Headshot of Gary Francis, MD

Gary Francis, MD

UT Health San Antonio
Schedule an appointment: 210-358-7551
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Specialty
Pediatric Endocrinology
Board Affiliation/Certification
American Board of Pediatric Endocrinology
American Board of Pediatrics
Education
University of Florida College of Medicine, 1974
Residency
University of Florida College of Medicine, 1977
Fellowships
University of Oklahoma, 1979
University of Oklahoma College of Medicine, 1979
National Institute of Child Health and Human Development, 1980
Languages
English
Gender
Male

University Hospital

4502 Medical Drive
San Antonio,TX 78229
Insurance Accepted
6 Degrees - Transplant
90 Degree Benefits - Third Party Administrator
Administrative Concepts - Third Party Administrator
Aetna (Coventry) - Work Comp/Auto
Aetna Better Health - CHIP/CHIP Perinate Newborn
Aetna Better Health - Medicaid STAR
Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO))
Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO)
Aetna Health - Commercial (QPOS, SAISD, Select)
Aetna Health - Medicaid Dual Preferred (HMO D-SNP)
Aetna Health - Medicare Advantage (Eagle PPO, Freedom PPO, Premier HMO, Prime HMO, Value Plus PPO)
Aetna Health - Transplant ONLY
Allegiance - Universal Benefits Consortium
Allied Benefit Systems - Third Party Administrator
Allwell (Superior HealthPlan) - Medicare Advantage
Ancira Enterprises - Direct Employer
Benefit Administrative Systems - Third Party Administrator
BlueCross BlueShield (Federal Programs) - Commercial (Federal - All Products)
BlueCross BlueShield (Out-of-State) - Commercial (Out of State - Blue Card Program Only)
BlueCross BlueShield of Texas - Commercial (Blue Premier HMO, Blue Choice PPO)
BlueCross BlueShield of Texas - Commercial (CHIP, Blue Advantagage HMO, Blue Essentials HMO)
BlueCross BlueShield of Texas - Commercial (ERS, TRS, State of TX Employees)
BlueCross BlueShield of Texas - HPN/EPO (Narrow Network)
BlueCross BlueShield of Texas - Medicaid (STAR, STAR Kids, STAR PLUS)
BlueCross BlueShield of Texas - Medicare Advantage (HMO, PPO)
BlueCross BlueShield of Texas - Medicare-Medicaid Dual Eligible Plans
BlueCross BlueShield of Texas - Traditional/Par Network
BlueCross BlueShield of Texas - Transplant Network
Care Improvement Plus - Medicare Advantage (Special Needs Plan)
Century Healthcare - Third Party Administrator
CHAMPVA - Governmental
Cigna - Employer Specific Network (United Benefits Consortium)
Cigna - Employer Specific Network (USAA Employees & Dependents Only)
Cigna Health Spring - Medicare Advantage (WellMed)
Community First Health Plans - CHIP/CHIP Perinate Newborn
Community First Health Plans - Commercial (HMO, Exchange)
Community First Health Plans - Medicaid (STAR, STAR Kids, STAR PLUS)
Community First Health Plans - Medicare Advantage (HMO)
Community First Health Plans - University Family Care Plan
Curative - Commercial (All Products)
Driscoll Health Plan - Medicaid (All products)
EBSO Benefits - Third Party Administrator
El Paso Health - CHIP
El Paso Health - Medicaid STAR
Employers Health Network - Commerical (PPO)
Entrust - Third Party Administrator
First Health - Commercial (All Products)
FirstCare (Part of Baylor Scott & White) - Medicaid-STAR
Galaxy Health Network - Commercial (All products)
Gilsbar - Third Party Administrator
Group and Pension Administrators - Third Party Administrator
HealthSmart (Accel) - Commercial (All products)
HMA LLC - Third Party Administrator
Humana - Medicare Advantage (HMO, PPO, WellMed)
Humana - Transplant Network
Humana Military - TRICARE East Region
Imagine 360 - Third Party Administrator
Imperial Health - Commercial (Exchange)
Imperial Health Plan - Medicare Advantage
Independent Medical Systems - Commercial (PPO)
Independent Medical Systems - Workers Compensation
Injury Management Organization - Workers Compensation
Interlink - Transplant Network
International Benefits Administrators - Third Party Administrator
Kempton Group Administrators - Third Party Administrator
Key Benefits Administrators - Third Party Administrator
LifeTrac - Transplant Network
Lucent Health - Third Party Administrator
Medicaid (Traditional) - Medicaid/Medicare
Molina Healthcare - CHIP/CHIP Perinate
Molina Healthcare - Commercial (Exchange)
Molina Healthcare - Medicaid (STAR, STAR Kids, STAR PLUS)
