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 865 health insurance plans from 11 insurance companies, led by Ambetter from Arkansas Health & Wellness, Ambetter of North Carolina and Blue Cross and Blue Shield of Texas. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter from Arkansas Health & Wellness
Choice Bronze HSA (QualChoice)
Complete Gold + Vision + Adult Dental
Complete Gold
Connected Silver (QualChoice) + Vision + Adult Dental
Connected Silver (QualChoice)
Connected Silver (QualChoiceLife) + Vision + Adult Dental
Connected Silver (QualChoiceLife)
Connected Silver + Vision + Adult Dental
Connected Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold (QualChoice) + Vision + Adult Dental
Elite Gold (QualChoice)
Elite Gold (QualChoiceLife) + Vision + Adult Dental
Elite Gold (QualChoiceLife)
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze (QualChoice)
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold (QualChoice) + Vision + Adult Dental
Standard Gold (QualChoice)
Standard Gold (QualChoiceLife) + Vision + Adult Dental
Standard Gold (QualChoiceLife)
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver (QualChoice) + Vision + Adult Dental
Standard Silver (QualChoice)
Standard Silver (QualChoiceLife)
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Home State Health
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Magnolia Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Complete Gold + Vision + Adult Dental
Complete Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of Alabama
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of North Carolina
Clear Silver with $0 Insulin Options
Complete Gold + Vision + Adult Dental
Complete Gold with Atrium Health + Vision + Adult Dental
Complete Gold with Atrium Health
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze with Atrium Health + Vision + Adult Dental
Elite Bronze with Atrium Health
Elite Bronze
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze with Atrium Health + Vision + Adult Dental
Everyday Bronze with Atrium Health
Everyday Bronze
Focused Silver with Atrium Health + Vision + Adult Dental
Focused Silver with Atrium Health
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold with Atrium Health + Vision + Adult Dental
Standard Gold with Atrium Health
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver with Atrium Health + Vision + Adult Dental
Standard Silver with Atrium Health
Standard Silver
Ambetter of Tennessee
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
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 B16S $50 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health�
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 865 plans from 11 insurance companies. The largest networks are Ambetter from Arkansas Health & Wellness (31 plans), Ambetter of North Carolina (29 plans), Blue Cross and Blue Shield of Texas (25 plans), followed by 8 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 68 HMO plans, 65 EPO plans, 44 PPO plans and 28 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.
