Frequently Asked Questions
Do you offer telehealth visits?
Yes. Telehealth visits are available for patients located in states where Dr. Cardiel is licensed.
In-person visits are offered in Manhattan, near Grand Central Terminal.
How quickly can I be seen?
Unlike many specialty neurology practices where wait times may extend for weeks or months, new patient appointments are often available within days, depending on scheduling availability.
Are procedures performed in the office?
Yes. Depending on the clinical situation, office-based procedures may include:
Botox® injections for chronic migraine
Occipital nerve blocks
Trigeminal nerve blocks
Sphenopalatine ganglion (SPG) blocks
Trigger point injections
Other non-surgical headache and pain-management procedures
Will you coordinate laboratory testing, imaging, or other evaluations?
Yes. When clinically appropriate, care may include coordination of:
Laboratory testing
Brain and neurological imaging
Sleep evaluations
Cognitive assessment
Wearable-device and metabolic data review
Longitudinal neurological monitoring
Not every patient requires extensive testing. Recommendations are individualized based on symptoms, goals, and clinical needs.
Will you have access to my prior medical records?
With your permission, our electronic health record system can securely access records from many major healthcare systems, including Epic-connected institutions. Prior records can help us better understand your medical history, reduce duplication of testing, and improve care coordination.
Do you accept insurance?
Cardiel Precision Brain Health is a fee-for-service practice and does not participate directly with commercial insurance plans or Medicare.
Payment is due at the time of service. For eligible services, patients may submit out-of-network superbills to their insurance carriers for possible reimbursement, depending on their benefits.
Certain medications, laboratory testing, imaging studies, and procedures may still be billed through a patient's insurance when appropriate.
Do you prescribe medications?
Yes. Treatment plans may include prescription medications, procedures, lifestyle interventions, or a combination of approaches, depending on each patient's symptoms, goals, and medical needs.
When appropriate, care may also address factors such as sleep, metabolic health, hormonal influences, physical activity, and other contributors to neurological function.
Is this practice the right fit for me?
The practice is designed for adults seeking a more comprehensive and personalized approach to neurological care.
Common reasons patients seek evaluation include:
Migraine and headache disorders
Brain fog, memory concerns, and cognitive performance changes
Sleep-related cognitive symptoms
Neurological symptoms associated with hormonal transitions
Healthy brain aging and cognitive longevity
Metabolic and lifestyle factors affecting brain health
Many patients are professionals, executives, entrepreneurs, physicians, caregivers, and other individuals seeking greater access, more time with their physician, and a deeper understanding of factors affecting neurological health.
How are care pathways selected?
Care pathways are recommended based on clinical needs, personal goals, life circumstances, and the degree of assessment, monitoring, and follow-up that may be helpful.
Some patients benefit from a focused neurological evaluation and treatment plan, while others prefer a more comprehensive approach that incorporates longitudinal tracking, wearable data, cognitive assessment, lifestyle interventions, and ongoing physician guidance.
A more comprehensive pathway is not necessarily a better pathway. Recommendations are individualized based on what is most meaningful, practical, and actionable for each patient.
Do you see general neurology patients?
The practice specializes in migraine, brain health, cognitive concerns, women's brain health, and healthy brain aging.
Patients with other neurological symptoms or diagnoses may be evaluated when appropriate. If your concerns fall outside the primary areas of focus, recommendations for additional evaluation or referral may be provided when necessary.
The practice is intentionally designed to remain focused and personalized rather than functioning as a high-volume general neurology clinic.
Why this model of care?
Traditional neurological care often focuses on diagnosing and treating symptoms during brief visits. This practice allows additional time for comprehensive evaluation, education, longitudinal follow-up, and the consideration of factors that may influence brain function over time, including sleep, metabolism, physical activity, stress physiology, and hormonal health when relevant.