Frequently Asked Questions

Yes. Telehealth visits are available when the patient is 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. View the office location and hours.

Visits are scheduled by appointment.

• Monday–Thursday: 9:00 a.m.–5:00 p.m.
• Friday: Established patients by prior arrangement
• Saturday mornings: Practice members only, by prior arrangement
• 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 already under Dr. Cardiel’s care. Practice members are patients enrolled in a current membership or qualifying longitudinal-care program.

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 maintained for established patients 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 date or timeframe cannot be guaranteed.

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 appropriate

Procedures are recommended only after Dr. Cardiel determines that they are medically appropriate. Learn more about procedures.

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
• Neuropsychology or other specialist evaluation

Not every patient requires extensive testing. Recommendations are individualized according to symptoms, medical history, goals, and clinical need.

Not automatically.

With your permission and when technically available, the electronic health record may be able to retrieve records from certain connected healthcare organizations. Access varies and should not be assumed.

You may be asked to obtain records, imaging reports, laboratory results, or other relevant information from previous physicians and facilities. The office will provide instructions for securely submitting these materials when needed.

Yes. Treatment 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 consider sleep, metabolic health, hormonal influences, physical activity, vascular risk, and other factors that may affect neurological function.

Cardiel Precision Brain Health is a direct-pay, fee-for-service practice. It does not participate with commercial insurance plans, and Dr. Cardiel has opted out of Medicare.

Payment is due at the time of service. For eligible commercial services, patients may request an out-of-network superbill to submit for possible reimbursement. Reimbursement depends on the patient’s benefits and is not guaranteed.

Medications, laboratory testing, imaging, and certain outside services are billed separately by the entity providing them and may be processed through insurance when appropriate. Review complete Insurance & Payment information.

No. Payment is made directly to the practice. Patients with commercial out-of-network benefits may request a superbill to submit to their insurance company.

No. Reimbursement depends on the plan’s out-of-network benefits, deductible, coinsurance, allowed amount, filing requirements, and claims policies.

No. Because Dr. Cardiel has opted out of Medicare, claims for her contracted professional services may not be submitted to Original Medicare or Medicare Advantage for reimbursement.

It may. Laboratory testing, imaging, medications, equipment, and other services are billed separately by the facility or provider performing the service. Coverage depends on medical necessity, valid ordering requirements, network participation, prior authorization, and the terms of the patient’s plan.

Yes. The consultation and follow-up fees published above provide general guidance. Your specific appointment type and fee will be confirmed before scheduling. Any additional practice charges for recommended procedures, specialized testing, or ongoing care will be explained before you decide to proceed. Patients who do not have or do not use insurance are entitled to a Good Faith Estimate when required by federal law, and an estimate is also available upon request.

The practice is designed for adults seeking a more comprehensive, private, and highly personalized approach to neurological care. Common reasons for 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 model may be especially well suited to individuals who value more time with their physician, thoughtful diagnostic planning, continuity, and a deeper understanding of the factors affecting neurological health.

Care pathways are recommended according to clinical needs, personal goals, life circumstances, and the degree of assessment, monitoring, and follow-up likely to 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 guidance.

The most appropriate pathway is not necessarily the one containing the greatest number of services. It is the one most clinically meaningful, practical, and actionable for the patient. Learn how care is personalized.

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

Patients with other neurological symptoms or diagnoses may be considered when appropriate. If a concern falls outside the practice’s principal focus, Dr. Cardiel may recommend another neurologist or specialist.

The practice is intentionally focused and highly personalized rather than structured as a high-volume general neurology clinic.

Conventional neurological care may require complex concerns to be evaluated during relatively brief appointments. Cardiel Precision Brain Health maintains a limited-volume model that allows additional time for comprehensive evaluation, patient education, diagnostic planning, and longitudinal follow-up.

When relevant, this model also allows Dr. Cardiel to consider sleep, metabolism, physical activity, vascular risk, stress physiology, medication effects, and hormonal health alongside the neurological concern.

The result is a more collaborative approach, with continuity for established patients, reserved priority access through select physician relationships, and additional scheduling options for practice members.

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.