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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 33 of 3,293

Dr. Gregory Sensenich, DO

Chillicothe, MO 64601

★★★★★ 4.8 (26)
85th MO Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (4,772 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Shawn Bailey, MD

Granville, IL 61326

★★★★★ 4.8 (26)
81st IL Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (2,816 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$218 Cash
Nephrology ★ 4.8

Dr. Rabia Al Sbaiti, MD

Lemoyne, PA 17043

★★★★★ 4.8 (26)
65th PA 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 (1,675 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Phani Molakatalla, MD

Gardner, MA 01440

★★★★★ 4.8 (26)
30th MA Pct

Top Billed Procedure: Established Gastroenterology, GERD & IBD Evaluation [CPT 99214] • Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385) & subspecialty diagnostics (835 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$224 Cash

Dr. Wesley White, MD

Little Rock, AR 72205

★★★★★ 4.8 (26)
98th AR Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (624 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
★★★★★ 4.8 (26)
99th MD Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (13,364 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Loren Touma, MD

Allentown, PA 18103

★★★★★ 4.8 (26)
92nd 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 (525 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Scott Sholem, MD

Phoenix, AZ 85032

★★★★★ 4.8 (26)
99th AZ 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 (1,314 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$207 Cash

Dr. Andrew Stein, MD

Ashland, OH 44805

★★★★★ 4.8 (26)
96th OH Pct

Top Billed Procedure: Focused Ear, Nose, Sinus & Throat Examination [CPT 99213] • Diagnostic nasal endoscopy (CPT 31231) & subspecialty diagnostics (4,360 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Joseph Wierzbicki, MD

Port Saint Lucie, FL 34952

★★★★★ 4.8 (26)
77th FL Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611) & subspecialty diagnostics (6,534 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Inkil Hwangpo, DO

Greensboro, AL 36744

★★★★★ 4.8 (26)
69th 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 (512 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Joseph Pittard, MD

Paducah, KY 42003

★★★★★ 4.8 (26)
90th KY Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (6,513 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Optometry ★ 4.8
★★★★★ 4.8 (26)
91st UT Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (990 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. William Huang, MD

Salisbury, NC 28147

★★★★★ 4.8 (26)
78th NC Pct

Top Billed Procedure: Cryotherapy Destruction of Premalignant Actinic Lesion [CPT 17000] • Total-body dermoscopy skin checks & subspecialty diagnostics (1,391 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Cody Jeu, MD

Houston, TX 77070

★★★★★ 4.8 (26)
97th TX Pct

Top Billed Procedure: Focused Ear, Nose, Sinus & Throat Examination [CPT 99213] • Diagnostic nasal endoscopy (CPT 31231) & subspecialty diagnostics (873 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$212 Cash

Dr. Kevin Heaton, DO

Haverhill, MA 01830

★★★★★ 4.8 (26)
77th MA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611) & subspecialty diagnostics (7,542 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$224 Cash
Psychiatry ★ 4.8

Dr. Haroon Siddique, MD

Decatur, TX 76234

★★★★★ 4.8 (26)
89th TX Pct

Top Billed Procedure: Psychopharmacology Medication & Symptom Titration Visit [CPT 99214] • Comprehensive psychiatric diagnostic evaluation (CPT 90792) & subspecialty diagnostics (2,946 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Blake Szelestey, MD

Englewood, OH 45415

★★★★★ 4.8 (26)
61st OH Pct

Top Billed Procedure: Focused Ear, Nose, Sinus & Throat Examination [CPT 99213] • Diagnostic nasal endoscopy (CPT 31231) & subspecialty diagnostics (1,232 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Hasan Shihab, MBCHB

Baltimore, MD 21237

★★★★★ 4.8 (26)
96th MD Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (1,351 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Mark Edelstein, MD

Turnersville, NJ 08012

★★★★★ 4.8 (26)
31st 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 (863 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Abdel Karim Ahmad, MD

Anaheim, CA 92804

★★★★★ 4.8 (26)
99th CA Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (1,631 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Aaron Dunn, MD

Mineral Point, WI 53565

★★★★★ 4.8 (26)
93rd WI Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (4,709 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Rohit Beri, MD

Waterbury, CT 06706

★★★★★ 4.8 (26)
58th CT 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 (1,223 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Kristie Schmidt, MD

Millerton, NY 12546

★★★★★ 4.8 (26)
59th NY Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,891 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash

Dr. Landon Hatfield, MD

Baton Rouge, LA 70810

★★★★★ 4.8 (26)
99th LA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (680 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Jonathan Fox, MD

Rochester, MN 55905

★★★★★ 4.8 (26)
95th 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 (535 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
Nephrology ★ 4.6

Dr. Vikram Beemidi, MD

Clarksdale, MS 38614

★★★★★ 4.8 (26)
31st MS 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 (1,579 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash
★★★★★ 4.8 (26)
32nd CA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Fluoroscopy-guided lumbar/cervical epidural steroid injections (CPT 62323) & subspecialty diagnostics (1,740 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$239 Cash

Dr. Mark Jensen, MD

Brooklyn, NY 11226

★★★★★ 4.8 (26)
91st NY Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (631 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$232 Cash

Dr. Rahul Prasad, MD

Cincinnati, OH 45236

★★★★★ 4.8 (26)
94th OH Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Precision genomic tumor profiling & subspecialty diagnostics (3,120 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Brittany Toffey, MD

Summit, NJ 07901

★★★★★ 4.8 (26)
96th 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 (1,454 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Bo Wang, MD

Fort Pierce, FL 34950

★★★★★ 4.8 (26)
41st FL Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Laparoscopic cholecystectomy & hernia repair (CPT 47562 / 49650) & subspecialty diagnostics (1,276 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$216 Cash

Dr. Jesse Dunn, MD

Lincoln, NE 68510

★★★★★ 4.8 (26)
74th NE Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (5,812 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$209 Cash

Dr. Kelly Krohn, MD

Phoenix, AZ 85023

★★★★★ 4.8 (26)
98th AZ Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (26,728 CMS services/yr).

✓ Accepts BlueCross BlueShield ~$207 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.