KUSUM GARG M.D.
Accepted Insurance for NPI 1942280607
Internal Medicine in Fayetteville, NC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
KUSUM GARG M.D., a internal medicine provider in Fayetteville, NC, is listed as in-network for 103 health insurance plans from 5 insurance companies, led by Ambetter of North Carolina, Blue Cross and Blue Shield of NC and Ambetter of Tennessee. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter from Absolute Total Care
Elite Bronze + Vision + Adult Dental
Elite Bronze
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver
Standard Expanded Bronze
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 NC
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Silver Standard | Nationwide Doctors
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Care Bronze Standard | Statewide Doctors
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Care Gold Standard A | Statewide Doctors
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Silver Standard | Statewide Doctors
Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors
Blue Value Bronze HSA Eligible | Integrated | Limited Statewide Doctors
Blue Value Bronze Standard | Limited Statewide Doctors
Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors
Blue Value Gold Standard A | Limited Statewide Doctors
Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Silver Standard | Limited Statewide Doctors
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 KUSUM GARG M.D. accept?
Marketplace files for the 2026 plan year list KUSUM GARG M.D. as in-network for 103 plans from 5 insurance companies. The largest networks are Ambetter of North Carolina (29 plans), Blue Cross and Blue Shield of NC (27 plans), Ambetter of Tennessee (16 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is KUSUM GARG 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 KUSUM GARG M.D. participate in?
The accepted plans include 60 HMO plans, 16 EPO plans, 9 PPO plans and 9 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.
