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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 45 of 99

Dr. Harika Balagoni, MD

LA Crosse, WI 54601

★★★★★ 4.8 (17)
1st WI Pct

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

✓ Accepts Cigna ~$209 Cash
★★★★★ 4.8 (21)
41st FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,168 CMS services/yr).

✓ Accepts Cigna ~$216 Cash

Dr. Raphael Merriman, MD

San Francisco, CA 94109

★★★★★ 4.8 (17)
40th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,065 CMS services/yr).

✓ Accepts Cigna ~$250 Cash

Dr. Samir Al-Hadidi, MD

Rochester Hills, MI 48307

★★★★★ 4.8 (21)
84th MI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,814 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Sang Kim, MD

Flushing, NY 11355

★★★★★ 4.8 (17)
30th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (906 CMS services/yr).

✓ Accepts Cigna ~$232 Cash

Dr. Rohit Makkar, MD

Columbus, OH 43202

★★★★★ 4.8 (21)
92nd OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (589 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Vivy Cusumano, MD

Santa Monica, CA 90404

★★★★★ 4.8 (21)
95th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (786 CMS services/yr).

✓ Accepts Cigna ~$239 Cash

Dr. Endashaw Omer, MD

Louisville, KY 40202

★★★★★ 4.8 (21)
48th KY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (937 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Roniel Cabrera, MD

Gainesville, FL 32610

★★★★★ 4.8 (17)
15th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (807 CMS services/yr).

✓ Accepts Cigna ~$216 Cash

Dr. Blake Scott, MD

Winston Salem, NC 27103

★★★★★ 4.8 (17)
59th NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,154 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Victor Chen, MD

Boise, ID 83704

★★★★★ 4.8 (17)
18th ID Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (723 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Stephen Welsh, MD

Columbia, MO 65201

★★★★★ 4.8 (21)
72nd MO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,136 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. James Toussaint, MD

Charlotte, NC 28277

★★★★★ 4.8 (21)
33rd NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,352 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Woosuk Park, MD

Kenosha, WI 53142

★★★★★ 4.8 (21)
84th WI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (527 CMS services/yr).

✓ Accepts Cigna ~$209 Cash
★★★★★ 4.8 (21)
76th ID Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,064 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Suryanarayan Anand, MD

Brooklyn, NY 11230

★★★★★ 4.8 (17)
1st NY Pct

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

✓ Accepts Cigna ~$232 Cash

Dr. Blaire Burman, MD

Seattle, WA 98195

★★★★★ 4.8 (21)
84th WA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (557 CMS services/yr).

✓ Accepts Cigna ~$225 Cash

Dr. Kristina Ross, MD

Bellingham, WA 98226

★★★★★ 4.8 (21)
92nd WA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (8,533 CMS services/yr).

✓ Accepts Cigna ~$222 Cash

Dr. Amit Desai, MD

Dallas, TX 75231

★★★★★ 4.8 (17)
78th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,682 CMS services/yr).

✓ Accepts Cigna ~$211 Cash

Dr. Alexandra Strauss, MD

Philadelphia, PA 19104

★★★★★ 4.8 (17)
9th PA Pct

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

✓ Accepts Cigna ~$209 Cash

Dr. Tom Tassakis, MD

Vineland, NJ 08361

★★★★★ 4.8 (17)
6th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (698 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. James Chong, MD

Delray Beach, FL 33445

★★★★★ 4.8 (16)
98th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (26,784 CMS services/yr).

✓ Accepts Cigna ~$216 Cash

Dr. Navin Kumar, MD

Munster, IN 46321

★★★★★ 4.8 (24)
74th IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,101 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Vikram Budhraja, MD

Florence, MA 01062

★★★★★ 4.8 (20)
77th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,661 CMS services/yr).

✓ Accepts Cigna ~$224 Cash

Dr. Samuel Tarwater, MD

Dothan, AL 36305

★★★★★ 4.8 (16)
96th AL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (19,238 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Pradeep Gupta, MD

Arlington, VA 22205

★★★★★ 4.8 (24)
61st VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,458 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Mitchell Schwartz, MD

Oakhurst, NJ 07755

★★★★★ 4.8 (24)
58th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,475 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Mounzer Soued, MD

Pensacola, FL 32503

★★★★★ 4.8 (20)
53rd FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,462 CMS services/yr).

✓ Accepts Cigna ~$216 Cash

Dr. Gregory Heyt, MD

Red Bank, NJ 07701

★★★★★ 4.8 (24)
39th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,194 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. David Pineles, MD

West Orange, NJ 07052

★★★★★ 4.8 (20)
72nd NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,941 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. Rehan Iftikhar, MD

Tucson, AZ 85745

★★★★★ 4.8 (20)
50th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,230 CMS services/yr).

✓ Accepts Cigna ~$207 Cash

Dr. Jorge Galan, DO

Columbia, SC 29204

★★★★★ 4.8 (24)
67th SC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,809 CMS services/yr).

✓ Accepts Cigna ~$209 Cash

Dr. David Kaufman, DO

Irvine, CA 92618

★★★★★ 4.8 (20)
68th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,526 CMS services/yr).

✓ Accepts Cigna ~$239 Cash

Dr. Jeffrey Gamss, MD

Brooklyn, NY 11229

★★★★★ 4.8 (20)
41st NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,035 CMS services/yr).

✓ Accepts Cigna ~$232 Cash

Dr. Robert Faust, MD

Santa Rosa, CA 95405

★★★★★ 4.8 (16)
59th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,364 CMS services/yr).

✓ Accepts Cigna ~$239 Cash

Dr. Scott Richardson, MD

Rock Hill, SC 29732

★★★★★ 4.8 (20)
60th SC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,648 CMS services/yr).

✓ Accepts Cigna ~$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.