Whether a neurologist accepts your Medicare depends on the plan, not the carrier. We verify participation, referral rules and any prior authorization against your specific plan before you attend, so nothing is discovered at reception. Two Las Vegas valley offices, adults 18 and older.
Nevada's first physician-owned outpatient EDX lab to earn it.
Founder certified in Neurology, Vascular Neurology & Neuromuscular Medicine.
Independent and physician-led since 1998 — rooted in Southern Nevada.
Partnered with the Global Alzheimer's Platform Foundation.
Three things are confirmed before your appointment: whether this practice participates in your specific plan, whether that plan requires a referral from a primary care physician, and whether any diagnostic study we expect to order needs prior authorization. All three are separate questions, and a yes to one does not imply a yes to the others.
The card that matters is the supplemental or Medicare Advantage card, because that is the one carrying network and referral rules. Read the plan name off it rather than naming the carrier — two plans from the same insurer can behave completely differently.
Prior authorization can take several days, so it starts as soon as a study is decided rather than on the day of the appointment. Attending without a required referral means the visit either cannot proceed or is not covered, which is exactly what checking in advance prevents.
Even at an in-network practice, an unmet deductible can mean you owe the full visit cost. This is the single most common surprise, and it resets each January.
Original Medicare uses a coinsurance share of the approved amount; Advantage and commercial plans generally use a fixed copay.
Many commercial plans allow direct self-referral to neurology. Most managed care and Medicare Advantage plans require one in place beforehand.
A consultation and a study are billed separately. Ask about both on the same call rather than only about the appointment.
Under Original Medicare you can generally see a participating specialist without a referral, and Part B carries an annual deductible followed by a coinsurance share of the approved amount. Supplemental coverage may absorb some or all of that share.
A Medicare Advantage plan sits on top of the program with its own network, its own referral rules and its own authorization requirements. Participation in Original Medicare therefore tells you nothing about participation in any given Advantage plan — that is the most frequent source of confusion we resolve on the phone.
Nevada Medicaid is delivered through several managed care organizations, each with its own network and rules, so it is verified against your named plan rather than answered in general.
This practice participates with the carriers below across commercial, employer, Medicare, Medicaid and government coverage. Find your carrier to know whether verification is worth starting, then read any note attached to it — several carriers are accepted for some products and not others.
Appearing under Medicare Advantage here is a separate question from Original Medicare participation. The distinction is explained above, and in more detail on Medicare and neurology coverage in Las Vegas.
Nevada Medicaid is delivered through several managed care organizations, each with its own network and rules, so it is verified against your named plan rather than answered in general.
Attorney-referred cases and liens are accepted, as are workers’ compensation referrals. Both require prior authorization and coordination arranged before the appointment rather than at check-in, and neither runs through the standard verification route described above.
How documentation, electrodiagnostic findings and reporting are handled in these cases is set out on the personal injury and medical-legal page.
Participation is confirmed with the practice and last reviewed {{INSURANCE_LIST_VERIFIED}}. Carrier contracts change, and this list records participation at carrier level only. If your carrier is not shown that does not mean the visit cannot proceed — call 702-804-1212 and it will be checked, or start with the new patient information page.
Coverage questions usually arrive attached to a clinical one. If you are asking because a study has been recommended, the relevant pages are EMG testing in Las Vegas, EEG testing and Medicare and neurology coverage. The wider picture sits on the Las Vegas neurology hub.
Coverage rules referenced here follow the published guidance of Medicare.gov and the Centers for Medicare & Medicaid Services; the specialist-supply pressure behind Nevada wait times is documented by the American Academy of Neurology.
Clinical Neurology Specialists performs no surgery and operates no imaging suite, infusion suite or interventional pain program, and provides no pediatric, emergency or inpatient care.
Clinical Neurology Specialists · 7751 W. Flamingo Road, Suite A-100, Las Vegas, NV 89147 · 1691 W. Horizon Ridge Parkway, Suite 100, Henderson, NV 89012 · 702-804-1212 · Adults 18 and older.
The questions our front desk answers most often.
Call our team with your card to hand and participation, referral rules and any authorization are confirmed before you attend.