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749,040 Verified U.S. Physicians • 51 States & Territories • Zero Sponsored Placements
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Find a Doctor Who Actually Performs the Procedure You Need—and Takes Your Insurance.

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

1. Browse by Specialty • 24 Medical Specialties

Choose a Medical Specialty

Endocrinology

3,555

In-office thyroid/parathyroid neck ultrasound (CPT 76536), ultrasound-guided FNA biopsy (CPT 60100), Continuous Glucose Monitoring (CPT 95251), and DEXA bone density interpretation (CPT 77080).

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Cardiology

15,640

Transthoracic echocardiography (CPT 93306), 12-lead ECG & Holter/patch rhythm monitoring (CPT 93000 / 93248), stress testing (CPT 93015), and resistant hypertension / ApoB management.

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Internal Medicine

43,832

Comprehensive multi-system diagnostic evaluation (CPT 99204/99214), chronic cardiometabolic medication management, preventive cancer screening, and specialist triage.

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Family Practice

38,926

Preventive wellness exams (CPT 99395/99396), acute outpatient procedures, joint injections, dermatologic cryotherapy, and whole-family longitudinal care.

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Gastroenterology

7,425

Diagnostic & screening colonoscopy with polypectomy (CPT 45378 / 45385), upper GI endoscopy / EGD for GERD & Barrett’s (CPT 43239), and FibroScan liver elastography (CPT 91200).

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Dermatology

10,192

Total-body dermoscopy skin checks, tangential/punch skin biopsies (CPT 11102 / 11104), actinic keratosis cryosurgery (CPT 17000), and Mohs micrographic surgery (CPT 17311).

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Neurology

6,762

EMG & nerve conduction velocity studies for neuropathy/sciatica (CPT 95886 / 95910), EEG seizure monitoring (CPT 95816), and chronic migraine chemodenervation (CPT 64615).

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Urology

6,865

Post-void residual bladder ultrasound (CPT 51798), uroflowmetry (CPT 51741), diagnostic cystoscopy (CPT 52000), BPH minimally invasive therapy, and PSA/prostate biopsy.

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Orthopedic Surgery

17,054

Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611), total knee and hip arthroplasty (CPT 27447 / 27130), rotator cuff/meniscus arthroscopy, and fracture care.

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Rheumatology

3,310

Musculoskeletal ultrasound synovitis grading (CPT 76881), arthrocentesis synovial crystal analysis for gout (CPT 20610), and targeted biologic infusion therapy (CPT 96413).

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Pulmonology

7,181

Complete pulmonary function testing / spirometry with bronchodilator response (CPT 94060), DLCO diffusion capacity (CPT 94729), and home/lab sleep apnea studies (CPT 95806 / 95810).

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Nephrology

6,506

CKD staging via eGFR + Cystatin C and urine albumin-to-creatinine ratio (uACR), SGLT2i/finerenone nephron preservation, resistant hypertension, and kidney stone metabolic workups.

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Ophthalmology

13,194

Optical Coherence Tomography retinal/optic nerve scanning (CPT 92133 / 92134), cataract phacoemulsification with IOL (CPT 66984), glaucoma tonometry, and intravitreal injections (CPT 67028).

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ENT (Otolaryngology)

5,304

Diagnostic nasal endoscopy (CPT 31231), flexible fiberoptic laryngoscopy (CPT 31575), audiometry & tympanometry for tinnitus/vertigo (CPT 92557), and balloon sinuplasty.

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Hematology & Oncology

11,352

Precision genomic tumor profiling, immunotherapy & targeted infusion management (CPT 96413), IV iron repletion for refractory anemia, and thrombosis/clotting evaluations.

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Psychiatry

3,324

Comprehensive psychiatric diagnostic evaluation (CPT 90792), psychopharmacology optimization (SSRIs, SNRIs, NDRIs, mood stabilizers) with psychotherapy add-on (CPT 99214 + 90833).

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OB/GYN & HRT

2,184

Transvaginal pelvic ultrasound (CPT 76830), colposcopy/cervical screening, bioidentical transdermal HRT titration, and PCOS metabolic/ovulatory management.

