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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 49 of 99

Dr. Lee Klepper, MD

Berlin, MD 21811

★★★★★ 4.8 (19)
18th MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (835 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Chaudhary Khan, MD

O Fallon, MO 63368

★★★★★ 4.8 (15)
9th MO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (714 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Marta Davila, MD

Houston, TX 77030

★★★★★ 4.8 (23)
8th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (693 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$212 Cash

Dr. Robert Wiesen, MD

Somerville, NJ 08876

★★★★★ 4.8 (15)
94th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (9,641 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
★★★★★ 4.8 (15)
88th NE 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 BlueCross BlueShield ~$209 Cash

Dr. Praveen Mettu, MD

Chicago, IL 60612

★★★★★ 4.8 (23)
36th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (990 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash

Dr. Abdul Aadam, MD

Chicago, IL 60611

★★★★★ 4.8 (23)
20th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (843 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash

Dr. Corey Brotz, MD

Philadelphia, PA 19111

★★★★★ 4.8 (23)
13th PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (734 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Ramalinga Kedika, MD

Mesquite, TX 75150

★★★★★ 4.8 (15)
79th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,016 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Erica Cohen, MD

Chevy Chase, MD 20815

★★★★★ 4.8 (19)
94th MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (15,451 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Mary Atia, MD

Glendale, AZ 85304

★★★★★ 4.8 (15)
96th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (614 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$207 Cash

Dr. Charles Katopes, MD

Winston Salem, NC 27103

★★★★★ 4.8 (23)
70th NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (7,004 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Armen Simonian, MD

Pennington, NJ 08534

★★★★★ 4.8 (23)
3rd NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (658 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Rodney Cohen, MD

Savannah, GA 31404

★★★★★ 4.8 (23)
79th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (508 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Steven Hahn, MD

Plantation, FL 33322

★★★★★ 4.8 (15)
79th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (523 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Gregory Brennan, MD

Mansfield, TX 76063

★★★★★ 4.8 (15)
78th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,737 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Michael Fry, MD

Gainesville, GA 30501

★★★★★ 4.8 (19)
83rd GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,098 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Andrew Joelson, MD

Glen Ridge, NJ 07028

★★★★★ 4.8 (19)
13th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (766 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
★★★★★ 4.8 (19)
8th WV Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (665 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. William Goldkamp, MD

Saint Louis, MO 63141

★★★★★ 4.8 (19)
84th MO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (523 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Justin Yamin, MD

Worcester, MA 01605

★★★★★ 4.8 (18)
76th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,639 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$224 Cash

Dr. Edward Fricker, MD

Valdosta, GA 31605

★★★★★ 4.8 (18)
59th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,970 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Mia Hindi, MD

Newburgh, IN 47630

★★★★★ 4.8 (18)
57th IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,369 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Bhagvan Malladi, MD

Lufkin, TX 75901

★★★★★ 4.8 (18)
70th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,672 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Sarathchandra Reddy, MD

Braintree, MA 02184

★★★★★ 4.8 (22)
62nd MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,226 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$224 Cash

Dr. Daniel Brown, MD

Little Rock, AR 72205

★★★★★ 4.8 (22)
39th AR Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,691 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Joseph Baltz, MD

Germantown, TN 38138

★★★★★ 4.8 (18)
86th TN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,591 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$201 Cash

Dr. Stephen Brackbill, MD

Greenville, SC 29607

★★★★★ 4.8 (22)
96th SC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (10,371 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Trent Martin, MD

Virginia Beach, VA 23456

★★★★★ 4.8 (18)
56th VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,257 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Mohammed Ali, MD

Chevy Chase, MD 20815

★★★★★ 4.8 (18)
93rd MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (11,865 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Matthew Smith, MD

Oakbrook Terrace, IL 60181

★★★★★ 4.8 (22)
61st IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,444 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 Cash

Dr. Elias Ghandour, MD

Lubbock, TX 79424

★★★★★ 4.8 (18)
56th TX 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 BlueCross BlueShield ~$209 Cash

Dr. Kenneth Lee, MD

Pomona, CA 91767

★★★★★ 4.8 (22)
65th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,474 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Matthew Nikoloff, MD

Chambersburg, PA 17201

★★★★★ 4.8 (18)
53rd PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,835 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Hemal Patel, MD

Geneva, IL 60134

★★★★★ 4.8 (18)
35th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (979 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 Cash

Dr. Srinivas Raju, MD

Fort Myers, FL 33907

★★★★★ 4.8 (22)
27th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (979 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$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.