About the Clinic

VERTIGO, DIZZINESS, BALANCE, HEARING, TINNITUS, and HYPERACUSIS CLINIC

The Robb Oto-Neurology Clinic encompasses a:

• Tinnitus, hyperacusis and misophonia clinic
• Hearing and balance clinic
• Dizziness and vertigo clinic

... in addition to a general neurology clinic.

Neurological services offered include but are not limited to:

• Tinnitus Retraining Therapy (TRT) - Jastreboff and Hazell Method
• Tinnitus Activities Treatment - Tyler Method
• Tinnitus Masking - Vernon Method
• Neuromonics Tinnitus Treatment - Davis Method
• Other Efficient and Affordable Sound Therapies with Counseling for Tinnitus Relief and Habituation of Reaction and Perception of the Tinnitus Percept

• Sound Therapy and Counseling for those with Hyperacusis (Abnormal Sound Tolerance)
• Directive, Supportive, Informative and Activities-Related Counseling (Coaching the Patient with Tinnitus and/or Hyperacusis)
• Demonstration and Review of the Benefits and Function of Various Tinnitus Relief Accessories Aimed at Achieving Efficient and Practical Sound Therapy For Optimum Tinnitus Relief
• Evaluation and Management of Vertigo, Dizziness and Imbalance from Various Causes including but not limited to: Meniere's Disease, Autoimmune Inner Ear Disease, Labyrinthitis, Vestibular Neuronitis, Idiopathic Sudden Sensorineural Hearing Loss, Trauma, others
• Epley Maneuver for Treatment of Benign Paroxysmal Positional Vertigo

• Evaluation of the Vestibular and Auditory System
• Orchestration of Vestibular Physiotherapy for those with Bilateral Vestibular Loss, Unilateral Vestibular Loss, Central Causes of Dizziness and Imbalance.
• TransEar Bone Conduction Hearing Amplification for Single Sided Deafness
• Bone Anchored Hearing Aid Demonstration Trials for Single Sided Deafness
• Pharmacotherapy for Neurological Conditions

• Nutritional Therapy (Vitamins, Minerals and Antioxidants) for General Health and Hearing Wellness; Otoprotection
• General Neurological and Medical Otological Care
• Orchestration of Additional Labs, Neuroimaging, Audiological Tests, Physical Therapy, Surgery when indicated
• Coordination of care: medical, surgical, audiological and balance physical therapy, other
• Diagnostic workup and coordination of surgical care for patients with semicircular canal dehiscence, vestibular schwannomas, vascular loops, perilymph fistulas, other structural lesions in addition to the above.

... and many other medical, neurological and oto-neurological services.

The above list is just an overview of comprehensive services offered in the hearing, balance and tinnitus clinic. The most sophisticated testing equipment is present right here in Phoenix. There is no need for patients to travel elsewhere to obtain thorough medical and surgical workups of ear and brain problems. Arizona is one of the top ten states in the country offering expertise in the areas of auditory neuroscience, audiology, physical therapy, neuroimaging, neuropathology, neurology, oto-neurology, otolaryngology, neurotological surgery, neurosurgery and other fields associated with the ears and the brain and their connections.

Please call 480-303-1133 to discuss your history briefly, and consider scheduling an appointment.

Payment

The oto-neurology clinic is not contracted with any third-party insurers and consequently welcomes all new patients regardless of their ability to pay privately, age or insurance status. This simple private-pay model allows the patient to spend more quality time with the physician and play a more direct role in the decision making process. Insurance can help pay for numerous diagnostics and therapeutics thus minimizing out of pocket costs. Special arrangements can be made for those in need. Response to the model has been overwhelmingly positive since its inception.

The clinic's doors are open to all those in need. Practice model is private pay/cash clinic/patient-doctor direct/ fee-for-service for all just like business was conducted in the good old days. I am not contracted with Medicare, Medicaid or any other third-party insurance companies, however, these entities will be able to pay for most or all of my ancillary oto-neurological workup with the exception of my consultation time at the roundtable. Payment in full at time of service via cash, check, Visa, Mastercard is the order of business. Special arrangements such as significant discounts, payment plans, payment in kind, or charity care are offered to those in financial need. House calls will be made when absolutely indicated.

Documentation is provided to each patient for optional submission to private insurance or secondaries for out-of-network consideration and reimbursement. Patients can be reimbursed for the visit once out of network deductibles have been met. Moreover, insurance companies and Medicare will likely pay for additional costly medical workup and therapy upon my order. Patients may request assistance from their primary physicians or other referring physician for pre-certification at the in-network level for out-of-network subspeciality services by an oto-neurologist.

U.S. Veterans of the Armed Forces can visit the clinic utilizing the 'VA fee basis' medical care option after first arranging to see any Arizona VA staff neurologist or otolaryngologist. Please call with any additional questions, comments or concerns.