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Allergy & Immunology

2,549

Percutaneous aeroallergen & food skin-prick testing (CPT 95004), fractional exhaled nitric oxide / spirometry (CPT 95012 / 94010), and allergen immunotherapy (CPT 95117).

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Interventional Cardiology

3,820

Coronary angiography & percutaneous coronary intervention (CPT 92928), intravascular ultrasound / FFR, TAVR structural heart procedures, and dual antiplatelet management.

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Electrophysiology (AFib)

2,234

Pulmonary vein isolation catheter ablation for atrial fibrillation (CPT 93656), pacemaker/ICD interrogation (CPT 93288), and stroke-prevention anticoagulation.

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Pain & Spine (PM&R)

8,659

Fluoroscopy-guided lumbar/cervical epidural steroid injections (CPT 62323), medial branch radiofrequency ablation (CPT 64635), and nerve conduction diagnostics.

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Infectious Disease

2,438

Complex bacterial, viral, fungal, tick-borne, and post-surgical infection workups, outpatient parenteral antimicrobial therapy (OPAT), and travel/immunization consults.

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General & Vascular Surgery

5,900

Laparoscopic cholecystectomy & hernia repair (CPT 47562 / 49650), carotid & lower-extremity duplex vascular ultrasound (CPT 93880), and endovascular interventions.

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Neurosurgery

1,207

Cervical/lumbar microdiscectomy & decompression (CPT 63030 / 63047), anterior cervical discectomy and fusion (CPT 22551), and stereotactic cranial surgery.

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2. Browse Doctors by State (51 States & Territories)

4. Complete Physician Directory

All Verified Physicians (118,535)

Page 17 of 3,293

Dr. Vernon Wu, MD

Brooklyn, NY 11210

★★★★★ 4.9 (26)
99th NY Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Precision genomic tumor profiling & subspecialty diagnostics (68,290 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$232 Cash
Optometry ★ 4.9

Dr. Mark Stepp, OD

Windber, PA 15963

★★★★★ 4.9 (26)
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 (1,280 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Sultan Mahmood, MD

Wexford, PA 15090

★★★★★ 4.9 (26)
24th PA 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 Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Frederick Cohn, MD

Rochester, NY 14618

★★★★★ 4.9 (26)
81st 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 (10,605 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$232 Cash

Dr. Christine Neto, MD

Berlin, MD 21811

★★★★★ 4.9 (26)
75th MD Pct

Top Billed Procedure: Gynecologic, Menopause HRT & Endocrine Follow-Up [CPT 99214] • Transvaginal pelvic ultrasound (CPT 76830) & subspecialty diagnostics (2,608 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash
Nephrology ★ 4.7

Dr. Fatima Asghar, MD

Toms River, NJ 08755

★★★★★ 4.9 (26)
49th NJ 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 (2,018 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Michael Knudsen, MD

Bronxville, NY 10708

★★★★★ 4.9 (26)
83rd NY Pct

Top Billed Procedure: Focused Orthopedic Joint & Spine Mobility Evaluation [CPT 99213] • Ultrasound-guided major joint aspirations/injections (CPT 20610 / 20611) & subspecialty diagnostics (7,152 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$232 Cash

Dr. Daniel Delaney, MD

Marshalltown, IA 50158

★★★★★ 4.9 (26)
99th IA Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (4,743 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Gary Rosenbaum, MD

Riverhead, NY 11901

★★★★★ 4.9 (26)
41st NY Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,217 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$232 Cash

Dr. Kenneth Cutshall, MD

Johnson City, TN 37604

★★★★★ 4.9 (26)
95th TN Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Laparoscopic cholecystectomy & hernia repair (CPT 47562 / 49650) & subspecialty diagnostics (558 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$201 Cash
Podiatry ★ 4.8

Dr. Jonathan Miller, DPM

South Chatham, MA 02659

★★★★★ 4.9 (26)
49th MA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,899 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$224 Cash

Dr. Justin Evans, MD

Dallas, TX 75390

★★★★★ 4.9 (26)
97th TX Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (620 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$211 Cash

Dr. Robert Fitz, MD

Union, KY 41091

★★★★★ 4.9 (26)
85th 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 (4,544 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Victoria Oppenheim, MD

Vancouver, WA 98686

★★★★★ 4.9 (26)
87th WA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (531 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$222 Cash

