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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 71 of 99

Dr. Matthew Downey, MD

Honesdale, PA 18431

★★★★★ 4.7 (21)
78th PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,785 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Charles Shana, MD

Fall River, MA 02720

★★★★★ 4.7 (25)
68th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,325 CMS services/yr).

✓ Accepts Humana ~$224 Cash
★★★★★ 4.7 (17)
79th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,997 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Rudolph Bedford, MD

Santa Monica, CA 90404

★★★★★ 4.7 (25)
80th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,083 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Mayur Trivedi, MD

Simi Valley, CA 93065

★★★★★ 4.7 (25)
83rd CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,384 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Stephen Steele, MD

Texarkana, TX 75503

★★★★★ 4.7 (25)
97th TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (13,989 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Stuart Soroka, MD

St Augustine, FL 32086

★★★★★ 4.7 (25)
77th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,142 CMS services/yr).

✓ Accepts Humana ~$216 Cash

Dr. Mark Fesenmyer, MD

Merrillville, IN 46410

★★★★★ 4.7 (21)
53rd IN Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,325 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. David Cromwell, MD

Lutherville, MD 21093

★★★★★ 4.7 (21)
25th MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (918 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Ching-Fong Wu, DO

Visalia, CA 93277

★★★★★ 4.7 (21)
41st CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,073 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Matthew Kutner, DO

Hackensack, NJ 07601

★★★★★ 4.7 (21)
76th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,137 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Svetang Desai, MD

Houston, TX 77034

★★★★★ 4.7 (21)
51st TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,368 CMS services/yr).

✓ Accepts Humana ~$212 Cash

Dr. Chia-Wen Hsu, MD

Austin, TX 78745

★★★★★ 4.7 (25)
32nd TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (983 CMS services/yr).

✓ Accepts Humana ~$211 Cash

Dr. Keith Buhl, MD

Philadelphia, PA 19111

★★★★★ 4.7 (17)
31st PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,093 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Daniel Stein, MD

Boston, MA 02115

★★★★★ 4.7 (21)
54th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,066 CMS services/yr).

✓ Accepts Humana ~$227 Cash

Dr. Stephen Buckley, MD

Hattiesburg, MS 39402

★★★★★ 4.7 (25)
69th MS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (6,393 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. John Kalarickal, MD

Gainesville, GA 30501

★★★★★ 4.7 (25)
84th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (5,242 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Alexander Low, MD

Folsom, CA 95630

★★★★★ 4.7 (21)
89th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,976 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Howard Guss, DO

Ocean, NJ 07712

★★★★★ 4.7 (17)
49th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,318 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Mehra Hosseini, MD

Berkeley, CA 94705

★★★★★ 4.7 (21)
59th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,366 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Richard Otero, MD

San Antonio, TX 78212

★★★★★ 4.7 (17)
81st TX Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,303 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Salman Nusrat, MD

Oklahoma City, OK 73104

★★★★★ 4.7 (21)
59th OK Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,024 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. James Curtiss, MD

Lynchburg, VA 24502

★★★★★ 4.7 (25)
20th VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (839 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Yaseen Perbtani, DO

Gainesville, FL 32610

★★★★★ 4.7 (17)
20th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (878 CMS services/yr).

✓ Accepts Humana ~$216 Cash

Dr. Malay Dey, MD

Springboro, OH 45066

★★★★★ 4.7 (21)
38th OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (995 CMS services/yr).

✓ Accepts Humana ~$209 Cash
★★★★★ 4.7 (21)
77th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,875 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Steven Carpenter, MD

Savannah, GA 31404

★★★★★ 4.7 (25)
71st GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,239 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Elizabeth Sprague, MD

Milwaukee, WI 53215

★★★★★ 4.7 (25)
59th WI Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (903 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Isaac Galandauer, MD

Florham Park, NJ 07932

★★★★★ 4.7 (25)
24th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (940 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. Silvia Villagomez, MD

Oakland, CA 94612

★★★★★ 4.7 (21)
23rd CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (853 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. William Levis, MD

Elgin, IL 60123

★★★★★ 4.7 (25)
74th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,115 CMS services/yr).

✓ Accepts Humana ~$218 Cash

Dr. Ashwini Anumandla, MD

Stockton, CA 95209

★★★★★ 4.7 (25)
61st CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,408 CMS services/yr).

✓ Accepts Humana ~$239 Cash

Dr. Rachna Arora, MD

Aurora, IL 60506

★★★★★ 4.7 (17)
16th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (811 CMS services/yr).

✓ Accepts Humana ~$218 Cash

Dr. David Eskreis, MD

Atlanta, GA 30322

★★★★★ 4.7 (21)
10th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (745 CMS services/yr).

✓ Accepts Humana ~$210 Cash

Dr. John Sotiriadis, MD

North Bergen, NJ 07047

★★★★★ 4.7 (17)
76th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,151 CMS services/yr).

✓ Accepts Humana ~$209 Cash

Dr. John Jacobs, MD

Tampa, FL 33612

★★★★★ 4.7 (21)
21st FL 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 Humana ~$210 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.