David L. Sappenfield, MD
Ophthalmologist, Retinal Specialist, Retinal Surgeon
I am a clinical ophthalmologist specializing in diseases/surgery of the retina and vitreous. I grew up as the son of an ophthalmologist, trained at McPherson Hospital and later NC Eye, Ear, Nose, and Throat, and joined the practice in 1989. I have always had a knack for and continue to enjoy fixing things, ranging from cars to computers and about anything in between. As a doctor, I commonly treat macular degeneration, macular pucker, macular hole, diabetic retinopathy, retinal detachment, and retinal vascular blockage. At the same time, however, I pride myself in caring for the whole patient and his or her other eye problems, not just the vitreoretinal disease. At NCEENT, we offer a full complement of eye specialists who can continue treatment of conditions outside of my specialty. Like me, each is also happy to serve as the patient’s primary contact for arranging and delivering high quality continuing eye care.
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Visit planforduke.com to view the full list of plans Duke Health will accept in 2020 from each carrier or network.
Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below.
- Aetna
- Aetna Choice POS, Aetna Choice POS II
- Aetna Elect Choice HMO, Aetna Open Access Elect Choice
- Aetna Health Network Only, Aetna Health Network Option
- Aetna HMO
- Aetna Limited Benefit Insurance PPO
- Aetna Managed Choice POS
- Aetna Medicare HMO Open Access
- Aetna Medicare Plan (HMO, PPO)
- Aetna Medicare Premier Plan (PPO)
- Aetna Medicare Prime Plan (HMO, PPO)
- Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice
- Aetna Open Choice PPO
- Aetna PCP Coordinated POS Plan
- Aetna Quality Point of Service (QPOS)
- Aetna Select HMO
- Aetna Traditional Choice
- Aetna Voluntary Indemnity Group Plan
- Aetna Whole Health – Duke WakeMed WKCC
- Ambetter
- Ambetter of North Carolina
- Blue Cross Blue Shield of NC
- Blue Advantage
- Blue Medicare (HMO, PPO)*
- Blue Options (123, PPO, HSA)
- Blue Select
- NC State Employees Health Plan
*Duke HomeCare and Hospice does not participate in the plan.
- CIGNA
- Cigna Choice Plus
- Cigna Behavioral Health (*Limited eligibility)
- Cigna Open Access
- Cigna Open Access Plus
*Please call Cigna Behavioral Heath to see if the provider is participating in your plan.
- Duke Group Plans
- Duke Basic
- Duke Select
- Experience Health
- First Health
- Gateway Health Alliance
- Gateway Health Plan
- Gateway Health Medicare Assured Prime (HMO)
- Gateway Health Medicare Assured Select (HMO)
- Halifax Physician-Hospital Organization
- Healthgram
- Humana
- Humana Choice (PPO)
- Humana ChoiceCare (PPO)
- Humana Gold Choice (PFFS)
- Humana Gold Plus (HMO)
- MedCost
- Medicare
- First Medicare Direct*
- Medicare Part A
- Medicare Part B
*This is for Wake County only.
- MultiPlan / Private Healthcare Systems
- NC Medicaid
- NC Medicaid*
*Not all Duke locations and doctors participate in this plan. Please contact the location you will be visiting to determine what is accepted.
- OneNet PPO
- Optima Health
- FAMIS
- Optima Family Care (Medicaid HMO in VA)
- Optima Individual & Family (On & Off Exchange Plans)
- Optima Plus (PPO)
- Optima Vantage (HMO)
- TRICARE
- TRICARE Extra*
- TRICARE for Life*
- TRICARE Prime*
- TRICARE Prime Remote*
- TRICARE Standard*
*Duke Primary Care does not participate with the plan.
- United Healthcare
- AARP Medicare Complete (HMO, PPO)
- AARP Medicare Complete Essential (HMO)
- All Savers Alternate Funding
- All Savers Fully Insured
- State Employee Health Plan (for retirees)
- United Healthcare (HMO, PPO, POS)
- United Healthcare Charter/Charter Balance/Charter Plus
- United Healthcare Choice/Choice Plus
- United Healthcare Core/Core Essential
- United Healthcare Navigate/Navigate Plus/Navigate Balanced
- United Healthcare of the River Valley
- United Healthcare Option PPO
- United Healthcare Options PPO with Harvard Pilgrim
- United Healthcare Passport Connect Choice/Choice Plus
- United Healthcare Passport Connect Options PPO
- United Healthcare Select/Select Plus
- United Medical Resources (UMR)
Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any copayments, co–insurance, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.