Dr. Andre Dixon, MD

Wilson, NC 27893

★★★★★ 4.9 (26)
99th NC Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Precision genomic tumor profiling & subspecialty diagnostics (50,717 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash
Optometry ★ 4.8

Dr. Steven Sindt, MD

Mount Vernon, IA 52314

★★★★★ 4.9 (26)
52nd IA Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (628 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Timothy Stoppelman, MD

Kansas City, MO 64111

★★★★★ 4.9 (26)
95th MO Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (670 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Thomas Haskins, MD

Knoxville, TN 37918

★★★★★ 4.9 (26)
85th TN Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (6,312 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$201 Cash

Dr. Barbara Novotny, MD

Oak Creek, CO 80467

★★★★★ 4.9 (26)
88th CO Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (3,618 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$211 Cash

Dr. Matthew Reda, MD

Lake Forest, IL 60045

★★★★★ 4.9 (26)
73rd 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 (346 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$218 Cash

Dr. Eyad Khabbaz, MD

Punxsutawney, PA 15767

★★★★★ 4.9 (26)
18th PA Pct

Top Billed Procedure: Focused Ear, Nose, Sinus & Throat Examination [CPT 99213] • Diagnostic nasal endoscopy (CPT 31231) & subspecialty diagnostics (930 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Taylor Braunberger, MD

Dickinson, ND 58601

★★★★★ 4.9 (26)
11th ND Pct

Top Billed Procedure: Cryotherapy Destruction of Premalignant Actinic Lesion [CPT 17000] • Total-body dermoscopy skin checks & subspecialty diagnostics (1,520 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. David Crawford, MD

Peoria, IL 61606

★★★★★ 4.9 (26)
97th IL Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Laparoscopic cholecystectomy & hernia repair (CPT 47562 / 49650) & subspecialty diagnostics (596 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$218 Cash

Dr. Brendan Miner, MD

Eden Prairie, MN 55344

★★★★★ 4.9 (25)
74th 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 (6,731 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash
Pathology ★ 4.9

Dr. Daniel Jondle, MD

Phoenix, AZ 85006

★★★★★ 4.9 (25)
91st 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 (8,358 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$207 Cash

Dr. Todd Nelson, MD

New Bern, NC 28562

★★★★★ 4.9 (25)
96th NC Pct

Top Billed Procedure: Cryotherapy Destruction of Premalignant Actinic Lesion [CPT 17000] • Total-body dermoscopy skin checks & subspecialty diagnostics (12,326 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Jerry Hahn, MD

Romney, WV 26757

★★★★★ 4.9 (25)
96th WV Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (6,881 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Jason Brown, MD

Dallas, TX 75390

★★★★★ 4.9 (25)
85th TX Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (7,096 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$211 Cash

Dr. Kaushik Shahir, MD

Milwaukee, WI 53215

★★★★★ 4.9 (25)
87th WI Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (6,486 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash
★★★★★ 4.9 (25)
71st 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 (3,060 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$232 Cash

Dr. Gurmeet Dhillon, MD

Cincinnati, OH 45213

★★★★★ 4.9 (25)
99th OH Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (32,744 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash
Cardiology ★ 4.8

Dr. Thomas Baldwin, MD

Olathe, KS 66061

★★★★★ 4.9 (25)
60th KS Pct

Top Billed Procedure: Established Cardiology Consultation & Hemodynamic Review [CPT 99214] • Transthoracic echocardiography (CPT 93306) & subspecialty diagnostics (4,538 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Gautham Reddy, MD

Henderson, NV 89052

★★★★★ 4.9 (25)
97th NV Pct

Top Billed Procedure: Comprehensive Primary Care & Chronic Protocol Management [CPT 99214] • Preventive wellness exams (CPT 99395/99396) & subspecialty diagnostics (11,593 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$209 Cash

Dr. Robert Brockie, MD

Sunnyvale, TX 75182

★★★★★ 4.9 (25)
71st TX Pct

Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Coronary angiography & percutaneous coronary intervention (CPT 92928) & subspecialty diagnostics (3,938 CMS services/yr).

✓ Accepts Medicare & Major PPOs (BCBS, UHC, Aetna) ~$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.