MARK RAYMOND HIGHTOWER MD
Accepted Insurance for NPI 1982959664
Surgery in Brainerd, MN

NPI Status: Active since July 18, 2012

Contact Information

2024 S 6TH ST
BRAINERD, MN
ZIP 56401
Phone: (218) 828-7101

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with MARK RAYMOND HIGHTOWER MD, a practicing surgery professional in Brainerd, MN. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 45 individual coverage options managed by medical networks, including networks like Medica, and Sanford Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Insurance Carrier Navigation Index

Fitler by Network Type

Medica

Essentia Choice Care with Medica Bronze $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140041
Essentia Choice Care with Medica Bronze Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140029
Essentia Choice Care with Medica Expanded Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140073
Essentia Choice Care with Medica Gold $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140045
Essentia Choice Care with Medica Gold Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140074
Essentia Choice Care with Medica Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140055
Essentia Choice Care with Medica Silver $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140047
Essentia Choice Care with Medica Silver Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140076
Essentia Choice Care with Medica Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0140057
Medica Individual Choice Bronze $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130041
Medica Individual Choice Bronze HSA
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040011
Medica Individual Choice Bronze Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040029
Medica Individual Choice Bronze Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130029
Medica Individual Choice Expanded Bronze Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040073
Medica Individual Choice Expanded Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130073
Medica Individual Choice Gold $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040074
Medica Individual Choice Gold $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130045
Medica Individual Choice Gold Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040076
Medica Individual Choice Gold Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130074
Medica Individual Choice Gold Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040055
Medica Individual Choice Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130055
Medica Individual Choice Silver $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040075
Medica Individual Choice Silver $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130047
Medica Individual Choice Silver Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040027
Medica Individual Choice Silver Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130076
Medica Individual Choice Silver Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040057
Medica Individual Choice Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130057

Sanford Health Plan

Sanford Individual Simplicity $1,750
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000189364ND0120001
Sanford Individual Simplicity $10,600
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000989364ND0120009
Sanford Individual Simplicity $3,500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000389364ND0120003
Sanford Individual Simplicity $4,750
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000589364ND0120005
Sanford Individual Simplicity $6,500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000789364ND0120007
Sanford Individual Simplicity $7,200 HSA Qualified
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000689364ND0120006
Sanford Individual Simplicity Standardized $2,000
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001889364ND0120018
Sanford Individual Simplicity Standardized $6,000
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001789364ND0120017
Sanford Individual Simplicity Standardized $7,500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001689364ND0120016
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: Medica, Sanford Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.
Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.
MARK RAYMOND HIGHTOWER MD is enrolled across the following managed care network types: EPO, HMO, PPO.
  • HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
  • PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
  • EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.