Molina Healthcare - Medicare Advantage
Molina Healthcare - Medicare-Medicaid Dual Eligible Plans
MultiPlan - Commercial (All products)
OptumHealth - Transplant Network
Oscar - Commercial Exchange
Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children)
Prime Health Services - Commercial (PPO)
Prime Health Services - Medicare Advantage (All Products)
Prime Health Services - Workers Compensation
Private Healthcare Systems - Commercial (All Products)
ProCare Advantage - Medicare Advantage (Special Needs Plan)
Provider Network of America - Commercial (All Products)
Provider Partners Health Plan - Medicare Advantage (Special Needs Plan)
SANA Benefits - Commercial (All Products)
Scott & White Health Plan - Commercial (Exchange, HMO, PPO)
Scott & White Health Plan - Medicaid/Medicare Advantage (All Products)
Superior HealthPlan - CHIP/CHIP Perinate
Superior HealthPlan - Medicaid (STAR, STAR Health Foster Care, STAR Kids, STAR PLUS)
Superior HealthPlan - Medicare-Medicaid Dual Eligible Plans
Surest (United Healthcare) - Commercial (All Products)
Texas Independence Health Plan - Medicare Advantage (Special Needs Plan)
Three Rivers Provider Network (Contigo) - Commercial (PPO)
Tokio Marine - Transplant Network
TriWest - TRICARE West Region
TriWest - VA Community Care Network
Trustmark Benefits (f/k/a CoreSource) - Third Party Administrator
UnitedHealthcare - Commercial (Charter EPO/HMO/POS)
UnitedHealthcare - Commercial (Choice Plus POS/PPO/Choice Plus-HAS)
UnitedHealthcare - Commercial (Compass EPO/HMO/POS)
UnitedHealthcare - Commercial (Core and Core Choice Plus EPO/HMO)
UnitedHealthcare - Commercial (Doctors Plan EPO/HMO/POS)
UnitedHealthcare - Commercial (Heritage EPO/HMO/POS)
UnitedHealthcare - Commercial (Indemnity)
UnitedHealthcare - Commercial (Navigate EPO/HMO/POS)
UnitedHealthcare - Commercial (Nexus ACO/EPO/HMO/POS)
UnitedHealthcare - Commercial (PPO)
UnitedHealthcare - Commercial (Select EPO/HMO/POS)
UnitedHealthcare - Commercial (Select Plus EPO/HMO/POS)
UnitedHealthcare - Medicare Advantage (AARP Plans, Complete Care Plans, Erickson Advantage Plans)
UnitedHealthcare - Medicare Advantage (UnitedHealthcare Group Plans, WellMed)
UnitedHealthcare Community Plan - CHIP/CHIP Perinate
UnitedHealthcare Community Plan - Medicaid (STAR, STAR Kids, STAR PLUS)
UnitedHealthcare Community Plan - Medicare-Medicaid Dual Eligible Plans
Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs
University of Incarnate Word - Direct Contact with Employer
Velocity National Provider Network - Commercial (Multiple Payers)
Velocity National Provider Network - Commercial (PPO)
Veterans Administration - Governmental
WebTPA - Third Party Administrator
WellCare - Medicare Advantage
WellMed (Gonzaba Medical Group IPA) - Medicare Advantage (Transplant Only)
WellMed - Medicare Advantage (Cigna HealthSpring, Humana, United Healthcare, WellPoint)
WellPoint (Gonzaba) - Medicare Advantage (TRANSPLANTS ONLY)
WellPoint - CHIP/CHIP Perinate
WellPoint - Commercial (Exchange)
WellPoint - Medicaid (STAR, STAR Kids, STAR PLUS)
WellPoint - Medicare Advantage (All Products)
WellPoint - Medicare Advantage (Transplant Only)
WellPoint - Medicare Advantage (WellMed)
WellPoint - Medicare-Medicaid Dual Eligible Plans
Zelis - Third Party Administrator
Please contact your health insurance company to confirm provider participation. For billing and insurance questions, please call our Billing Department at 210-358-3260.
Professor of Pediatrics
My research activities focus on thyroid neoplasia and thyroid cancer in children. I previously served on the American Thyroid Association Treatment Guidelines Committee for Medullary Thyroid Cancer. I recently led a task force commissioned by the American Thyroid Association (ATA) to develop a set of guidelines for evaluating and treating children with thyroid nodules and cancer. The recently issued guidelines are the first and only set of recommendations that provide best practice standards for diagnosing and treating thyroid cancer in children ages 18 and younger. I also serve as Chair of the Data Safety Monitoring Board for closed-loop insulin trials at the University of Virginia Center for Diabetes Technology.
Research Interests:
  • Thyroid cancer in children, thyroid neoplasia and any thyroid diseases in children

