Hi. My referral was from my PCP to an M.D. G.I. doc. However, it is truly up to the clinic's choice (and this one was at The University of Washington!) on whom you will receive! My PCP was a bit surprised but said that this person was quite good. Good or not, she chose to see me via zoom for all appointments. And had the opinion that my G.I. issues were NOT gastro at all, rather, "something else. " I was distraught and did not continue to "see" her.