We see a variety of adolescent and adult patients who are experiencing head and neck pain. Whether you are just starting to look for answers to solve your or your child’s pain problems or have experienced failed treatments in the past, you can find the help you’re looking for at the Piper Clinic.


When Are Patients Seen?

All consultations are scheduled promptly at 7am on Mondays and Tuesdays. Your appointment at the Piper Clinic will be a full day experience.

You could be here as late as 8pm or 9pm. We ask our patients not to drive or fly home until the day after the appointment because there is no guarantee how long you could be here.


Consultation Fees

The initial consultation is $1,950. Patients can pay by cashier’s check or credit card the morning of the consultation.

The consultation fee includes the complete workup during your full day experience at the Piper Clinic.

Your consultation requires an MRI scan of the TMJ. The scan taken by Diagnostic Imaging at Baywalk is considered an outside service and is a separate fee. You will need to contact the imaging center at least two weeks prior to your appointment. Diagnostic Imaging at Baywalk accepts many major medical insurances. However, if your MRI scan has not been prior approved or is denied, you will be responsible for the full fee at the time of service.


Imaging Center

Diagnostic Imaging at Baywalk is about 3 blocks north of the Piper Clinic
129 1st Ave North
St. Petersburg, Florida 33701
P: (727) 896-2273
F: (727) 895-2554
Website

During Your Conslutation, You Will:

  • Meet Dr. Piper
  • Review of your history of treatments and traumas with our Physician Assistant, Jeff Thompson
  • Impressions of your teeth and bite records mounted on an articulator
  • Facial and occlusal (bite) photographs
  • Diagnostic Doppler examination, which allows us to listen to joint sounds
  • Examination with Dr. Piper
  • CT Scan of the TMJ, including the airway and sinuses
  • MR Scan of the TMJ at Diagnostic Imaging at Baywalk
  • Diagnostic Nerve Blocks, if advised in the consultation
  • Educational video about the TMJ and various pain patterns
  • TMJ Orientation and Pain video
  • Consultation with Dr. Piper for diagnostic and treatment options

The complete workup consists of testing the bite; evaluating your muscles; listening for joint noises; going through your history of treatments and traumas; and scanning your condyle bone with a CT to check height, dimensions and comparing those measurements to normal. A CT scan will help tell if you have longstanding damage from years ago due to a trauma or a childhood growth issue. The MRI will give us a clear picture of the bone and tissue and tell us if the disks in the TMJ are dislocated.

After the workup is completed, Dr. Piper will answer all of your questions, present recommendations for treatment and develop a plan of action.


What to Bring To Your Consultation

  • Our completed records
  • An updated chronology of your problem and reports from other doctors, such as operative reports, laboratory reports, consult letters and imaging reports
  • An updated list of contact information for all of your doctors
  • Old photos of you if your face has undergone changes because of your condition
  • Facial CT if you have it
  • Actual MR of TMJ, neck or brain

Do not bring office notes, legal files and scans taken outside the head and neck region.

You will also have a break for lunch and some down time throughout the day. We recommend bringing something to occupy your time: books, magazines, laptop, etc..., It is always wise to bring a sweater because of the office temperature.


Can My Family Come?

Absolutely, family and friends are a wonderful support system and are always welcome. There will be down time for them to see the sights downtown and they can accompany you to lunch or when you're waiting around in the office for your consultation with Dr. Piper.


Can My Doctor Come?

Yes, your doctor may attend as a family member. They may follow you, the patient, through your experience. Alternatively, if your doctor would like to shadow Dr. Piper throughout the entire clinic day, there will be The Doctor Tutorial fee of $955. Please note that all patients must consent to allow another doctor to join their visit.


Clinic Location

We are located in The Signature Place Tower on the bottom floor. There is on the street parking in front of the clinic or in the parking garage across the street. The Piper Clinic is within walking distance to many downtown hotels, restaurants and shops. See our Directions web page for detailed driving directions and a map.


Where to Stay

There are several hotels within a short walking distance of The Piper Clinic. You may view a list of local hotels and approved rental properties on the Accommodations web page. If you are unsure, please ask one of our patient care coordinators to assist you with your accommodation.


Getting Around

If you don’t plan to leave downtown St. Petersburg during your stay, your own two feet are the best way to get around while seeing the sights. There are several miles of waterfront parks, museums, restaurants and stores within a short walking distance from the Piper Clinic.

If you want to visit other area attractions, such as the Gulf Beaches and theme parks in Tampa, you may need to rent a car, take a cab or rely on the public transportation system. The Gulf beaches are 12 miles from downtown St. Petersburg, about an 18 minute car ride taking I-275 south to Pinellas Bayway.


After the Consultation

At the end of the week, we mail your records to you on a USB stick. You will receive images of the CT scan, MRI scan, photos of the bite and the models, CT scan and MRI dictation, your updated history, and a letter from Dr. Piper summarizing his findings and recommendations. Those doctors you listed on your consent form will also receive these records. We then schedule a follow up appointment in person or by phone a few weeks later after you've had time to review your records.


Insurance

Although we do not accept any insurance, The Piper Clinic staff will give you a claim form that includes all applicable procedure codes and diagnosis codes you can submit to your medical insurance. Your medical insurance company will then reimburse the agreed upon amount.

Please feel free to contact our office at (727) 823-3220 with your insurance-related questions.


Quick Links

727-823-3220

Info@PiperClinic.com

131 2nd Ave. S.

St. Petersburg, FL 33701