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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 89 of 99

Dr. Mark Wilson, MD

Jackson, MS 39216

★★★★★ 4.6 (24)
62nd MS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,668 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Reid Hopkins, MD

Norwalk, CT 06850

★★★★★ 4.6 (16)
7th CT Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (708 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Zachary Sherman, MD

Clearwater, FL 33756

★★★★★ 4.6 (24)
26th FL 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 ~$216 Cash

Dr. Long Vu, MD

Cleveland, OH 44195

★★★★★ 4.6 (20)
33rd OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (919 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Lidia Spaho, MD

Winfield, IL 60190

★★★★★ 4.6 (24)
5th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (696 CMS services/yr).

✓ Accepts Aetna ~$218 Cash

Dr. Michael Mangan, MD

Tallahassee, FL 32308

★★★★★ 4.6 (20)
66th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,008 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Arif Muslim, MD

New Windsor, NY 12553

★★★★★ 4.6 (20)
45th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,103 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Erica Roberson, MD

Plymouth, MN 55446

★★★★★ 4.6 (24)
24th MN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,146 CMS services/yr).

✓ Accepts Aetna ~$209 Cash
★★★★★ 4.6 (24)
90th PA Pct

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

✓ Accepts Aetna ~$209 Cash

Dr. Patrick Harris, MD

Tupelo, MS 38801

★★★★★ 4.6 (20)
43rd MS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,980 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Sanjay Agrawal, MD

Tacoma, WA 98405

★★★★★ 4.6 (16)
76th WA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (516 CMS services/yr).

✓ Accepts Aetna ~$222 Cash

Dr. Anna Platovsky, MD

Somerset, NJ 08873

★★★★★ 4.6 (24)
23rd NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (916 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Anand Madan, MD

Roseville, CA 95661

★★★★★ 4.6 (24)
22nd CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (841 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Diana Arsene, MD

Colorado Springs, CO 80909

★★★★★ 4.6 (16)
63rd CO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,929 CMS services/yr).

✓ Accepts Aetna ~$211 Cash

Dr. Steven Geier, MD

Mineola, NY 11501

★★★★★ 4.6 (16)
87th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (552 CMS services/yr).

✓ Accepts Aetna ~$232 Cash

Dr. Tadd Hiatt, MD

East Lansing, MI 48823

★★★★★ 4.6 (24)
88th MI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (546 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. David Cangemi, MD

Jacksonville, FL 32224

★★★★★ 4.6 (20)
77th FL 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 ~$216 Cash

Dr. Thomas Mccarty, MD

Houston, TX 77030

★★★★★ 4.6 (24)
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 ~$212 Cash

Dr. Eldad Bialecki, MD

Saint Peters, MO 63376

★★★★★ 4.6 (20)
81st MO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (7,640 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Derek Cheng, MD

Los Angeles, CA 90048

★★★★★ 4.6 (24)
12th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (742 CMS services/yr).

✓ Accepts Aetna ~$231 Cash

Dr. Roger Kao, MD

San Carlos, CA 94070

★★★★★ 4.6 (16)
14th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (772 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Ryan Gaible, MD

Dublin, OH 43016

★★★★★ 4.6 (20)
52nd OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (395 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Jerome Burke, MD

Sellersville, PA 18960

★★★★★ 4.6 (24)
1st PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (632 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Hussein El-Newihi, MD

El Centro, CA 92243

★★★★★ 4.6 (19)
91st CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,464 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Harinath Sheela, MD

Orlando, FL 32825

★★★★★ 4.6 (19)
92nd FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (8,981 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Heather Gibbs, MD

Lewes, DE 19958

★★★★★ 4.6 (15)
45th DE Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,709 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Suzanne Skoog, MD

Scottsdale, AZ 85255

★★★★★ 4.6 (23)
88th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,797 CMS services/yr).

✓ Accepts Aetna ~$210 Cash

Dr. Abdi Abbassi, MD

Jacksonville, FL 32204

★★★★★ 4.6 (19)
79th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,409 CMS services/yr).

✓ Accepts Aetna ~$216 Cash

Dr. Ken Chow, MD

Yuba City, CA 95991

★★★★★ 4.6 (19)
98th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (12,148 CMS services/yr).

✓ Accepts Aetna ~$239 Cash

Dr. Donovan Stockdale, MD

Jonesboro, AR 72401

★★★★★ 4.6 (19)
25th AR Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,213 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Naveen Reddy, MD

Jupiter, FL 33458

★★★★★ 4.6 (15)
65th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,986 CMS services/yr).

✓ Accepts Aetna ~$216 Cash
★★★★★ 4.6 (23)
75th MS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (7,154 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Richard Pleva, MD

Prescott, AZ 86301

★★★★★ 4.6 (15)
74th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,902 CMS services/yr).

✓ Accepts Aetna ~$207 Cash

Dr. Michael Mastrangelo, MD

Wilmington, NC 28401

★★★★★ 4.6 (19)
83rd NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (10,046 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Adam Palance, MD

Teaneck, NJ 07666

★★★★★ 4.6 (19)
60th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,563 CMS services/yr).

✓ Accepts Aetna ~$209 Cash

Dr. Srikar Reddy, MD

Columbia, TN 38401

★★★★★ 4.6 (23)
38th TN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,155 CMS services/yr).

✓ Accepts Aetna ~$201 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.