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749,040 Verified U.S. Physicians • 51 States & Territories • Zero Sponsored Placements
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Verified U.S. Doctors Who Accept BlueCross BlueShield.

Enter a doctor’s name, specialty, or procedure alongside your insurance plan to find verified specialists with real Medicare procedure counts and patient reviews.

4. Complete Physician Directory

All Verified Physicians (118,526)

Page 172 of 3,293

Dr. Arman Mashayekhi, MD

Jacksonville, FL 32224

★★★★★ 4.9 (25)
81st FL Pct

Top Billed Procedure: Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal E [CPT 92014] • Optical Coherence Tomography retinal/optic nerve scanning (CPT 92133 / 92134) & subspecialty diagnostics (10,681 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Michael Guida, MD

West Babylon, NY 11704

★★★★★ 4.9 (25)
89th NY Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (4,547 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash

Dr. Thomas Drames, DO

Pennington, NJ 08534

★★★★★ 4.9 (25)
92nd NJ Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complete pulmonary function testing / spirometry with bronchodilator response (CPT 94060) & subspecialty diagnostics (5,035 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Nephrology ★ 4.7

Dr. Heather Haley, DO

Huntsville, AL 35801

★★★★★ 4.9 (25)
77th AL Pct

Top Billed Procedure: Chronic Kidney Disease eGFR, uACR & Electrolyte Management [CPT 99214] • CKD staging via eGFR + Cystatin C and urine albumin-to-creatinine ratio (uACR) & subspecialty diagnostics (2,634 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Umesh Choudhry, MD

Clearwater, FL 33756

★★★★★ 4.9 (25)
67th FL Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (2,113 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Kevin Lu, MD

Willow Grove, PA 19090

★★★★★ 4.9 (25)
99th PA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (86,910 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Michael Havig, MD

Naples, FL 34108

★★★★★ 4.9 (25)
87th FL Pct

Top Billed Procedure: Focused Orthopedic Joint & Spine Mobility Evaluation [CPT 99213] • Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611) & subspecialty diagnostics (15,700 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Kelly Borden, MD

Englewood, CO 80112

★★★★★ 4.9 (25)
73rd CO Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (4,517 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$211 Cash
Pathology ★ 4.8

Dr. Tetyana Mettler, MD

Saint Paul, MN 55101

★★★★★ 4.9 (25)
84th MN Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,261 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Cardiology ★ 4.7

Dr. Aaron Whipp, DO

Fishers, IN 46037

★★★★★ 4.9 (25)
47th IN Pct

Top Billed Procedure: Established Cardiology Consultation & Hemodynamic Review [CPT 99214] • Transthoracic echocardiography (CPT 93306) & subspecialty diagnostics (2,274 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Jaime Pugeda, MD

Tacoma, WA 98405

★★★★★ 4.9 (25)
29th WA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Coronary angiography & percutaneous coronary intervention (CPT 92928) & subspecialty diagnostics (1,488 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash
Pathology ★ 4.6

Dr. John Pike, MD

Kansas City, KS 66160

★★★★★ 4.9 (25)
53rd KS Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,220 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Pathology ★ 4.7
★★★★★ 4.9 (25)
66th AL Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,598 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Bertrand Kaper, MD

Scottsdale, AZ 85255

★★★★★ 4.9 (25)
31st AZ Pct

Top Billed Procedure: Focused Orthopedic Joint & Spine Mobility Evaluation [CPT 99213] • Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611) & subspecialty diagnostics (1,548 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$210 Cash

Dr. Mary Kate Hogan, MD

Louisville, KY 40202

★★★★★ 4.9 (25)
47th KY Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (885 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Ryan St.clair, MD

Santa Cruz, CA 95062

★★★★★ 4.9 (25)
42nd CA Pct

Top Billed Procedure: Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal E [CPT 92014] • Optical Coherence Tomography retinal/optic nerve scanning (CPT 92133 / 92134) & subspecialty diagnostics (2,502 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Ching Yeung, DO

Collegeville, PA 19426

★★★★★ 4.9 (25)
90th PA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,609 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Neurology ★ 4.7

Dr. Ronald Howard, MD

Naples, FL 34109

★★★★★ 4.9 (25)
79th FL Pct

Top Billed Procedure: Established Neurologic, Migraine & Movement Evaluation [CPT 99214] • EMG & nerve conduction velocity studies for neuropathy/sciatica (CPT 95886 / 95910) & subspecialty diagnostics (13,589 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Janellen Smith, MD

