Provider profile

Mark KowalskiMD

Orthopaedic Surgery

NPI 1104822790
16260 S Rancho Sahuarita Blvd # 220, Sahuarita, AZ 85629520-352-1004

Check your plan

Medicare Advantage plans for Pima County, AZ.

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 83 Medicare Advantage plans we show for Pima County, AZ in 2027

  • 31 list Mark
  • 52 not listed

Humana

13 plans list Mark.

13plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1295 W DuVal Mine Rd, Ste 131, Green Valley, AZ, 85614

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

    PPODrug coverage4 starsH5216-435-001Medicare.gov
    $0a month
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1295 W DuVal Mine Rd, Ste 131, Green Valley, AZ, 85614

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

    PPODrug coverage4.5 starsH7617-051-000Medicare.gov
    $0a month
  • Humana Gold Plus H0028-021 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1295 W DuVal Mine Rd, Ste 131, Green Valley, AZ, 85614

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

    HMODrug coverage4.5 starsH0028-021-000Medicare.gov
    $0a month
  • Humana Gold Plus H0028-074 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1295 W DuVal Mine Rd, Ste 131, Green Valley, AZ, 85614

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

    HMODrug coverage4.5 starsH0028-074-002Medicare.gov
    $0a month

Devoted

12 plans list Mark.

12plans
  • DEVOTED CHOICE 003 AZ (PPO)

    PPODrug coverage3.5 starsH6586-003-000Medicare.gov
    $0a month
  • DEVOTED CHOICE MA ONLY 005 AZ (PPO)

    PPONo drug coverage3.5 starsH6586-005-000Medicare.gov
    $0a month
  • DEVOTED CORE 021 AZ (HMO)

    HMODrug coverage4 starsH8173-021-000Medicare.gov
    $0a month
  • DEVOTED CORE 094 AZ (HMO)

    HMODrug coverage4.5 starsH7993-094-000Medicare.gov
    $0a month

HealthSpring

5 plans list Mark.

5plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1295 W Duval Mine Rd, Ste 131, Green Valley, AZ, 85614
    • 4140 W Memorial Rd, Ste 308, Oklahoma City, OK, 73120

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

    HMODrug coverage3.5 starsH0354-028-000Medicare.gov
    $0a month
  • HealthSpring Preferred Extra Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1295 W Duval Mine Rd, Ste 131, Green Valley, AZ, 85614
    • 4140 W Memorial Rd, Ste 308, Oklahoma City, OK, 73120

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

    HMODrug coverage3.5 starsH0354-030-000Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1295 W Duval Mine Rd, Ste 131, Green Valley, AZ, 85614
    • 4140 W Memorial Rd, Ste 308, Oklahoma City, OK, 73120

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

    HMODrug coverage3.5 starsH0354-029-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1295 W Duval Mine Rd, Ste 131, Green Valley, AZ, 85614
    • 4140 W Memorial Rd, Ste 308, Oklahoma City, OK, 73120

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

    PPODrug coverage3 starsH7849-065-000Medicare.gov
    $0a month

Wellcare

1 plan lists Mark; not listed on 2 other plans.

1plan
  • Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1295 W Duval Mine Rd, Ste 131, Green Valley, AZ, 85614

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH5590-012-002Medicare.gov
    $0a month

Aetna Medicare

Not listed on its 6 plans here. That isn't proof they're out of network.

Alignment Health Plan

Not listed on its 6 plans here. That isn't proof they're out of network.

Banner Medicare Advantage

Not listed on its 2 plans here. That isn't proof they're out of network.

Blue Cross Blue Shield of Arizona (AZ Blue)

Not listed on its 2 plans here. That isn't proof they're out of network.

eternalHealth

Not listed on its 3 plans here. That isn't proof they're out of network.

Gold Kidney Health Plan

Not listed on its 3 plans here. That isn't proof they're out of network.

Mercy Care Advantage

Not listed on its 2 plans here. That isn't proof they're out of network.

SCAN Health Plan

Not listed on its 6 plans here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 10 plans here. That isn't proof they're out of network.

Verda Health Plan of Arizona

Not listed on its 2 plans here. That isn't proof they're out of network.

Wellpoint

Not listed on its 8 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.

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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

16260 S Rancho Sahuarita Blvd # 220
Sahuarita, AZ 85629

NPI Registry
NPI issued
2005
Registry record updated
Sep 13, 2021

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

Common questions

Which 2027 Medicare Advantage plans list Mark Kowalski?

In Pima County, AZ, 31 Medicare Advantage plans for 2027 list Mark in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO) and Humana Gold Plus H0028-021 (HMO). 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 Kowalski take Humana Medicare Advantage plans?

Humana's own provider directory lists Mark on 13 Medicare Advantage plans for 2027 in Pima County, AZ, including Humana Essentials Plus Giveback (PPO). Confirm with the office or Humana before you enroll.

Does Mark Kowalski take Devoted Medicare Advantage plans?

Devoted's own provider directory lists Mark on 12 Medicare Advantage plans for 2027 in Pima County, AZ, including DEVOTED CHOICE 003 AZ (PPO) and DEVOTED CHOICE MA ONLY 005 AZ (PPO). Confirm with the office or Devoted before you enroll.

Does Mark Kowalski take HealthSpring Medicare Advantage plans?

Medicare.gov provider data lists Mark on 5 Medicare Advantage plans for 2027 in Pima County, AZ, including HealthSpring Preferred (HMO) and HealthSpring Preferred Extra Savings (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or HealthSpring before you enroll.

Where does Mark Kowalski practice?

16260 S Rancho Sahuarita Blvd # 220, Sahuarita, AZ 85629.

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 1104822790, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Mark Kowalski on 50 plans from Aetna Medicare, Alignment Health Plan, Banner Medicare Advantage, Blue Cross Blue Shield of Arizona (AZ Blue), eternalHealth, Gold Kidney Health Plan, Mercy Care Advantage, SCAN Health Plan, UnitedHealthcare, Verda Health Plan of Arizona and Wellpoint in Pima County, AZ. 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 2021-09-13). 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 Kowalski 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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Does Mark take my plan?