Frequently Asked Questions
Do you offer telehealth visits?
Yes. Telehealth visits are available for patients who are physically located in a state where Dr. Cardiel is licensed at the time of the appointment.
In-person consultations are offered at the Midtown Manhattan office near Grand Central Terminal.
What are your office hours?
Visits are scheduled by appointment.
Monday–Thursday: 9:00 a.m.–5:00 p.m.
Friday: Reserved for established practice patients and arranged in advance.
Saturday mornings: Reserved exclusively for practice members and offered by advance arrangement on a case-by-case basis.
Sunday: Closed.
Friday and Saturday appointments are not part of general new-patient scheduling and cannot be booked online. Availability is limited and subject to prior approval.
Established practice patients are patients who are already under Dr. Cardiel’s care.
Practice members are patients enrolled in a current membership or qualifying longitudinal-care program.
How quickly can I be seen?
Cardiel Precision Brain Health intentionally limits patient volume to preserve longer visits, individualized care, and close physician involvement.
Reserved priority scheduling—often within 72 hours—is available to established patients of the practice and patients referred through select physician relationships, when clinically appropriate and subject to availability.
Other new-patient requests are reviewed individually and offered appointments based on clinical fit and current availability. A particular appointment date or timeframe cannot be guaranteed.
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 blocks
Trigger-point injections
Other nonsurgical headache procedures when clinically appropriate
Procedures are recommended only after Dr. Cardiel determines that they are medically appropriate for the patient’s condition.
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
Alzheimer’s disease biomarkers
Genetic evaluation in selected cases
Wearable-device or metabolic data review
Longitudinal neurological monitoring
Evaluation by neuropsychology or other specialists
Not every patient requires extensive testing. Recommendations are individualized according to the patient’s symptoms, medical history, goals, and clinical needs.
Will you have access to my prior medical records?
Not automatically.
With your permission and when technically available, our electronic health record system may be able to retrieve records from certain healthcare organizations and connected electronic systems. However, access varies and should not be assumed.
Patients may be asked to obtain records, imaging reports, laboratory results, or other relevant information from previous physicians and healthcare facilities. Our office will provide instructions for securely submitting these materials when needed.
Do you accept insurance?
Cardiel Precision Brain Health is a direct-pay, 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 receive an out-of-network superbill to submit to their insurance carrier for possible reimbursement. Reimbursement depends on the patient’s individual out-of-network benefits and is not guaranteed.
Medications, laboratory testing, imaging studies, and certain procedures may be billed separately by outside pharmacies, laboratories, imaging centers, or other facilities and may be processed through the patient’s insurance when appropriate.
Do you prescribe medications?
Yes. Treatment plans may include prescription medications, office-based procedures, lifestyle interventions, or a combination of approaches, depending on the patient’s symptoms, goals, medical history, and clinical needs.
When relevant to the neurological concern, care may also address sleep, metabolic health, hormonal influences, physical activity, vascular risk, and other factors that may affect neurological function.
Is this practice the right fit for me?
The practice is designed for adults seeking a more comprehensive, private, and highly personalized approach to neurological care.
Common reasons patients seek evaluation include:
Migraine and headache disorders
Brain fog, memory concerns, and cognitive-performance changes
Word-finding, attention, or executive-function concerns
Sleep-related cognitive symptoms
Neurological symptoms associated with hormonal transitions
Concern about cognitive decline or Alzheimer’s disease
Healthy brain aging and cognitive longevity
Metabolic and lifestyle factors affecting brain health
The practice may be especially well suited to professionals, executives, entrepreneurs, physicians, caregivers, and other individuals who value more time with their physician, thoughtful diagnostic planning, continuity, and a deeper understanding of the factors affecting neurological health.
How are care pathways selected?
Care pathways are recommended according to the patient’s 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. Others may benefit from a more comprehensive or longitudinal approach incorporating cognitive assessment, biomarker review, wearable data, lifestyle interventions, advanced imaging, or ongoing physician guidance.
The most appropriate pathway is not necessarily the one containing the greatest number of services. It is the pathway that is most clinically meaningful, practical, and actionable for the individual patient.
Do you see general neurology patients?
The practice focuses primarily on:
Migraine and headache disorders
Memory and cognitive concerns
Brain health and healthy brain aging
Women’s neurological health
Neurological symptoms associated with hormonal transitions
Related sleep, metabolic, and lifestyle contributors to brain function
Patients with other neurological symptoms or diagnoses may be considered when appropriate. If a concern falls outside the practice’s principal areas of focus, Dr. Cardiel may recommend evaluation by another neurologist or specialist.
The practice is intentionally designed to remain focused and highly personalized rather than functioning as a high-volume general neurology clinic.
Why this model of care?
Conventional neurological care often requires physicians to evaluate complex concerns during relatively brief appointments. Cardiel Precision Brain Health intentionally maintains a limited-volume model that allows additional time for comprehensive evaluation, patient education, thoughtful diagnostic planning, and longitudinal follow-up.
When clinically relevant, this model also allows Dr. Cardiel to consider factors that may influence brain function over time, including sleep, metabolism, physical activity, vascular risk, stress physiology, medication effects, and hormonal health.
The result is a more personalized and collaborative approach, with enhanced continuity for established patients, reserved priority access through select physician relationships, and additional scheduling options for practice members.
Does the practice provide emergency care?
No. Cardiel Precision Brain Health is not an emergency or on-call medical service.
Patients experiencing a medical emergency or sudden, severe, or potentially life-threatening neurological symptoms should call 911 or go to the nearest emergency department. Priority scheduling and Saturday availability are not substitutes for emergency care.