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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 61 of 99

Dr. Ashwin Rumalla, MD

Ocala, FL 34471

★★★★★ 4.7 (15)
46th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,293 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Deepthi Deconda, MD

Fall River, MA 02720

★★★★★ 4.7 (19)
64th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,239 CMS services/yr).

✓ Accepts Aetna ~$224 Cash

Dr. Daniel Meline, MD

Scottsdale, AZ 85258

★★★★★ 4.7 (23)
70th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,729 CMS services/yr).

✓ Accepts Aetna ~$210 Cash

Dr. Thomas Simcox, MD

Annapolis, MD 21401

★★★★★ 4.7 (23)
57th MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,646 CMS services/yr).

✓ Accepts Aetna ~$209 Cash
★★★★★ 4.7 (15)
80th IA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,615 CMS services/yr).

✓ Accepts Aetna ~$209 Cash
★★★★★ 4.7 (19)
51st AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,235 CMS services/yr).

✓ Accepts Aetna ~$207 Cash

Dr. Mounzer Al Samman, MD

Fairfield, CA 94534

★★★★★ 4.7 (15)
64th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,465 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Elena Sidorenko, MD

LA Crosse, WI 54601

★★★★★ 4.7 (15)
80th WI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,373 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Andrew Batey, MD

Urbana, IL 61801

★★★★★ 4.7 (15)
74th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,103 CMS services/yr).

✓ Accepts Aetna ~$218 Cash

Dr. Teresa Tacopina, MD

Toms River, NJ 08755

★★★★★ 4.7 (15)
44th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,248 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Wayne Hoover, MD

Chambersburg, PA 17201

★★★★★ 4.7 (19)
93rd PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (9,890 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Benjamin Nunley, MD

Huntsville, AL 35801

★★★★★ 4.7 (19)
60th AL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,863 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. David Milkes, MD

Great Neck, NY 11023

★★★★★ 4.7 (19)
92nd NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (6,490 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Jonathan Eisner, MD

Newport News, VA 23606

★★★★★ 4.7 (15)
42nd VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,060 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Sohail Asfandiyar, MD

Woodstock, GA 30188

★★★★★ 4.7 (15)
58th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,900 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Prasad Vankineni, MD

Huntsville, AL 35801

★★★★★ 4.7 (19)
15th AL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (884 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. David Kim, MD

Arlington Heights, IL 60005

★★★★★ 4.7 (15)
95th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (8,944 CMS services/yr).

✓ Accepts Aetna ~$218 Cash

Dr. Craig Margulies, MD

Princeton, NJ 08540

★★★★★ 4.7 (15)
73rd NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,032 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Kovil Ramasamy, MD

Bayonne, NJ 07002

★★★★★ 4.7 (19)
61st NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,577 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Terrance O'toole, DO

Cincinnati, OH 45219

★★★★★ 4.7 (23)
83rd OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (6,159 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Joseph Brasco, MD

Huntsville, AL 35801

★★★★★ 4.7 (23)
38th AL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,495 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Jigar Patel, MD

Shenandoah, TX 77380

★★★★★ 4.7 (23)
56th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,615 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Qing He, MD

Cooperstown, NY 13326

★★★★★ 4.7 (15)
42nd NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,042 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Carlos Montero, MD

Bradenton, FL 34209

★★★★★ 4.7 (19)
39th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,149 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Dean Ehrlich, MD

Dallas, TX 75093

★★★★★ 4.7 (23)
71st TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,860 CMS services/yr).

✓ Accepts Aetna ~$211 Cash

Dr. Elizabeth Williams, DO

Poughkeepsie, NY 12601

★★★★★ 4.7 (15)
86th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,314 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Michael Kirsch, MD

Willoughby, OH 44094

★★★★★ 4.7 (19)
1st OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (633 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Fadi Bashour, MD

Medina, OH 44256

★★★★★ 4.7 (23)
36th OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (969 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Charles Orton, MD

Oak Ridge, TN 37830

★★★★★ 4.7 (19)
32nd TN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,025 CMS services/yr).

✓ Accepts Aetna ~$201 Cash

Dr. Shailesh Mehta, MD

Flower Mound, TX 75022

★★★★★ 4.7 (19)
11th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (720 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Ronald Lee, MD

Gainesville, FL 32605

★★★★★ 4.7 (15)
36th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,109 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Erik Rahimi, MD

Lakeway, TX 78738

★★★★★ 4.7 (23)
36th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,052 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Gary Rosman, MD

Egg Harbor Township, NJ 08234

★★★★★ 4.7 (15)
7th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (700 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Joseph Mcnelis, MD

Shelby, NC 28150

★★★★★ 4.7 (19)
13th NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (775 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Daniel Sedhom, MD

Edison, NJ 08837

★★★★★ 4.7 (23)
40th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,199 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Justin Mendel, MD

Atlanta, GA 30342

★★★★★ 4.7 (19)
74th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,571 CMS services/yr).

✓ Accepts Aetna ~$210 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.