402
MyBlue Health Bronze℠ Standard
MyBlue Health Gold℠ 403
MyBlue Health Gold℠ Standard
MyBlue Health Silver℠ 405
MyBlue Health Silver℠ Standard
BlueCross BlueShield of Tennessee
BlueCross B15E $0 virtual care from Teladoc Health®
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health®
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health®
BlueCross B17E $0 virtual care from Teladoc Health® + Adult Dental
BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health®
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health ®
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health ®
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health®
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health®
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health®
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health® + Adult Dental
BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health®
Cigna Healthcare
Connect Bronze 7500 Indiv Med Deductible
Connect Bronze 8500 Indiv Med Deductible
Connect Bronze CMS Standard
Connect Gold 1500 Indiv Med Deductible
Connect Gold CMS Standard
Connect myDiabetesCare Bronze
Connect myDiabetesCare Silver
Connect Silver 3000 Indiv Med Deductible
Connect Silver 4500 Indiv Med Deductible
Connect Silver CMS Standard
UnitedHealthcare
UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Gold Advantage (Virtual Urgent Care, No Referrals)
UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Gold Copay Focus (Virtual Urgent Care, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Advantage (Virtual Urgent Care, No Referrals)
UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Copay Focus (Virtual Urgent Care, No Referrals)
UHC Silver Standard (No Referrals)
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does DR. MARK ELLSWORTH KLEINMAN M.D. accept?
Marketplace files for the 2026 plan year list DR. MARK ELLSWORTH KLEINMAN M.D. as in-network for 914 plans from 7 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (55 plans), Blue Cross and Blue Shield of Texas (25 plans), Blue Cross and Blue Shield of Oklahoma (22 plans), followed by 4 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. MARK ELLSWORTH KLEINMAN M.D. enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DR. MARK ELLSWORTH KLEINMAN M.D. participate in?
The accepted plans include 58 HMO plans, 54 EPO plans, 23 PPO plans and 20 POS plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