Irvine, CA 92618

★★★★★ 4.9 (25)
54th CA Pct

Top Billed Procedure: Cryotherapy Destruction of Premalignant Actinic Lesion [CPT 17000] • Total-body dermoscopy skin checks & subspecialty diagnostics (3,913 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Abid Mogannam, MD

San Jose, CA 95124

★★★★★ 4.9 (25)
67th CA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Laparoscopic cholecystectomy & hernia repair (CPT 47562 / 49650) & subspecialty diagnostics (2,300 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash
Optometry ★ 4.7

Dr. Douglas Shumaker, OD

Rockford, IL 61107

★★★★★ 4.9 (25)
66th IL Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,059 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 Cash

Dr. Mitchell Plummer, MD

Medford, OR 97504

★★★★★ 4.9 (25)
83rd OR Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Laparoscopic cholecystectomy & hernia repair (CPT 47562 / 49650) & subspecialty diagnostics (1,949 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Richard Snepar, MD

East Brunswick, NJ 08816

★★★★★ 4.9 (25)
93rd NJ Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (35,714 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Jaime Henriquez, MD

Arcadia, CA 91007

★★★★★ 4.9 (25)
74th CA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Coronary angiography & percutaneous coronary intervention (CPT 92928) & subspecialty diagnostics (4,712 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Thomas Eads, MD

Greenwood, IN 46143

★★★★★ 4.9 (25)
64th IN Pct

Top Billed Procedure: Cryotherapy Destruction of Premalignant Actinic Lesion [CPT 17000] • Total-body dermoscopy skin checks & subspecialty diagnostics (5,060 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Mark Law, MD

Newark, OH 43055

★★★★★ 4.9 (25)
64th OH Pct

Top Billed Procedure: Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal E [CPT 92014] • Optical Coherence Tomography retinal/optic nerve scanning (CPT 92133 / 92134) & subspecialty diagnostics (3,024 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Chirag Shah, MD

Chicago, IL 60611

★★★★★ 4.9 (25)
67th IL Pct

Top Billed Procedure: Focused Orthopedic Joint & Spine Mobility Evaluation [CPT 99213] • Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611) & subspecialty diagnostics (4,620 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$222 Cash
Cardiology ★ 4.6

Dr. George Adams, MD

Garner, NC 27529

★★★★★ 4.9 (25)
52nd NC Pct

Top Billed Procedure: Established Cardiology Consultation & Hemodynamic Review [CPT 99214] • Transthoracic echocardiography (CPT 93306) & subspecialty diagnostics (2,801 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Hesham Tayel, MD

Bethlehem, PA 18015

★★★★★ 4.9 (25)
61st PA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,507 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Bruce Fetterman, MD

Germantown, TN 38138

★★★★★ 4.9 (25)
45th TN Pct

Top Billed Procedure: Focused Ear, Nose, Sinus & Throat Examination [CPT 99213] • Diagnostic nasal endoscopy (CPT 31231) & subspecialty diagnostics (1,715 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$201 Cash

Dr. Benjamin Grear, MD

Germantown, TN 38138

★★★★★ 4.9 (25)
57th TN Pct

Top Billed Procedure: Focused Orthopedic Joint & Spine Mobility Evaluation [CPT 99213] • Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611) & subspecialty diagnostics (3,571 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$201 Cash
Cardiology ★ 4.5

Dr. Gila Perk, MD

Brooklyn, NY 11215

★★★★★ 4.9 (25)
19th NY Pct

Top Billed Procedure: Established Cardiology Consultation & Hemodynamic Review [CPT 99214] • Transthoracic echocardiography (CPT 93306) & subspecialty diagnostics (1,259 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash
Cardiology ★ 4.6

Dr. Jay Mohan, DO

Mount Clemens, MI 48043

★★★★★ 4.9 (25)
44th MI Pct

Top Billed Procedure: Established Cardiology Consultation & Hemodynamic Review [CPT 99214] • Transthoracic echocardiography (CPT 93306) & subspecialty diagnostics (2,058 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Austin Pantel, MD

Philadelphia, PA 19104

★★★★★ 4.9 (25)
14th PA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (852 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Optometry ★ 4.8

Dr. Charlene Saint Clair, OD

Hillsborough, NJ 08844

★★★★★ 4.9 (25)
88th NJ Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,276 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Cardiology ★ 4.6

Dr. Abdulfatah Osman, MD

Grand Blanc, MI 48439

★★★★★ 4.9 (25)
42nd MI Pct

Top Billed Procedure: Established Cardiology Consultation & Hemodynamic Review [CPT 99214] • Transthoracic echocardiography (CPT 93306) & subspecialty diagnostics (2,020 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.