Abstracts

  1. Allen N; Desai N; Song C; Yu J; Prasad U; Francis GL. Clinical features may help to identify children and adolescents with greatest risk for thyroid nodules. J Endocrinol Invest 2020 Jul; 43(7):925-934. Doi: 10.1007 s40618-019-01176.6 Epub 2020 Jan 11. PMID: 31927747.
  2. Catherine Kerr MD, Gary Francis MD Ph.D. Thyroid Nodules in Children and Adolescents. Journal of Radiology and Imaging Science. J Radiol & Imaging Sci. 2020;1(1):1-5.
  3. Niran R. Wjiesooriya1, M.D., Caroline Carrico2, Ph.D., Gary Francis1, M.D. Ph.D., Chris Gennings3, Ph.D., Edmond P. Wickham III1 2, M.D. MPH. Association between Urinary Phthalate Levels and Body Mass Index Z-scores in US Children. Submitted to Obesity, May 2016.
  4. Andrew J Bauer and Gary L Francis. Management of Thyroid Nodules in Children. Curr Opin Pediatr. 2016 Aug;28(4):536-44 Apr 30. [Epub ahead of print] PMID: 27139001.

Book Chapters

  1. Bauer AJ, Waguespack S, Grover A and Francis G. Thyroid Neoplasia. In Radovick and Misra Pediatric Endocrinology: A Practical Guide 3rd Ed. Springer Science. Chapter 19. Submitted 2016.
  2. Bauer AJ and Francis GL. Chapter 4: Molecular Aspects of Thyroid Cancer in Children. Thyroid Cancer: A Clinical Guide, 3rd Edition. Ed. Leonard Wartofsky, M.D., and Douglas VanNostrand, M.D., 2015.
  3. Waguespack S and Francis GL. Chapter 44: Radioactive Iodine Therapy of Thyroid Cancer in Children. Thyroid Cancer: A Clinical Guide, 3rd Edition, Ed. Leonard Wartofsky, M.D., and Douglas VanNostrand, M.D. 2015.

