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Compare the published Medicare service mix of Talisha Dalini Ramchal with clinicians in the same registry specialty: Gastroenterology (CMS).

DURHAM, NC · Exact areaEdit location

2024 published service data · 44 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Steven Craig Solik, MD

Specialty details in registry · Durham, NC

Shared published services
3 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
  • Biopsy of large bowel using a flexible endoscope (45380)
100%Service-mix similarityView profile →

Angela Noel Hutzenbuhler, MD

Gastroenterology (CMS) · Durham, NC

Shared published services
2 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
83%Service-mix similarityView profile →

William Thomas Clarke, MD

Gastroenterology (CMS) · Durham, NC

Shared published services
2 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
83%Service-mix similarityView profile →

Richard Lee, MD

Specialty details in registry · Durham, NC

Shared published services
3 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
  • Biopsy of large bowel using a flexible endoscope (45380)
78%Service-mix similarityView profile →

Nancy M. Mcgreal, M.D.

Gastroenterology (CMS) · Durham, NC

Shared published services
3 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
  • Biopsy of large bowel using a flexible endoscope (45380)
73%Service-mix similarityView profile →

Benjamin Rembold Lloyd, M.D.

Gastroenterology (CMS) · Durham, NC

Shared published services
3 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
  • Biopsy of large bowel using a flexible endoscope (45380)
68%Service-mix similarityView profile →

Jeremy Romek Glissen Brown, M.D.

Gastroenterology (CMS) · Durham, NC

Shared published services
3 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
  • Biopsy of large bowel using a flexible endoscope (45380)
67%Service-mix similarityView profile →

Joshua Lee, MD

Gastroenterology (CMS) · Durham, NC

Shared published services
2 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
66%Service-mix similarityView profile →

Annmarie Louise Kieber-Emmons

Gastroenterology (CMS) · Durham, NC

Shared published services
3 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
  • Biopsy of large bowel using a flexible endoscope (45380)
65%Service-mix similarityView profile →

Amit Patel, M.D.

Specialty details in registry · Durham, NC

Shared published services
1 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
62%Service-mix similarityView profile →

John T Geneczko, M.D.

Gastroenterology (CMS) · Durham, NC

Shared published services
1 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
62%Service-mix similarityView profile →

Melissa Gail Teitelman, MD

Gastroenterology · Internal Medicine (CMS) · Durham, NC

Shared published services
3 shared services · view billing descriptions
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)
  • Biopsy of large bowel using a flexible endoscope (45380)
61%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.