DR. MARK D CARLSON M.D.
Accepted Insurance for NPI 1184736498
Internal Medicine in Pittsburg, KS
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. MARK D CARLSON M.D., a internal medicine provider in Pittsburg, KS, is listed as in-network for 165 health insurance plans from 8 insurance companies, led by Ambetter Health, Medica and UnitedHealthcare. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver + Vision + Adult Dental
Focused Silver
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver + Vision + Adult Dental
Standard Silver
Standard Silver
Ambetter Health of Delaware
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Silver + Vision + Adult Dental
Elite Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Principal Bronze HSA + Vision + Adult Dental
Principal Bronze HSA
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
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 Sunflower Health Plan
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
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 Oklahoma
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
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
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
Blue Cross and Blue Shield of Kansas, Inc.
BlueCare EPO Bronze
BlueCare EPO Gold Plus
BlueCare EPO Gold
BlueCare EPO Silver Plus
BlueCare EPO Simple Bronze HDHP
BlueCare EPO Simple Silver HDHP
BlueCare EPO Standardized Expanded Bronze
BlueCare EPO Standardized Gold
BlueCare EPO Standardized Silver
Medica
Balance by Medica Bronze $0 Copay PCP Visits
Balance by Medica Bronze Premier
Balance by Medica Expanded Bronze Standard
Balance by Medica Gold $0 Copay PCP Visits
Balance by Medica Gold Share
Balance by Medica Gold Standard
Balance by Medica Silver $0 Copay PCP Visits
Balance by Medica Silver Share
Balance by Medica Silver Standard
Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam
Harmony by Medica Bronze $0 Copay PCP Visits
Harmony by Medica Bronze Premier + Adult Eye Exam
Harmony by Medica Bronze Premier
Harmony by Medica Expanded Bronze Standard + Adult Eye Exam
Harmony by Medica Expanded Bronze Standard
Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam
Harmony by Medica Gold $0 Copay PCP Visits
Harmony by Medica Gold Share + Adult Eye Exam
Harmony by Medica Gold Share
Harmony by Medica Gold Standard + Adult Eye Exam
Harmony by Medica Gold Standard
Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam
Harmony by Medica Silver $0 Copay PCP Visits
Harmony by Medica Silver Share + Adult Eye Exam
Harmony by Medica Silver Share
Harmony by Medica Silver Standard + Adult Eye Exam
Harmony by Medica Silver Standard
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Standard+ (Dental + Vision, No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision, 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 D CARLSON M.D. accept?
Marketplace files for the 2026 plan year list DR. MARK D CARLSON M.D. as in-network for 165 plans from 8 insurance companies. The largest networks are Ambetter Health (32 plans), Medica (27 plans), UnitedHealthcare (22 plans), followed by 5 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. MARK D CARLSON 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 D CARLSON M.D. participate in?
The accepted plans include 105 EPO plans, 38 PPO plans and 16 HMO plans. 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. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
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.