Other Publications

  1. Francis GL. Inadvertent Parathyroid Gland Removal During Thyroid Surgery in Children. A review of: Ziai H, Dixon P, Berman G, Campisi P, Wasserman JD. 2002 Incidental Parathyroidectomy Among Pediatric Patients Undergoing Thyroid Surgery. Laryngoscope. 2022 Nov;132(11):2262-2269. doi: 10.1002/lary.30056. Epub 2022 Feb 22. PMID: 35191038 Clinical Thyroidology February 2023. Francis GL. Macro–Thyrotropin and Other Disorders in the Differential Diagnosis of Congenital Hypothyroidism. Clinical Thyroidology 2023 Feb; 132(11) 142–146. Published Online:11 April 2023.
  2. Francis, G. L. (2023). Macro–Thyrotropin and Other Disorders in the Differential Diagnosis of Congenital Hypothyroidism. Clinical Thyroidology, 35(4), 142-146.
  3. Francis, G. L. (2023). Thyroid Function Abnormalities in Childhood Cancer Survivors. Clinical Thyroidology, 35(6), 224-228.
  4. Catherine E. Kerr, MD1; Jorge Velez, MD2; Jay Ferrell, MD3; Mio Kitano, MD4; Dr. Wouter Koek, PhD5; Patricia Dahia, MD, PhD6; and Gary Francis, MD, PhD1. Thyroid Nodules of Indeterminate Cytology in Hispanic/Latinx Patients. Head and Neck, 2022 Aug;44(8):1842-1848. PMID: 35583054.
  5. Luisa Rodriguez, MD, MS1, Catherine Dinauer, MD2, Gary Francis, MD, PhD3. Treatment of Hypothyroidism in Infants, Children and Adolescents. Trends in Endocrinology and Metabolism, VOLUME 33, ISSUE 7, P522-532, JULY 01, 2022.
  6. Francis, GL. Review of: Bardugo A, Derazne E, Zucker I, Bendor C, Puris G, Lutski M, Pinhas-Hamiel O, Cukierman-Yaffe T, MosenzonO\ O, Schechter M, Tzur D, Afek A, Tirosh A, Gerstein H, Raz I, and Twig G 2021. Adolescent Thyroid Disorders and Risk for Type 2 Diabetes in Young Adult. J Clin Endocrinol Metab 106:e3426-e3435 Adolescent Thyroid Disease and Risk for Adult Type 2 Diabetes. Clinical Thyroidology 34 (1) 6-9, 2022.
  7. Francis GL. Screening for Neonatal Hyperthyroidism. A review of: Banigé M, Kariyawasam D, Gauthereau V, Luton D, Polak M 2022 Neonatal Screening for Hyperthyroidism Proof of Concept. J Clin Endocrinol Metab Mar 24;107(4):e1374-e1381. doi: 10.1210/clinem/dgab890. Clinical Thyroidology 34:282-285, 2022.
  8. Francis GL. Maternal Thyroid Autoimmunity Affects the Emotional and Behavioral Development of the Offspring. A Review of: Teng Y, Li P, Yang M, Han Y, Yan S, Xu Y, Tao F, Huang K 2022 Sex-specific effect of thyroid peroxidase antibody and thyroglobulin antibody exposure during pregnancy on preschoolers’ emotional and behavioral development: A birth cohort study. Thyroid 32:1229–1242. PMID: 35920111. Clinical Thyroidology 34(12):521-525, 2022.
  9. Francis GL. Trends in Lobectomy for Pediatric Thyroid Cancer. A review of: Eli Stein BS, Mehul V. Raval MD, MS, Inbal Hazkani MD, Audra Reiter MD, MPH, Jami L. Josefson MD, Jill H. Samis MD, and Jeffrey C. Rastatter MD, MS. The 2015 American Thyroid Association guidelines and trends in hemithyroidectomy utilization for pediatric thyroid cancer. Head & Neck. 2022;44:1833–1841. Clinical Thyroidology 34(8) 347-350, 2022.
  10. Francis, GL. The Future of Molecular Profiling for the Treatment of Pediatric Thyroid Cancer. Review of: NTRK and RET fusion–directed therapy in pediatric thyroid cancer yields a tumor response and radioiodine uptake. J Clin Invest. 131(18):e144847  https://doi.org/10.1172/JCI144847. Clinical Thyroidology, 34(4)2022:157-160.
  11. Francis GL. Trends in Pediatric and Adult Iodine Status in the United States. Review of: Zhang K, Cheng J, Yu J, Chen Y, Shi X, Zhu C, Lu Y, Wang N, Han B 2022. Trends in iodine status among U.S. children and adults: A cross-sectional analysis of National Health and Nutrition Examination Survey data from 2001–2004 to 2017–2020. Thyroid 32:962–971. PMID: 35822552. Clinical Thyroidology 34(11) 2022  .
  12. Francis, GL. What's the Likelihood of Post-Lobectomy Hypothyroidism in Children? Clinical Thyroidology 34(3) 100-102, 2022. https://doi.org/10.1089/ct.2022;34.100-102.
Call 210-358-7551 to request an appointment with this doctor.

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