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Gastroenterology Doctors Who Perform the Procedure You Need—and Take Your Insurance.

Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385), upper GI endoscopy / EGD for GERD & Barrett’s (CPT 43239), and FibroScan liver elastography (CPT 91200). Filter by your insurance carrier, state, or procedure below.

4. Complete Physician Directory

All Gastroenterology Physicians (3,529)

Page 60 of 99

Dr. Suresh Philip, MD

Kennewick, WA 99336

★★★★★ 4.7 (20)
66th WA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,895 CMS services/yr).

✓ Accepts Aetna ~$222 Cash

Dr. Lucinda Harris, MD

Scottsdale, AZ 85259

★★★★★ 4.7 (24)
41st AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,020 CMS services/yr).

✓ Accepts Aetna ~$210 Cash
★★★★★ 4.7 (16)
40th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,064 CMS services/yr).

✓ Accepts Aetna ~$218 Cash

Dr. Kenneth Schoenig, MD

Bloomington, IL 61701

★★★★★ 4.7 (24)
87th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,955 CMS services/yr).

✓ Accepts Aetna ~$218 Cash

Dr. Robert Vincent, MD

Indianapolis, IN 46237

★★★★★ 4.7 (16)
87th IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (7,912 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Anand Ravi, MD

Muncie, IN 47303

★★★★★ 4.7 (24)
36th IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (941 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Matthew Petersile, MD

Worcester, MA 01655

★★★★★ 4.7 (20)
26th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (800 CMS services/yr).

✓ Accepts Aetna ~$224 Cash

Dr. Kuldeep Tagore, MD

Sacramento, CA 95817

★★★★★ 4.7 (16)
29th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (906 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Franco Gallo, MD

Port Jefferson Station, NY 11776

★★★★★ 4.7 (16)
68th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,906 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Andrew Roorda, MD

Palo Alto, CA 94304

★★★★★ 4.7 (24)
26th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (880 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Kruti Patel, DO

Sherman, TX 75092

★★★★★ 4.7 (24)
78th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,682 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Colin Woodard, DO

Cranston, RI 02920

★★★★★ 4.7 (16)
45th RI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,081 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Mahmudul Haque, MD

Lakeland, FL 33805

★★★★★ 4.7 (16)
50th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,374 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Jyotsna Talapaneni, MD

Lawrenceville, GA 30046

★★★★★ 4.7 (20)
85th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,297 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Anshuman Chawla, MD

Downers Grove, IL 60515

★★★★★ 4.7 (16)
25th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (874 CMS services/yr).

✓ Accepts Aetna ~$218 Cash

Dr. David Backstedt, MD

Little Rock, AR 72205

★★★★★ 4.7 (24)
66th AR Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,949 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Ajay Jain, MD

Indianapolis, IN 43202

★★★★★ 4.7 (20)
32nd IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (870 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. William Ehrhardt, MD

Coon Rapids, MN 55433

★★★★★ 4.7 (24)
36th MN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,471 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Muhammed Iqbal, MD

Knoxville, TN 37916

★★★★★ 4.7 (16)
88th TN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (615 CMS services/yr).

✓ Accepts Aetna ~$201 Cash

Dr. Bara El Kurdi, MD

Roanoke, VA 24016

★★★★★ 4.7 (24)
63rd VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (494 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. William Buchner, Jr., MD

Cleveland, TN 37311

★★★★★ 4.7 (24)
6th TN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (679 CMS services/yr).

✓ Accepts Aetna ~$201 Cash

Dr. Scott Plaehn, DO

East Lansing, MI 48823

★★★★★ 4.7 (24)
86th MI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,959 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Mark Metwally, MD

Burnt Hills, NY 12027

★★★★★ 4.7 (24)
96th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (8,672 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Amanda Swingley, DO

Indianapolis, IN 46260

★★★★★ 4.7 (24)
89th IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (584 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Otis Gordon, MD

Little Rock, AR 72205

★★★★★ 4.7 (20)
72nd AR Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (512 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Bhupinder Romana, MD

Manteca, CA 95336

★★★★★ 4.7 (20)
3rd CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (660 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. David Kleesattel, MD

Florence, KY 41042

★★★★★ 4.7 (20)
93rd KY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (589 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Bradley Sklar, MD

Utica, NY 13502

★★★★★ 4.7 (23)
81st NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,477 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Barry Zingler, MD

Englewood Cliffs, NJ 07632

★★★★★ 4.7 (19)
69th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,816 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Thomas Aguirre, MD

Santa Barbara, CA 93105

★★★★★ 4.7 (23)
88th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,881 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Rajab Abukhadrah, MD

Clermont, FL 34711

★★★★★ 4.7 (23)
66th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,024 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Lindy Rachal, MD

Kerrville, TX 78028

★★★★★ 4.7 (23)
60th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,791 CMS services/yr).

