This is a 45-90 minutes visit reviewing your history, testing, neurological examination, and counseling.  We provide a most integrative approach to outpatient adult neurology issues , and we will give you written materials at the end of the visit.   We review prior records and tests, labs, and your up to date medication list.  We want to know about your lifestyle, what your goals are for treatment, and how to prioritize your issues.   The cost is  either your copay, or for out of network patients : $400, or $250 for Senior plan/Medicaid/Advantage plans. For each visit, a claim and receipt are produced to submit to your out of network plan for reimbursement.   On line New Patient Appointments do not require a referral, so it is up to you to know whether you need a referral, and whether you have out of network benefit.

This is a 20-40 minute visit reviewing your history, events since last visit, test results, medication changes and problems, and a neurological examination often focused at this point.  We provide integrative advice to improving your health and well being, tests needed, follow up needed, and further intervention if needed. Written instructions are provided.  The cost is your copay, or $150 or $125 for Senior plan/Medicaid/Advantage plans.

This is an injection visit.  You may either schedule a Botox injection if your Botox has arrived from your specialty pharmacy (email us to find out) or nerve blocks/trigger points at any time.  You may also select to schedule a Cosmetic Botox utilizing a specific number of units we have on stock. (Please email us to find out if we have enough stock on hand before scheduling your appointment.)    Presbyterian and Medicare insurances generally cover both injections.  United covers just the Botox injections.  The cost is your Copay, or for out of network patients - 

 Botox ( $250 or $200 for Medicare/Medicaid) or 

Nerve Blocks ($200 or $150 for Medicare/Medicaid/Advantage plans)

This is a group clinic to review the current understanding, approach, and strategies to help you deal individually with your headache/migraine issues with the input of other attendees.  In operation since early 2014, we have had great success with these clinics and always result in a new approach for each patient This is open to patients, caregivers, family members, or anyone interested in learning more about headaches.  We cover preventative strategies, medications, injections, devices, lifestyle changes, alternative medicine, current research, clinical trials, and up to date information from conferences and journals.  Each clinic is different and new information is presented each time.  Subjects are chosen by attendees. You do not have to be an established patient to attend.  Cost:  for IN NETWORK either your copay or $50 whichever is less,  for OUT OF NETWORK $50 or $35 senior plan/Medicaid. 

This is a 2 hour group clinic to review our current understanding of this disorder, current treatments, options, and strategies to deal with the myriad of associated symptoms you may experience.  Each group clinic is different and provides the latest research on this disorder and current studies.  We include new developments in research, medications, lifestyle, alternative medicine, clinical trials, and recent journal publications and scientific presentations if the group elects.  Subjects are selected by the group.   You don't have to be an established patient to attend. This is open to patients, caregivers, family members, or anyone who wants to learn more about MS.  Cost - IN NETWORK copay of $50 whichever is less, OUT of NETWORK and non patients $50 or $35 for senior plan/Medicaid.

This test is used to determine the cause of numbness, tingling, electrical sensations, weakness, imbalance, twitches, or other neuro muscular symptoms. It involves tiny electrical stimulation to each of the major nerves in a limb usually, followed by intra muscluar amplification of muscle activity with a tiny needle electrode . A copy of results AND full explanation provided.   It is generally covered by insurance but for OUT OF NETWORK please see our fee schedule listed on the FORMS page

This is a visit to review your symptoms that should be improved with the VNS and to interrogate and reprogram if necessary your device. Refills may be given, and integrative approach to controlling your symptoms will be reviewed.  Bring your magnet! For fee schedule, please see the FORMS page.