DR. MARK STUART WORTHEN MD
Accepted Insurance for NPI 1619085115
Family Medicine in Nags Head, NC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. MARK STUART WORTHEN MD, a family medicine provider in Nags Head, NC, is listed as in-network for 30 health insurance plans from 2 insurance companies, led by Cigna Healthcare and UnitedHealthcare. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Cigna Healthcare
Connect Bronze 5500 Indiv Med Deductible
Connect Bronze 6500 Indiv Med Deductible
Connect Bronze CMS Standard
Connect Bronze RD 5000 Indiv Med Deductible
Connect Bronze RD 6000 Indiv Med Deductible
Connect Bronze RD CMS Standard
Connect Gold 1500 Indiv Med Deductible
Connect Gold CMS Standard
Connect Gold RD CMS Standard
Connect myDiabetesCare Bronze
Connect myDiabetesCare Silver
Connect Silver 3600 Indiv Med Deductible
Connect Silver 5000 Indiv Med Deductible
Connect Silver CMS Standard
Connect Silver RD 3500 Indiv Med Deductible
Connect Silver RD 5000 Indiv Med Deductible
Connect Silver RD CMS Standard
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
UHC Bronze Standard (No Referrals)
UHC Bronze Standard+ Dental + Vision (No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, 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, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Silver Standard (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 STUART WORTHEN MD accept?
Marketplace files for the 2026 plan year list DR. MARK STUART WORTHEN MD as in-network for 30 plans from 2 insurance companies. The largest networks are Cigna Healthcare (17 plans), UnitedHealthcare (13 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. MARK STUART WORTHEN MD 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 STUART WORTHEN MD participate in?
The accepted plans include 30 HMO plans. 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.
