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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 26 of 99

Dr. Christopher Rife, MD

Lincoln, NE 68503

★★★★★ 4.9 (16)
47th NE Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (10,306 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Joanne Matthews, MD

Greenville, NC 27834

★★★★★ 4.9 (16)
94th NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (19,860 CMS services/yr).

✓ Accepts Humana ~$209 Cash
★★★★★ 4.9 (16)
51st IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,238 CMS services/yr).

✓ Accepts Humana ~$218 Cash

Dr. George Protopapas, MD

Newburgh, NY 12550

★★★★★ 4.9 (20)
59th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,412 CMS services/yr).

✓ Accepts Humana ~$232 Cash

Dr. Steven Frachtman, MD

Houston, TX 77030

★★★★★ 4.9 (16)
32nd TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (964 CMS services/yr).

✓ Accepts Humana ~$212 Cash

Dr. Brent Lacey, MD

Camp Lejeune, NC 28547

★★★★★ 4.9 (16)
84th NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (10,393 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Hassan Borghei, DO

Cocoa Beach, FL 32931

★★★★★ 4.9 (24)
64th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,912 CMS services/yr).

✓ Accepts Humana ~$216 Cash

Dr. Rony Ghaoui, MD

Springfield, MA 01107

★★★★★ 4.9 (24)
24th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (794 CMS services/yr).

✓ Accepts Humana ~$224 Cash

Dr. Barbara Maccollum, MD

Phoenix, AZ 85006

★★★★★ 4.9 (16)
37th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (948 CMS services/yr).

✓ Accepts Humana ~$207 Cash

Dr. Antonio Decarli, MD

New Smyrna Beach, FL 32168

★★★★★ 4.9 (20)
22nd FL 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 Humana ~$216 Cash

Dr. Neva Castro, MD

East Setauket, NY 11733

★★★★★ 4.9 (20)
98th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,092 CMS services/yr).

✓ Accepts Humana ~$232 Cash
★★★★★ 4.9 (16)
91st MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,692 CMS services/yr).

✓ Accepts Humana ~$224 Cash

Dr. Gunda Reddy, MD

Lapeer, MI 48446

★★★★★ 4.9 (24)
34th MI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,045 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Sean Caufield, MD

Loveland, CO 80537

★★★★★ 4.9 (24)
99th CO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (16,288 CMS services/yr).

✓ Accepts Humana ~$211 Cash

Dr. Perry Lewis, MD

Longview, TX 75601

★★★★★ 4.9 (20)
30th TX 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 Humana ~$209 Cash

Dr. Evan Shelby, MD

Lancaster, PA 17601

★★★★★ 4.9 (20)
79th PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,840 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Robert Pfeffer, MD

New York, NY 10016

★★★★★ 4.9 (24)
57th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,336 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Kerry Whitt, MD

Raleigh, NC 27607

★★★★★ 4.9 (20)
1st NC 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 Humana ~$209 Cash

Dr. Andrew Brown, MD

Jacksonville, FL 32204

★★★★★ 4.9 (20)
28th FL 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 Humana ~$216 Cash

Dr. Dolores Rhodes-Height, MD

Prince Frederick, MD 20678

★★★★★ 4.9 (24)
33rd MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,036 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Kelly Carson, MD

Atlanta, GA 30342

★★★★★ 4.9 (20)
14th GA Pct

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

✓ Accepts Humana ~$210 Cash

Dr. Gary Gorodokin, MD

Fair Lawn, NJ 07410

★★★★★ 4.9 (16)
21st NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (899 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Amber Moreland, MD

San Angelo, TX 76901

★★★★★ 4.9 (20)
23rd TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (837 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Venkata Akshintala, MD

Baltimore, MD 21287

★★★★★ 4.9 (20)
87th MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (606 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Robert Straub, MD

Westlake, OH 44145

★★★★★ 4.9 (24)
98th OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (20,307 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Charles Albert, MD

Port Jefferson Station, NY 11776

★★★★★ 4.9 (16)
64th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,574 CMS services/yr).

✓ Accepts Humana ~$232 Cash

Dr. Jermaine Clarke, DO

Sherman, TX 75092

★★★★★ 4.9 (24)
35th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,034 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Viet-Nhan Nguyen, DO

Raleigh, NC 27610

★★★★★ 4.9 (16)
23rd NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (993 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Stephen Carlson, MD

Indianapolis, IN 46250

★★★★★ 4.9 (20)
32nd IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (866 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Joseph Obi, MD

Bradenton, FL 34209

★★★★★ 4.9 (20)
17th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (836 CMS services/yr).

✓ Accepts Humana ~$216 Cash

Dr. Amy Javia, MD

Allentown, PA 18104

★★★★★ 4.9 (16)
82nd PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (6,142 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Francis Levert, MD

Suwanee, GA 30024

★★★★★ 4.9 (20)
75th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (635 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Joseph Felder, MD

New York, NY 10022

★★★★★ 4.9 (24)
78th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,860 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Leon Kavaler, MD

New York, NY 10028

★★★★★ 4.9 (20)
20th NY Pct

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

✓ Accepts Humana ~$239 Cash

Dr. Gebran Khneizer, MD

Wichita, KS 67226

★★★★★ 4.9 (20)
98th KS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (25,520 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Joseph Polito, MD

Albany, NY 12206

★★★★★ 4.9 (24)
91st NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (6,019 CMS services/yr).

✓ Accepts Humana ~$232 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.