When your labs don't tell the whole story. We figure you out.

No. We prescribe the same evidence-based medications as any rheumatologist. Integrative means we also look at what else is driving your disease: sleep, stress, nutrition, movement. That includes vitamins, herbs, teas, and home remedies. Tell us about them. We'd rather know than guess, because some of them change how your medications work. We may also recommend a few new supplements.

Traditional Medicare, with or without a supplement plan (AARP and similar). The Medicare Advantage plans we're in network with and most major commercial plans. Your plan makes the final coverage decision.

Some plans require one, others don't. If you're not sure, call us and we'll check. If your plan needs one, you'd need to request it from your primary care doctor.

New patients are typically seen within 2-4 weeks, sometimes sooner if there's a cancellation. For urgent situations, let us know when you call.

Yes. We request your records when you schedule, and we ask you to bring what you have. Your diagnosis, your medications, and your history come with you. You don't start over. If you're on an infusion or a biologic, tell us when you call so we can plan your first visit around it.

We recommend that you start with the rheumatologist who can see you soonest, because with autoimmune disease waiting has a cost: the sooner you're seen, the sooner your treatment plan starts. From that first visit you have your own rheumatologist: one doctor who knows your history and follows your care. Our doctors sit down with Dr. Kromo for regular case review. For less complex concerns and routine follow-ups you may also see a nurse practitioner, who works under your doctor's supervision. Dr. Kromo's own schedule has the longest wait, which is why new patients often choose to start with another rheumatologist.

Yes. You can see a doctor in Spanish, and our nurses and front desk speak Spanish too. Tell us when you call and we schedule you with a Spanish-speaking doctor.

Plan on up to 90 minutes in the office. Some of that is X-rays, if we order them. Some of it is waiting. We'd rather tell you that than surprise you. Your time with the doctor depends on your history. A complicated one gets more time.

Photo ID, your insurance card, and everything you take: prescriptions, vitamins, supplements, and anything you use at home. Bring prior lab work, imaging, or records if you have them. Fill out the new patient forms online before your visit. We use them to prepare, so your first appointment starts with you, not with paperwork.

Yes. Bring a family member or a friend. They're welcome in the exam room and in the infusion suite. If you want someone to call us about your care, there's a release form in the new patient paperwork. Once you sign it, they can.

Yes. We draw blood and take X-rays here in the office, so there's no separate trip. Blood work is sent to Quest or LabCorp for processing, and we go over the results with you.

Once you're a patient, yes. Follow-ups, lab reviews, and medication check-ins can often happen by video. Your first visit is in person so the doctor can do a full exam.

Call us during office hours: Monday through Thursday, 8am to 6pm. We're closed Friday through Sunday, so a question that comes up Thursday night waits until Monday. We say that up front so you're not left wondering. If it's an emergency, don't wait for us: call 911 or go to the nearest emergency room.

Yes, and only if you want to participate. Nothing about your care depends on it. We run a large research program, with trials open across many of the conditions we treat. For some patients that means a new medication before it's widely available, usually at no cost to you. Ask what's enrolling for your condition.