Provider profile

Mark NekolaMD

Ophthalmology

NPI 1073509766
3990 N Illinois St, Swansea, IL 62226618-277-1130

Check your plan

Medicare Advantage plans for St. Clair County, IL.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 48 Medicare Advantage plans we show for St. Clair County, IL in 2027

  • 41 list Mark
  • 7 not listed

Humana

18 plans list Mark; not listed on 1 other plan.

18plans
  • Humana Essentials Plus Giveback (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH0028-065-000Medicare.gov
    $0a month
  • Humana Essentials Plus Giveback (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH4461-045-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-407-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-008-000Medicare.gov
    $0a month

Devoted

6 plans list Mark.

6plans
  • DEVOTED CHOICE 005 IL (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH8320-005-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 006 IL (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH8320-006-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK EXTRAS 020 IL (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH8320-020-000Medicare.gov
    $0a month
  • DEVOTED C-SNP CHOICE ENHANCED 014 IL (PPO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with certain chronic conditionsDrug coverageH8320-014-000Medicare.gov
    $0a month

UnitedHealthcare

6 plans list Mark.

6plans
  • AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2802-073-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2802-028-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx MO-MA01 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH2802-050-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2802-052-000Medicare.gov
    $19a month

Aetna Medicare · Aetna Medicare FIDE

5 plans list Mark; not listed on 1 other plan.

5plans
  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2663-103-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH7301-007-000Medicare.gov
    $0a month
  • Aetna Medicare Enhanced (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH1206-011-000Medicare.gov
    $55a month
  • Aetna Medicare Enhanced (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH7301-009-000Medicare.gov
    $58a month

Wellcare

4 plans list Mark.

4plans
  • Wellcare Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH5779-010-000Medicare.gov
    $0a month
  • Wellcare Simple Essential (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH5779-009-000Medicare.gov
    $0a month
  • Wellcare Simple Value (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226
    • 3990 N Illinois St, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH1416-084-000Medicare.gov
    $0a month
  • Wellcare Meridian Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH6971-001-000Medicare.gov
    $0a month

HealthSpring

1 plan lists Mark.

1plan
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-156-000Medicare.gov
    $6a month

Molina Healthcare of Illinois

1 plan lists Mark.

1plan
  • Molina Medicare Complete Care Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4900 W Main St, Belleville, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH3093-002-000Medicare.gov
    $0a month

Essence Healthcare

Not listed on its 5 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Mark takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

3990 N Illinois St
Swansea, IL 62226

NPI Registry
NPI issued
2005
Registry record updated
Sep 9, 2014

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Mark Nekola?

In St. Clair County, IL, 41 Medicare Advantage plans for 2027 list Mark in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (HMO) and Humana Full Access (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Mark Nekola take Humana Medicare Advantage plans?

Humana's own provider directory lists Mark on 18 Medicare Advantage plans for 2027 in St. Clair County, IL, including Humana Essentials Plus Giveback (HMO). 1 other plan did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Does Mark Nekola take Devoted Medicare Advantage plans?

Medicare.gov provider data lists Mark on 6 Medicare Advantage plans for 2027 in St. Clair County, IL, including DEVOTED CHOICE 005 IL (PPO) and DEVOTED CHOICE GIVEBACK 006 IL (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Devoted before you enroll.

Does Mark Nekola take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Mark on 6 Medicare Advantage plans for 2027 in St. Clair County, IL, including AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS) and AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Where does Mark Nekola practice?

3990 N Illinois St, Swansea, IL 62226.

How do I confirm Mark is in my plan's network?

Call the member services number on your plan card and give them the NPI 1073509766, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Mark's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Mark Nekola on 5 plans from Essence Healthcare in St. Clair County, IL. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2014-09-09). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Mark Nekola or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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