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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 34 of 99

Dr. Todd Heller, MD

Baltimore, MD 21208

★★★★★ 4.9 (23)
81st MD Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,502 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Michael Tendler, MD

Marlboro, NJ 07746

★★★★★ 4.9 (15)
46th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,270 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash
★★★★★ 4.9 (19)
71st IA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,009 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Jason Cisler, MD

Omaha, NE 68114

★★★★★ 4.9 (15)
87th NE Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (22,024 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Benedict Garrett, MD

Burbank, CA 91505

★★★★★ 4.9 (15)
88th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,800 CMS services/yr).

✓ Accepts UnitedHealthcare ~$239 Cash

Dr. Jeffrey Poole, MD

Ogden, UT 84405

★★★★★ 4.9 (15)
61st UT Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,962 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Allan Gunnerson, DO

St George, UT 84790

★★★★★ 4.9 (19)
32nd UT Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (986 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Nicole Kershner, MD

Fort Collins, CO 80525

★★★★★ 4.9 (23)
75th CO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,334 CMS services/yr).

✓ Accepts UnitedHealthcare ~$211 Cash

Dr. Twan Phanijphand, DO

Fort Walton Beach, FL 32547

★★★★★ 4.9 (23)
64th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,919 CMS services/yr).

✓ Accepts UnitedHealthcare ~$216 Cash

Dr. Andrew Kim, MD

Las Vegas, NV 89113

★★★★★ 4.9 (23)
93rd NV Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,928 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Howard Salomons, MD

Taunton, MA 02780

★★★★★ 4.9 (23)
35th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (880 CMS services/yr).

✓ Accepts UnitedHealthcare ~$224 Cash

Dr. Daryl Mcclendon, MD

Anchorage, AK 99508

★★★★★ 4.9 (15)
27th AK Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,385 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Lawrence Comerford, MD

Fishersville, VA 22939

★★★★★ 4.9 (19)
46th VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,115 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Paola Blanco, MD

Allentown, PA 18104

★★★★★ 4.9 (15)
56th PA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,225 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash
★★★★★ 4.9 (23)
57th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,451 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Teresa Menadier, MD

Charlottesville, VA 22908

★★★★★ 4.9 (19)
52nd VA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,218 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Theodore Schafer, MD

Fairhaven, MA 02719

★★★★★ 4.9 (19)
39th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (895 CMS services/yr).

✓ Accepts UnitedHealthcare ~$224 Cash

Dr. Balaji Datti, MD

Topeka, KS 66606

★★★★★ 4.9 (19)
31st KS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,070 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Brett Davis, MD

Owensboro, KY 42303

★★★★★ 4.9 (23)
29th KY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (805 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Floyd Byfield, MD

Sleepy Hollow, NY 10591

★★★★★ 4.9 (19)
64th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,582 CMS services/yr).

✓ Accepts UnitedHealthcare ~$232 Cash

Dr. Abdulla Taja, MD

Lima, OH 45807

★★★★★ 4.9 (23)
60th OH Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,578 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Kimberly Brizell, DO

Bradenton, FL 34205

★★★★★ 4.9 (15)
96th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (13,446 CMS services/yr).

✓ Accepts UnitedHealthcare ~$216 Cash

Dr. Charles Duckworth, MD

Savannah, GA 31404

★★★★★ 4.9 (15)
74th GA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (3,549 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Michael Foley, DO

Phoenix, AZ 85020

★★★★★ 4.9 (19)
47th AZ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,135 CMS services/yr).

✓ Accepts UnitedHealthcare ~$207 Cash

Dr. Nikhil Kalva, MD

Peoria, IL 61637

★★★★★ 4.9 (15)
42nd IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,082 CMS services/yr).

✓ Accepts UnitedHealthcare ~$218 Cash

Dr. Kevin Gaylord, MD

Wilmington, NC 28401

★★★★★ 4.9 (23)
66th NC Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (6,360 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Aaron Cohn, MD

Grayslake, IL 60030

★★★★★ 4.9 (23)
19th IL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (832 CMS services/yr).

✓ Accepts UnitedHealthcare ~$218 Cash

Dr. Nidhir Sheth, MD

Lumberton, NJ 08048

★★★★★ 4.9 (23)
17th NJ Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (846 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Francis Macmillan, MD

Manchester, NH 03104

★★★★★ 4.9 (23)
41st NH 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 UnitedHealthcare ~$209 Cash

Dr. Eric Yoo, MD

Santa Cruz, CA 95065

★★★★★ 4.9 (15)
25th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (872 CMS services/yr).

✓ Accepts UnitedHealthcare ~$239 Cash

Dr. Daniel Buckles, MD

Kansas City,, KS 66160

★★★★★ 4.9 (23)
75th KS Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (667 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. James Dimitroff, MD

Saint Peters, MO 63376

★★★★★ 4.9 (19)
90th MO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (14,900 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Paul Buse, MD

Chesterfield, MO 63017

★★★★★ 4.9 (19)
4th MO Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (674 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Saurabh Sethi, MD

Fremont, CA 94538

★★★★★ 4.9 (19)
78th CA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,960 CMS services/yr).

✓ Accepts UnitedHealthcare ~$239 Cash

Dr. Matthew Eves, MD

Mobile, AL 36604

★★★★★ 4.9 (19)
27th AL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (1,098 CMS services/yr).

✓ Accepts UnitedHealthcare ~$209 Cash

Dr. Steven Helft, MD

Poughkeepsie, NY 12601

★★★★★ 4.9 (15)
87th NY Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (4,643 CMS services/yr).

✓ Accepts UnitedHealthcare ~$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.