✓ Accepts Aetna ~$209 Cash
★★★★★ 4.7 (15)
92nd WV Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,949 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Charles Menz, MD

Ventura, CA 93003

★★★★★ 4.7 (23)
87th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,715 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Kelvin Hornbuckle, MD

Norfolk, VA 23502

★★★★★ 4.7 (15)
60th VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,421 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Michael Cohen, MD

Naples, FL 34119

★★★★★ 4.7 (23)
57th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,591 CMS services/yr).

✓ Accepts Aetna ~$216 Cash
Interactive 60-Second “Show This to Your Doctor” Visit & CPT Builder • Defends Against the 11-Second Interruption Rule (PMID 29972200)

Walk Into Your 15-Minute Appointment With Exact Labs, CPT Codes & Opening Words

Clinicians interrupt patients after a median of 11 seconds (J Gen Intern Med, PMID 29972200). Select your appointment reason below to generate your 1-page script:

15-Minute Exam-Room Agenda • High-Volume Endocrinology

Hypothyroidism, Subclinical TSH Drift (2.5–8.0 mIU/L) or Thyroid Nodule

1. Your 10-Second Opening Script (Read Verbatim Before the 11-Second Interruption)

"I have two specific goals for our 15 minutes today: first, my morning TSH is [X] mIU/L with persistent fatigue and cold intolerance, so I would like to evaluate Free T4, Free T3, TPO Antibodies, and Ferritin together; second, if we palpate any thyroid asymmetry, can we perform an in-office neck ultrasound (CPT 76536)?"

2. In-Office Medicare CPT Procedures to Verify Before Booking
CPT 76536 In-Office High-Resolution Thyroid & Neck Ultrasound

Confirms the endocrinologist images thyroid nodules themselves rather than sending you to a hospital radiology department.

CPT 60100 Ultrasound-Guided Fine-Needle Aspiration (FNA) Biopsy

Identifies structural thyroid specialists vs. general diabetes-only clinics.

3. Exact Blood & Diagnostic Labs to Request on Your Order Sheet
  • ✓ TSH + Free T4 + Free T3 (drawn before 8:30 AM fasting)
  • ✓ Thyroid Peroxidase (TPO) & Thyroglobulin Antibodies (Hashimoto rule-out)
  • ✓ Serum Ferritin + Vitamin D 25(OH)D (required for T4-to-T3 deiodinase conversion)
4. Day-1 Pre-Appointment Rule

Hold all Biotin (Vitamin B7) supplements for 72 hours before your blood draw so streptavidin assay interference does not create a false TSH/Free T4 reading.

Patient Triage & Insurance Verification Guide

Frequently Asked Questions: Choosing a Specialist by CPT Volume & Insurance Network

Why does CMS Medicare Part B procedure volume matter when choosing a specialist?

General directory listings show what a doctor claims to treat, whereas federal CMS Medicare Part B claims reveal what they actually perform every week. For example, seeing an endocrinologist who performs 400+ in-office thyroid neck ultrasounds (CPT 76536) per year or a gastroenterologist in the top decile for adenoma detection colonoscopy (CPT 45385) prevents unnecessary outside imaging referrals and repeat appointments.

How does dotMD prevent health-system lab rollups and low-rated clinics from skewing Page 1?

Large hospital networks often bill tens of thousands of automated lab draws or vaccination claims under a single department chair NPI. Our directory triage engine isolates individual practicing clinicians (300 to 4,500 Medicare beneficiaries/year) and requires a minimum 4.2-star verified Google patient consensus with at least 15 reviews for default showcase rankings.

How does the GreatDoc™ Star Rating separate bedside manner from front-desk billing complaints?

The GreatDoc™ rating—calculated by the Proprietary DotMD™ J3 Model—audits patient reviews across clinical diagnostic accuracy, unhurried listening, and procedure skill while flagging administrative friction points (such as $250 annual clinic fees, parking validation costs, or phone hold times) so you know exactly what to expect before walking into the waiting room.

How do I verify if a doctor takes my specific PPO, HMO, or Medicare plan?

Every flagship physician profile on dotMD includes an interactive Insurance Network & Cash-Rate Checker covering Original Medicare Part B, Medicare Advantage, BlueCross BlueShield, Aetna, Cigna, UnitedHealthcare, and regional PPO/HMO plans—plus the exact CMS geo-adjusted CPT 99204 self-pay cash rate ($195–$260) and 3-question script to verify network participation with the billing desk.