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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 68 of 99

Dr. Alexis Pappas, MD

Fairhaven, MA 02719

★★★★★ 4.7 (15)
17th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (725 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$224 Cash

Dr. Jeffrey Gretz, MD

Bradenton, FL 34211

★★★★★ 4.7 (19)
31st FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,022 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Jeffrey Danzig, MD

Ridgewood, NJ 07450

★★★★★ 4.7 (19)
92nd NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,890 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Chuan Miao, MD

Fishersville, VA 22939

★★★★★ 4.7 (23)
57th VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,288 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Guy Weiss, MD

Buffalo, NY 14215

★★★★★ 4.7 (23)
35th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (966 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash

Dr. Rafi Ali, MD

Naperville, IL 60540

★★★★★ 4.7 (19)
55th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,317 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 Cash

Dr. David Kerstetter, MD

Altoona, PA 16602

★★★★★ 4.7 (23)
75th PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,369 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
★★★★★ 4.7 (19)
86th OK Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (8,082 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
★★★★★ 4.7 (23)
50th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,430 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Syed Sadiq, MD

Fort Worth, TX 76104

★★★★★ 4.7 (15)
81st TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,191 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Sarah Shannahan, MD

Boston, MA 02215

★★★★★ 4.7 (15)
82nd MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,350 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$227 Cash

Dr. Sveta Oza, MD

Weymouth, MA 02189

★★★★★ 4.7 (19)
31st MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (845 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$224 Cash

Dr. David Owens, MD

Olympia, WA 98506

★★★★★ 4.7 (23)
27th WA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (883 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash

Dr. Ayaaz Ismail, MD

Las Vegas, NV 89128

★★★★★ 4.7 (23)
26th NV Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (831 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. William Shaver, MD

Georgetown, SC 29440

★★★★★ 4.7 (19)
4th SC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (670 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Amit Gajera, MD

Cincinnati, OH 45219

★★★★★ 4.7 (19)
87th OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (7,133 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Ji Young Bang, MD

St Petersburg, FL 33701

★★★★★ 4.7 (15)
19th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (856 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Jehad Miqdadi, MD

Buffalo, NY 14203

★★★★★ 4.7 (15)
76th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,468 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash

Dr. Thomas Puetz, MD

Mequon, WI 53092

★★★★★ 4.7 (15)
78th WI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (500 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Nii Lamptey-Mills, MD

Cumberland, MD 21502

★★★★★ 4.7 (23)
75th MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (538 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Rene Rivera, MD

Chesapeake, VA 23320

★★★★★ 4.7 (15)
75th VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,751 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Sajneet Khangura, MD

San Antonio, TX 78251

★★★★★ 4.7 (23)
74th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (496 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Bennett Bruckner, MD

Spartanburg, SC 29307

★★★★★ 4.7 (23)
98th SC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (626 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Ruben Acosta, MD

Silver Spring, MD 20901

★★★★★ 4.7 (23)
81st MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,450 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Paul Brundage, DO

Cleveland, TN 37311

★★★★★ 4.7 (15)
11th TN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (719 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$201 Cash

Dr. Michael Simons, MD

Corbin, KY 40701

★★★★★ 4.7 (23)
92nd KY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (582 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Abhishek Bhurwal, MD

Brunswick, GA 31520

★★★★★ 4.7 (15)
78th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (498 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Xiaoyu Li, MD

Jacksonville, FL 32216

★★★★★ 4.7 (23)
71st FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,507 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Stephen Holland, MD

Decatur, IL 62526

★★★★★ 4.7 (23)
22nd IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (855 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 Cash

Dr. Rashmi Tadiparthi, MD

Kansas City, KS 66160

★★★★★ 4.7 (19)
82nd KS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,475 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Dmitry Mysh, MD

Fort Myers, FL 33908

★★★★★ 4.7 (19)
5th FL Pct

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

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Ramin Farboudmanesch, MD

Chevy Chase, MD 20815

★★★★★ 4.7 (15)
8th MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (703 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Kristie Blank, MD

Rockwall, TX 75032

★★★★★ 4.7 (23)
80th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,089 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Randal Macurak, MD

Dallas, TX 75237

★★★★★ 4.7 (15)
6th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (687 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$211 Cash

Dr. Travis Rutland, MD

Dothan, AL 36305

★★★★★ 4.7 (26)
90th AL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (15,547 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Dale Coy, MD

Lake Barrington, IL 60010

★★★★★ 4.7 (26)
59th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,377 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 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.