Provider profile

James CarstenMD

Family Medicine

2 locationsNPI 1194756023
9309 Apison Pike, Ooltewah, TN 37363423-551-3562

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Medicare Advantage plans for Hamilton County, TN and DuPage County, IL.

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Directory results See what each insurance company reports

Listed on 44 plans so far

Some of UnitedHealthcare, Devoted, BlueCross BlueShield of Tennessee, Humana, Wellpoint, BlueCare Plus Tennessee, Aetna Medicare, Essence Healthcare, HealthSpring, Molina Healthcare of Illinois, Wellcare and Zing Health's 2027 plans in Hamilton County, TN and DuPage County, IL haven't been checked yet.

The 114 Medicare Advantage plans we show for Hamilton County, TN and DuPage County, IL in 2027

  • 44 list James
  • 12 not listed
  • 58 not checked yet

UnitedHealthcare

11 plans list James.

11plans
  • AARP Medicare Advantage Essentials from UHC TC-2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMO-POSDrug coverage4 starsH5253-047-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC TC-7 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMO-POSDrug coverage4 starsH5253-255-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMO-POSDrug coverage4 starsH5253-121-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx TC-MA01 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMO-POSNo drug coverage4 starsH5253-113-000Medicare.gov
    $0a month

10 more UnitedHealthcare plans haven't been checked yet.

Devoted

9 plans list James.

9plans
  • DEVOTED CHOICE 022 TN (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPODrug coverage4.5 starsH7028-022-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 002 TN (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPODrug coverage3.5 starsH9231-002-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 019 TN (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPODrug coverage4.5 starsH7028-019-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK EXTRAS 041 TN (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPODrug coverage4.5 starsH7028-041-000Medicare.gov
    $0a month

8 more Devoted plans haven't been checked yet.

BlueCross BlueShield of Tennessee · Blue Cross and Blue Shield of IL, NM

7 plans list James.

7plans
  • BlueAdvantage Freedom (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPONo drug coverage3.5 starsH7917-039-000Medicare.gov
    $0a month
  • BlueAdvantage Sapphire (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPODrug coverage3.5 starsH7917-030-000Medicare.gov
    $0a month
  • BlueAdvantage Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPODrug coverage3.5 starsH7917-041-000Medicare.gov
    $13a month
  • BlueAdvantage Ruby (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPODrug coverage3.5 starsH7917-014-000Medicare.gov
    $98a month

2 more BlueCross BlueShield of Tennessee plans haven't been checked yet.

Humana

6 plans list James; not listed on 6 other plans.

6plans
  • Humana Gold Plus H4461-080 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMODrug coverage4.5 starsH4461-080-001Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMONo drug coverage4.5 starsH4461-004-000Medicare.gov
    $0a month
  • Humana Gold Plus H4461-083 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMODrug coverage4.5 starsH4461-083-001Medicare.gov
    $27a month
  • Humana Gold Plus H4461-081 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMODrug coverage4.5 starsH4461-081-001Medicare.gov
    $88a month

12 more Humana plans haven't been checked yet.

Wellpoint

6 plans list James.

6plans
  • Wellpoint Medicare Advantage 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMO-POSDrug coverage3 starsH5828-017-000Medicare.gov
    $0a month
  • Wellpoint Extra Help (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMO-POSDrug coverage3 starsH5828-008-000Medicare.gov
    $13.70a month
  • Wellpoint Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMO-POSDrug coverage3 starsH5828-013-000Medicare.gov
    $40a month
  • Wellpoint Dual Advantage Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH5828-002-000Medicare.gov
    $0a month

BlueCare Plus Tennessee

3 plans list James.

3plans
  • BlueCare Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3259-001-000Medicare.gov
    $13.70a month
  • BlueCare Plus Choice (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3259-002-000Medicare.gov
    $13.70a month
  • BlueCare Plus Select (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3259-003-000Medicare.gov
    $13.70a month

Aetna Medicare · Aetna Medicare FIDE

2 plans list James.

2plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    PPONo drug coverage4 starsH5521-279-000Medicare.gov
    $0a month
  • Aetna Medicare Value Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 9309 Apison Pike, Ooltewah, TN, 37363

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

    HMODrug coverage3.5 starsH3146-012-000Medicare.gov
    $0a month

9 more Aetna Medicare plans haven't been checked yet.

Essence Healthcare

Not checked yet.

HealthSpring

Not checked yet.

5 more HealthSpring plans haven't been checked yet.

Molina Healthcare of Illinois

Not checked yet.

Wellcare

Not checked yet.

Zing Health

Not checked yet.

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

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2 practice locations

9309 Apison Pike
Ooltewah, TN 37363

NPI Registry

1800 N Main St Ste 102
Wheaton, IL 60187

NPI Registry
NPI issued
2006
Registry record updated
Sep 25, 2023

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

Common questions

Which 2027 Medicare Advantage plans list James Carsten?

In Hamilton County, TN and DuPage County, IL, 44 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage Essentials from UHC TC-2 (HMO-POS), AARP Medicare Advantage Extras from UHC TC-7 (HMO-POS) and AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS). 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.

Where does James Carsten practice?

2 locations, including 9309 Apison Pike, Ooltewah, TN. All of them are listed on this page.

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

Call the member services number on your plan card and give them the NPI 1194756023, or ask a Silverpath advisor to check for you. It's free.

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

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Hamilton County, TN and DuPage County, IL. 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 2023-09-25). 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 James Carsten 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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