CARL DUANE MATHEWS JR.
Accepted Insurance for NPI 1982265310
Counselor - Mental Health in Warren, OH
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
CARL DUANE MATHEWS JR., a counselor provider in Warren, OH, is listed as in-network for 12 health insurance plans from MedMutual. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
MedMutual
Bronze $8,300 w/ Adult Dental ON-EX
Bronze $8,300 w/ Virtual & Wellness ON-EX
Bronze HSA $7,300 ON-EX
Bronze Standard w/ Virtual & Wellness
Gold $1,000 w/ Adult Dental ON-EX
Gold $1,000 w/ Virtual & Wellness ON-EX
Gold $500 w/ Virtual & Wellness ON-EX
Gold Standard w/ Virtual & Wellness
Silver $5,000 w/ Adult Dental ON-EX
Silver $5,000 w/ Virtual & Wellness ON-EX
Silver $5,800 w/ Virtual & Wellness ON-EX
Silver Standard w/ Virtual & Wellness
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 CARL DUANE MATHEWS JR. accept?
Marketplace files for the 2026 plan year list CARL DUANE MATHEWS JR. as in-network for 12 plans from MedMutual. The full list above shows each plan's metal level, network type, and plan IDs.
Is CARL DUANE MATHEWS JR. enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does CARL DUANE MATHEWS JR. participate in?
The accepted plans include 12 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.
