Do you have Hashimoto’s Thyroiditis? Do you need help to control it?
If you’re Hashimoto’s thyroiditis, you may have brain-fog, fatigue, just don’t feel your help. If so, I can help you feel better. If you have poorly controlled diabetes, I can help improve your numbers so you can feel better. If you have excess hair as a woman, and also have problems getting pregnant, I can can help you control your testosterone levels to help improve your fertility. If you are overweight, have prediabetes and want to avoid getting diabetes, I can help you trim down and avoid having diabetes. If your diabetes is not well controlled because your medications are expensive and not helping, I can come up with a cost-effective alternative for you. Come on in and let me help you!
At Heartland Endocrine group, I:
• Put the needs of patients first
•Prioritize wellness more than diagnosing diseases
• Work as part of a team with you to provide high-quality healthcare and service
• Treat you like a VIP: I do my best to help you
I believe that listening to my patients’ concerns is the key to lasting good outcomes and quality of life. I use both my extensive medical training and listening carefully to your concerns to guide further testing and diagnosis as well as the therapies I choose for you. I work closely with you as a patient to educate you about your disease, giving you the treatment options and helping you choose the one that fits your individual lifestyle and goals.
Becoming a New Patient
I am so excited you visited the Heartland Endocrine Group website. I offer a holistic approach to endocrine health and can help you manage any endocrine problems you have. I look for the causes of your symptoms. My practice is strongly based on Western, traditional endocrinology and recommends allopathic treatments as well as nutrition, mind-body practices, herbal aids, as well as exercise: all according to your personal needs. In addition, I consider your genetics and lifestyle to personalize your endocrine-related health plan. My goal is to help you feel normal again. Our care may be covered by your insurance provider as out-of-network medical care—many people get up to 70% reimbursed by private insurers.
- Use FSA/HSA
- No visit copays
- No middlemen
- Out-of-network reimbursement
- For Medicare patients, the reimbursement is 80% and I give you the form and addressed envelope at your visit.
Learn more about services, fees and how to get started by clicking here.
At Heartland Endocrine group, it’s my mission to help you to feel your best. I am board certified in Internal Medicine and Endocrinology and Diabetes. I use the latest state-of-the-art diagnostic and treatment tools to partner with you and develop a personalized treatment plan using a patient-centered approach for your endocrine conditions as well as your broader health.
Common conditions treated at Heartland Endocrine Group:
- Obesity and its complications
- Diabetes type 1 and type 2
- Polycystic ovarian syndrome
- Thyroid cancer
- Addison’s Disease
- Growth hormone deficiency due to pituitary disease
- Menopausal hormone replacement
Click the button to view patient forms and to access various articles.
Have you been diagnosed with Graves disease and wonder if it is “grave”? Do you need information and treatment to help you feel less wired and agitated, I can help.
Is your calcium high and your parathyroid gland overactive? Do you have fatigue and bone pain? I can diagnose and improve your quality of life.
Has your parathyroid been injured due to thyroid surgery in the past? There is new medication that can make you feel much better. Come and we can start this life-changing medication for you.
How do I make an appointment?
At Heartland Endocrine, I strive to utilize technology for everyone’s sanity! Phone tag, phone tree and messages are cumbersome for everyone. My time is spent being 100% present with my patients in office. This is where the best care happens. To keep the office a healing space, we asking you to please:
- Make an appointment with me in the room before you leave, especially if we know you already need a follow-up appointment. (Plan ahead now and prevent that panicky feeling when you can’t get an appointment when you want it.)
- Log on to the patient portal (patientally.com) and send us a request for a scheduled visit
How do I cancel an appointment?
Please do this as early as possible, either by sending a portal message, or by calling the office at 563 424-6306.. We respectfully ask for at least 24 hours to avoid fees.
What should I expect for our first visit?
Our thorough, initial visit (if you are new to Dr. Figaro) lasts up to 60 minutes. It is a chance to tell your story and for me to listen. Our goal will be to create a road map to address your endocrine concerns and to improve your health. Please sign up for our portal before coming in (patientally.com) and fill out the necessary paperwork electronically. This saves valuable time so that we can focus our appointment on a solid plan. Please come 10 minutes early so we can maximize our time together.
I want an earlier appointment, is there a wait list?
Yes. If you want to come in earlier, please ask to be added to our wait list. If there is a cancellation, we will call you to see if you can come earlier.
How do we review labs?
How often should I come?
The following is a general guide for frequency of visits:
Come in ONCE YEARLY if you are:
- Super stable/have no new health goals
- Have no change in health over the last year
(Prior to that visit, we will need: yearly labs, based on your medical problem)
Come in TWICE YEARLY if you are:
- On medications, still evolving in your endocrine problem, but stable overall
(Goals: Refill prescription(s), assess effectiveness, make sure there are not major changes in your health)
If you are starting a new medication for a new problem, we suggest appointments every 4-6 weeks until stable, then every 3 months, and every 6 months for maintenance.
For women starting hormone therapy, you should notice changes in symptoms within 2-4 weeks. These therapies may require frequent adjustments and monthly follow-ups initially, then 12 weeks, 6, 9 & 12 months, in order to help you get the full benefit of therapy.
For men starting testosterone replacement, the first year of therapy involves the most monitoring for safety and effectiveness. Labs are checked at baseline 12 weeks, 6, 9 & 12 months. Once a therapeutic dose is established, we can lengthen our intervals.
How should I use the patient portal?
In general, the portal is used for: scheduling, refill requests, quick yes-or-no questions, and bill view/pay.
All you need to create an account is a simple log-in/password combination.
What insurances do you take?
Why not insurance?
Abuses and bullies me by denying all my first claims.
Reimburses me so little that I may go out of business.
Leverages a $50 penalty against me when my patients accidentally go to out-of-network labs.
Charges me hundreds of dollars of “membership fees” before I’m allowed to see their patients.
Offers me a contract that dictates my responsibility for all legal fees if they determine I did something wrong.
Why doesn’t Dr. Figaro accept Medicare?
I love caring for patients—young and old. I’m happy to care for Medicare patients. I am no longer a participating physician of Medicare on November, 2018. I can see you and will give you an addressed envelope and one page form you can send to Medicare to be reimbursed. 80%. Why don’t I bill directly to Medicare? Let me fill you in.
I do not bill to Medicare because:
Medicare claims are more complex than any other insurer with more billing codes and rules and regulations that require hiring a team of staff to remain compliant or else . . .
Medicare regulatory codes by which physicians must abide is 130,000 pages long! (US Tax code is only 75,000).
Medicare requires compliance with more unfunded mandates and administrative trivia than any other insurer.
How do I get a refill?
I’m running out of insulin early, what should I do?
What is a superbill?
I need a referral or an official form filled. How do I do it?
My treatment requires a prior authorization. What does this mean?
Can I have an acute visit?
Typical acute cases that I see include: sore neck with thyroid disease, hypoglycemia on current insulin regimen, side effects of hyperthyroidism or allergic reactions to medication for hyperthyroidism, needing a letter due to missed work.
What is an e-patient and am I one?
Your Endocrine health starts here
Or call — (563) 424 - 6306 FAX (563) 424-6602