DR. EDITH M CULLEN M.D.
Accepted Insurance for NPI 1720073521
Family Medicine - Sports Medicine in Elkhart, IN

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment

78.32/100

CMS Quality Rating

2310 CALIFORNIA RD, ELKHART, IN 46514(574) 264-4163(574) 262-9650 Get Directions

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Does Dr. Cullen take my insurance?

23 Indiana plans sold on HealthCare.gov for 2026 include Dr. Cullen, from UnitedHealthcare and Ambetter Health. Insurers also list Dr. Cullen in Illinois, Kentucky, Michigan, Ohio and Wisconsin.

InsurersUnitedHealthcare 13 plans Ambetter Health 10 plans

Also listed inIllinois, Kentucky, Michigan, Ohio and Wisconsin

Call before you book: insurer directories can be out of date, so call the office at (574) 264-4163 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Indiana Medicaid ID; ask the office which Medicaid plans it takes.

Indiana plans 23 plans

Plans sold to Indiana residents. Costs are for the standard version of each plan.

UnitedHealthcare

13 plans · EPO

Accepting new patients

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)EPOGold$072850IN0160009

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)EPOGold$072850IN0170006

UHC Gold Standard (No Referrals)EPOGold$2,00072850IN0160007

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)EPOSilver$072850IN0160006

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)EPOSilver$072850IN0170004

UHC Silver Standard (No Referrals)EPOSilver$6,00072850IN0160004

UHC Silver Standard+ (Dental + Vision, No Referrals)EPOSilver$6,00072850IN0170007

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)EPOSilver$7,00072850IN0160005

UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)EPOSilver$7,00072850IN0170003

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)EPOBronze$10,60072850IN0160010

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)EPOExpanded Bronze$072850IN0160003

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)EPOExpanded Bronze$072850IN0170002

UHC Bronze Standard (No Referrals)EPOExpanded Bronze$7,50072850IN0160001

Ambetter Health

10 plans · HMO

Accepting new patients

Elite GoldHMOGold$035065IN0040007

Elite Gold + Vision + Adult DentalHMOGold$035065IN0050006

Complete GoldHMOGold$1,45035065IN0040004

Complete Gold + Vision + Adult DentalHMOGold$1,45035065IN0050003

Standard GoldHMOGold$2,00035065IN0040013

Standard Gold + Vision + Adult DentalHMOGold$2,00035065IN0050012

Standard SilverHMOSilver$6,00035065IN0040001

Standard Silver + Vision + Adult DentalHMOSilver$6,00035065IN0050001

Focused SilverHMOSilver$6,30035065IN0040010

Focused Silver + Vision + Adult DentalHMOSilver$6,30035065IN0050009

Also listed in other states 61 plans · 5 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Kentucky

16 plans · HMO

Accepting new patientsDeductible $800 to $8,450

Everyday GoldHMOGold$80072001KY0020010

Everyday Gold + Vision + Adult DentalHMOGold$80072001KY0030010

Complete GoldHMOGold$1,45072001KY0020009

Complete Gold + Vision + Adult DentalHMOGold$1,45072001KY0030009

Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,90072001KY0020012

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,90072001KY0030012

Complete SilverHMOSilver$5,95072001KY0020005

Complete Silver + Vision + Adult DentalHMOSilver$5,95072001KY0030005

Focused SilverHMOSilver$6,30072001KY0020007

Focused Silver + Vision + Adult DentalHMOSilver$6,30072001KY0030007

Clear SilverHMOSilver$7,00072001KY0020006

Clear Silver + Vision + Adult DentalHMOSilver$7,00072001KY0030013

Choice Bronze HSAHMOExpanded Bronze$7,25072001KY0020002

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25072001KY0030002

Everyday BronzeHMOExpanded Bronze$8,45072001KY0020003

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45072001KY0030003

Ambetter Health · Ohio

16 plans · HMO

Accepting new patientsDeductible $1,200 to $8,450

Clear GoldHMOGold$1,20041047OH0010067

Clear Gold + Vision + Adult DentalHMOGold$1,20041047OH0030071

Complete GoldHMOGold$1,45041047OH0010041

Complete Gold + Vision + Adult DentalHMOGold$1,45041047OH0030041

Standard GoldHMOGold$2,00041047OH0010071

Standard Gold + Vision + Adult DentalHMOGold$2,00041047OH0030074

Complete SilverHMOSilver$5,95041047OH0010025

Complete Silver + Vision + Adult DentalHMOSilver$5,95041047OH0030025

Standard SilverHMOSilver$6,00041047OH0010070

Standard Silver + Vision + Adult DentalHMOSilver$6,00041047OH0030073

Choice Bronze HSAHMOExpanded Bronze$7,25041047OH0010045

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25041047OH0030045

Standard Expanded BronzeHMOExpanded Bronze$7,50041047OH0010069

Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50041047OH0030072

Everyday BronzeHMOExpanded Bronze$8,45041047OH0010057

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45041047OH0030057

Ambetter Health · Illinois

11 plans · HMO

Accepting new patientsDeductible $800 to $7,000

Everyday GoldHMOGold$80027833IL0140064

Everyday Gold + Vision + Adult DentalHMOGold$80027833IL0150059

Central GoldHMOGold$1,00027833IL0140071

Central Gold + Vision + Adult DentalHMOGold$1,00027833IL0150071

Standard GoldHMOGold$2,00027833IL0140075

Standard Gold + Vision + Adult DentalHMOGold$2,00027833IL0150074

Standard SilverHMOSilver$6,00027833IL0140074

Standard Silver + Vision + Adult DentalHMOSilver$6,00027833IL0150073

Focused SilverHMOSilver$6,30027833IL0140063

Focused Silver + Vision + Adult DentalHMOSilver$6,30027833IL0150058

Clear SilverHMOSilver$7,00027833IL0140061

Ambetter Health · Michigan

9 plans · HMO

Accepting new patientsDeductible $0 to $7,000

Elite GoldHMOGold$058594MI0030021

Elite Gold + Vision + Adult DentalHMOGold$058594MI0040023

Everyday GoldHMOGold$80058594MI0030020

Everyday Gold + Vision + Adult DentalHMOGold$80058594MI0040020

Standard GoldHMOGold$2,00058594MI0030025

Standard Gold + Vision + Adult DentalHMOGold$2,00058594MI0040026

Standard SilverHMOSilver$6,00058594MI0030024

Standard Silver + Vision + Adult DentalHMOSilver$6,00058594MI0040025

Clear SilverHMOSilver$7,00058594MI0030017

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS

Deductible $0 to $8,450

Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Questions about Dr. Cullen’s insurance

What insurance does Dr. Cullen take?

In Indiana, UnitedHealthcare and Ambetter Health include Dr. Cullen in 23 Marketplace plans for 2026. Call the office at (574) 264-4163 to confirm your plan before booking.

Do I need a referral to see Dr. Cullen?

Not under the Indiana plans that list Dr. Cullen: the 2026 plan files say a specialist referral is not required.

Does Dr. Cullen accept Medicare?

Yes. CMS files show Dr. Cullen accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Ambetter Health: Oct 14, 2026 Anthem Blue Cross and Blue Shield: Oct 14, 2026 UnitedHealthcare: Oct 14, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Illinois and Kentucky. No document links.	Plan year 2026, Jun 3, 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.