Dr. Carl M. Pesta
- Gender: Male
- Experience: 25 years
- Graduated from: Michigan State University College Of Osteopathic Medicine
- Graduation year: 1996
- Sole propriator: No
- NPI: 1114983913
Dr. Carl M. Pesta D.O.
Surgeon
He is located at 1030 Harrington Street 302A in Mount Clemens, MI 48043. Can help patients with the following: Colon Cancer, Crohn's Disease, Inflammatory Bowel Disease (IBD), Lymphedema, Peptic Ulcer, Ulcerative Colitis. His National Provider Identifier (NPI) number is 1114983913. Appointment can be made via the phone number (586) 759-2005. He is affiliated with 4 practices and 1 hospitals.
Conditions treated
Dr. Carl Matthew Pesta, being an surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Carl M. Pesta.
- Achalasia
- Anal Fissure
- Appendicitis
- Boils
- Cancer
- Colon Cancer
- Crohn's Disease
- Cyst
- Diverticulosis
- Enlarged Spleen
- Esophageal Cancer
- Gallstones
- Gangrene
- Heart Disease
- Hemorrhoids
- Hernia
- Inflammatory Bowel Disease (IBD)
- Lymphedema
- Pancreatitis
- Peptic Ulcer
- Pilonidal Cyst
- Sebaceous Cyst
- Ulcerative Colitis
Procedures Performed by Dr. Carl M. Pesta
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Carl M. Pesta as in-network for the following 2026 plans.
Health plans
Ambetter from Meridian
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 9 plans from Ambetter from Meridian
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Clear Silver | HMO · Silver | Preferred | Accepting new patients |
| Elite Gold | HMO · Gold | Preferred | Accepting new patients |
| Elite Gold + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Everyday Gold | HMO · Gold | Preferred | Accepting new patients |
| Everyday Gold + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Standard Silver | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
Blue Care Network of Michigan
Network data as of Aug 24, 2026, as reported by the insurer.
Show all 20 plans from Blue Care Network of Michigan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Cross® Local HMO Bronze Extra | HMO · Expanded Bronze | Null | Accepting new patients |
| Blue Cross® Local HMO Bronze Secure | HMO · Bronze | Null | Accepting new patients |
| Blue Cross® Local HMO Silver Extra | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Local HMO Silver Saver | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Preferred HMO Bronze Extra | HMO · Expanded Bronze | Null | Accepting new patients |
| Blue Cross® Preferred HMO Bronze Saver HSA | HMO · Expanded Bronze | Null | Accepting new patients |
| Blue Cross® Preferred HMO Bronze Secure | HMO · Bronze | Null | Accepting new patients |
| Blue Cross® Preferred HMO Gold | HMO · Gold | Null | Accepting new patients |
| Blue Cross® Preferred HMO Gold Extra | HMO · Gold | Null | Accepting new patients |
| Blue Cross® Preferred HMO Silver | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Preferred HMO Silver Extra | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Preferred HMO Silver Saver | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Preferred HMO Value | HMO · Catastrophic | Null | Accepting new patients |
| Blue Cross® Select HMO Bronze Extra | HMO · Expanded Bronze | Null | Accepting new patients |
| Blue Cross® Select HMO Bronze Saver HSA | HMO · Expanded Bronze | Null | Accepting new patients |
| Blue Cross® Select HMO Bronze Secure | HMO · Bronze | Null | Accepting new patients |
| Blue Cross® Select HMO Silver | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Select HMO Silver Extra | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Select HMO Silver Saver | HMO · Silver | Null | Accepting new patients |
| Blue Cross® Select HMO Value | HMO · Catastrophic | Null | Accepting new patients |
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Network data as of Aug 24, 2026, as reported by the insurer.
