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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 77 of 99

Dr. Stacey Mckelvey, MD

Barrington, IL 60010

★★★★★ 4.6 (18)
28th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (908 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 Cash

Dr. Taiseer Shatara, MD

Indianapolis, IN 46260

★★★★★ 4.6 (22)
85th IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (559 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Jennifer Schwartz, DO

Doylestown, PA 18901

★★★★★ 4.6 (26)
55th PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,074 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Paul Ruh, MD

Eau Claire, WI 54701

★★★★★ 4.6 (26)
41st WI Pct

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

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. A. Lawrence Attia, MD

New York, NY 10019

★★★★★ 4.6 (26)
81st NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,269 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Peter Simpson, MD

Mountain View, CA 94040

★★★★★ 4.6 (22)
32nd CA 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 BlueCross BlueShield ~$239 Cash

Dr. John Aita, MD

Bellingham, WA 98226

★★★★★ 4.6 (22)
30th WA Pct

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

✓ Accepts BlueCross BlueShield ~$222 Cash

Dr. Sidney Olefson, MD

Burnt Hills, NY 12027

★★★★★ 4.6 (26)
97th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (753 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash

Dr. Bridger Clarke, MD

Pittsburgh, PA 15241

★★★★★ 4.6 (18)
32nd PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,107 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Valeska Balderas, MD

Mcallen, TX 78504

★★★★★ 4.6 (18)
64th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,054 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Salina Lee, MD

Chicago, IL 60612

★★★★★ 4.6 (18)
82nd IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (520 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash

Dr. Sheena Patel, MD

Lima, OH 45806

★★★★★ 4.6 (22)
69th OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,819 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Hamid Sima, MD

Oklahoma City, OK 73112

★★★★★ 4.6 (18)
4th OK Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (664 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Raj Butani, MD

Bellevue, WA 98004

★★★★★ 4.6 (26)
59th WA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,610 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash

Dr. Eduardo Quintero-Nazario, MD

Boynton Beach, FL 33435

★★★★★ 4.6 (22)
12th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (759 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash
★★★★★ 4.6 (26)
82nd WA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (539 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash

Dr. Scott Cornella, MD

Winston Salem, NC 27103

★★★★★ 4.6 (18)
41st NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,068 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Edmundo Justino, MD

Prescott, AZ 86301

★★★★★ 4.6 (25)
70th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,775 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$207 Cash

Dr. Allan Andrews, MD

Supply, NC 28462

★★★★★ 4.6 (21)
35th NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,428 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. William Basri, MD

Brick, NJ 08724

★★★★★ 4.6 (25)
63rd NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,599 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. William Thaggard, MD

Meridian, MS 39301

★★★★★ 4.6 (25)
25th MS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,622 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
★★★★★ 4.6 (25)
53rd FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,453 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Fadi Rahhal, MD

Clermont, FL 34711

★★★★★ 4.6 (21)
59th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,701 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Gilbert Simoni, MD

Thousand Oaks, CA 91360

★★★★★ 4.6 (21)
72nd CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,711 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Joseph Herdman, MD

Media, PA 19063

★★★★★ 4.6 (25)
90th PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (9,024 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Kevin Dodd, MD

Kingston, NY 12401

★★★★★ 4.6 (17)
47th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,138 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash
★★★★★ 4.6 (25)
27th DE 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 BlueCross BlueShield ~$209 Cash

Dr. Blake Jones, MD

Rapid City, SD 57701

★★★★★ 4.6 (21)
71st SD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,358 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Kevin Skole, MD

Plainsboro, NJ 08536

★★★★★ 4.6 (25)
44th NJ 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
★★★★★ 4.6 (21)
31st FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,026 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Kurt Slye, MD

Taunton, MA 02780

★★★★★ 4.6 (17)
28th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (827 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$224 Cash

Dr. Svetlana Korenfeld, MD

West Nyack, NY 10994

★★★★★ 4.6 (17)
46th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,113 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash

Dr. Jeffrey Molloy, MD

Anchorage, AK 99508

★★★★★ 4.6 (17)
18th AK Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,276 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Augustine Salami, MD

Fort Myers, FL 33908

★★★★★ 4.6 (25)
57th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,581 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Daniel Selo, MD

Bloomington, IN 47403

★★★★★ 4.6 (25)
85th IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (7,427 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Theodore Kim, MD

Laurel, MD 20707

★★★★★ 4.6 (25)
42nd MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,187 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 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.