Show all 9 plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Cross® Premier PPO Bronze Extra | PPO · Expanded Bronze | Null | Accepting new patients |
| Blue Cross® Premier PPO Bronze Saver HSA | PPO · Expanded Bronze | Null | Accepting new patients |
| Blue Cross® Premier PPO Bronze Secure | PPO · Bronze | Null | Accepting new patients |
| Blue Cross® Premier PPO Gold | PPO · Gold | Null | Accepting new patients |
| Blue Cross® Premier PPO Gold Extra | PPO · Gold | Null | Accepting new patients |
| Blue Cross® Premier PPO Silver | PPO · Silver | Null | Accepting new patients |
| Blue Cross® Premier PPO Silver Extra | PPO · Silver | Null | Accepting new patients |
| Blue Cross® Premier PPO Silver Saver HSA | PPO · Silver | Null | Accepting new patients |
| Blue Cross® Premier PPO Value | PPO · Catastrophic | Null | Accepting new patients |
McLaren Health Plan Community
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 27 plans from McLaren Health Plan Community
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| MHP Bronze | HMO · Bronze | In Network | Accepting new patients |
| MHP Bronze | HMO · Bronze | Out of Network | Accepting new patients |
| MHP Bronze | HMO · Bronze | Rewards | Accepting new patients |
| MHP Bronze Saver (Expanded) | HMO · Expanded Bronze | In Network | Accepting new patients |
| MHP Bronze Saver (Expanded) | HMO · Expanded Bronze | Out of Network | Accepting new patients |
| MHP Bronze Saver (Expanded) | HMO · Expanded Bronze | Rewards | Accepting new patients |
| MHP Expanded Bronze Standard | HMO · Expanded Bronze | In Network | Accepting new patients |
| MHP Expanded Bronze Standard | HMO · Expanded Bronze | Out of Network | Accepting new patients |
| MHP Expanded Bronze Standard | HMO · Expanded Bronze | Rewards | Accepting new patients |
| MHP Gold | HMO · Gold | In Network | Accepting new patients |
| MHP Gold | HMO · Gold | Out of Network | Accepting new patients |
| MHP Gold | HMO · Gold | Rewards | Accepting new patients |
| MHP Gold Standard | HMO · Gold | In Network | Accepting new patients |
| MHP Gold Standard | HMO · Gold | Out of Network | Accepting new patients |
| MHP Gold Standard | HMO · Gold | Rewards | Accepting new patients |
| MHP Silver Exchange | HMO · Silver | In Network | Accepting new patients |
| MHP Silver Exchange | HMO · Silver | Out of Network | Accepting new patients |
| MHP Silver Exchange | HMO · Silver | Rewards | Accepting new patients |
| MHP Silver Exchange Rewards | HMO · Silver | In Network | Accepting new patients |
| MHP Silver Exchange Rewards | HMO · Silver | Out of Network | Accepting new patients |
| MHP Silver Exchange Rewards | HMO · Silver | Rewards | Accepting new patients |
| MHP Silver Standard | HMO · Silver | In Network | Accepting new patients |
| MHP Silver Standard | HMO · Silver | Out of Network | Accepting new patients |
| MHP Silver Standard | HMO · Silver | Rewards | Accepting new patients |
| MHP Young Adult/Catastrophic | HMO · Catastrophic | In Network | Accepting new patients |
| MHP Young Adult/Catastrophic | HMO · Catastrophic | Out of Network | Accepting new patients |
| MHP Young Adult/Catastrophic | HMO · Catastrophic | Rewards | Accepting new patients |
Priority Health
Network data as of Aug 26, 2026, as reported by the insurer.
Show all 9 plans from Priority Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| MyPriority Balanced Silver | HMO · Silver | Mypriority HMO | Accepting new patients |
| MyPriority Premier Silver | HMO · Silver | Mypriority HMO | Accepting new patients |
| MyPriority Standard Bronze | HMO · Expanded Bronze | Mypriority HMO | Accepting new patients |
| MyPriority Standard Bronze - Travel | HMO · Expanded Bronze | Mypriority HMO | Accepting new patients |
| MyPriority Standard Gold | HMO · Gold | Mypriority HMO | Accepting new patients |
| MyPriority Standard Silver | HMO · Silver | Mypriority HMO | Accepting new patients |
| MyPriority Standard Silver - Travel | HMO · Silver | Mypriority HMO | Accepting new patients |
| MyPriority Value Bronze | HMO · Expanded Bronze | Mypriority HMO | Accepting new patients |
| MyPriority Value Bronze HSA | HMO · Expanded Bronze | Mypriority HMO | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential (No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential+ (Dental + Vision, No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ (Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ (Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ (Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Carl M. Pesta is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Carl M. Pesta is enrolled to bill Medicare as a Practitioner - General Surgery .
Bills through: Mclaren Macomb
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Apollo Endosurgery | $62798 |
| W. L. Gore \u0026 Associates | $5471 |
| Ethicon Us | $3142 |
Other
| Consulting | $44375 |
| Travel and Lodging | $22000 |
| Food and Beverage | $10120 |
| Other | $2900 |
Studies
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated in 1996Affiliated practices
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Questions & Answers
Has Dr. Carl Matthew Pesta affiliation with hospitals?
Dr. Carl Matthew Pesta is affiliated with MCLAREN MACOMB.
Where can you meet with Dr. Carl Matthew Pesta?
Dr. Carl Matthew Pesta's office is located at 1030 Harrington Street 302A in Mount Clemens, MI 48043.
Does Dr. Carl Matthew Pesta have affiliation with practices?
Dr. Carl Matthew Pesta is affiliated with MCG Multi Specialty. For the full list of practices see this list.
Does Dr. Carl Matthew Pesta accept patients with Ambetter from Meridian?
Yes, Dr. Carl Matthew Pesta is listed in-network for Ambetter from Meridian through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
What conditions does Dr. Carl Matthew Pesta treat?
Dr. Carl Matthew Pesta provides treatment for Colon Cancer, Crohn's Disease, Inflammatory Bowel Disease (IBD), Lymphedema, Peptic Ulcer, Ulcerative Colitis. For the full list see this list.