Vienna, Virginia · Established 2021
Care that listens first,
and explains everything.
From the moment you walk into our Vienna, Virginia office — or log in for a telehealth visit — you’re treated as a whole person with a real history, not a chart to move through quickly. We listen closely, test thoughtfully, and explain what we find in plain language. This page is everything you need to know before, during, and after your visit.
WHAT TO EXPECT
A visit built around your history, not a checklist.
Your initial visit is a full consultation — not a rushed intake. Your physician will listen closely to your symptom history, understand the factors that may be contributing, and perform a thorough examination. Together, you’ll decide on the right path for testing and treatment, explained in plain language, not jargon.
You should leave every visit understanding your condition and confident in your plan. If you don’t, we haven’t done our job.
PLEASE NOTE
Not every visit includes testing or a procedure on the same day — and that’s often by design, not oversight. Insurance carriers have specific rules about which procedures can be billed alongside an office visit, and about how multiple procedures are reimbursed when performed together. To make sure you’re billed correctly under your plan, we sometimes schedule testing or procedures as a separate visit rather than combining them with your appointment.
This includes allergy testing: not every patient will be tested at their initial visit. We’ll let you know whether testing can be done during your upcoming visit at the time you schedule, so you know exactly what to expect before you arrive.
Before You Arrive
A few steps ahead of time help us spend your visit on you.
PAPERWORK AND HISTORY
Advanced Check-In
Log into your patient portal — either through the website or through the APPatient app — to enter your complete medical history and current medication list before your visit. All required forms can be filled out in advance to speed up check-in.
PLAN YOUR ARRIVAL
Check-In Procedures
We request patients to arrive for in-office appointments at least 15 minutes prior to the scheduled time. In the case that check-in was not completed in advance, please allow for extra time to enter your health history, medication list, and sign required forms.
In advance of telehealth visits, our team will perform intake through a phone call. Please be available for a check-in call 15 minutes before your scheduled time.
VERIFYING INSURANCE INFORMATION
Send Your Insurance and ID Ahead
We use Klara, a secure HIPAA-compliant messaging platform, for all patient communication. Text a photo of your ID and insurance card before your appointment to save time at check-in. Confirming your insurance network status and referral requirements is your responsibility — see Insurance & Financial Eligibility below. Starting this fall, we'll also ask all patients to keep a card on file so we can collect your estimated visit cost at the time of service — see A Note on Our Financial Policy below.
SCHEDULING POLICY
Rescheduling & Cancellations
We ask for at least 48 business hours' notice (weekends not included) if you need to reschedule or cancel your appointment. This applies equally to telehealth and in-office visits. Appointments that are rescheduled, cancelled, or missed without 48 business hours of notice are subject to our no-show and late cancellation fees.
New patient appointments that are either missed or cancelled inside of the 48 hour required window are subject to a $300 fee. Established patient visits that are missed or cancelled inside of the 48 hour required window are subject to a $75 fee.
PREPARING FOR ALLERGY TESTING
What to stop taking before your skin test — and when.
Several medications can interfere with skin testing results by suppressing your body’s histamine response. For the most accurate results, most antihistamines should be stopped 5–7 days before testing — this includes loratadine (Claritin), cetirizine (Zyrtec), levocetirizine (Xyzal), fexofenadine (Allegra), azelastine nasal spray (Astepro), and OTC allergy eye drops like olopatadine (Pataday) or ketotifen (Zaditor/Alaway). Famotidine (Pepcid) and Diphenhydramine (Benadryl) should be held for 24–48 hours prior to testing, and Hydroxyzine (Atarax) should be held for 10 days prior to testing.
If you take a psychiatric medication such as amitriptyline, quetiapine, doxepin, or imipramine, do not stop it without first speaking to your prescribing physician — these can also suppress test results, and we’ll discuss alternative testing options if needed. Asthma medications, antibiotics, non-antihistamine decongestants, oral steroids, and medications for unrelated conditions do not need to be stopped.
After Your Visit
Your care doesn't end when the visit does.
portal records
Your Visit Notes and Results
Visit notes and testing results are posted to your patient portal (the APPatient app) under Appointments > Past Appointments. Log in anytime to review your results and stay current on your care.
Help Someone You Know
Refer a Friend or Family Member
If someone in your life is dealing with unexplained allergies, recurring infections, or asthma that’s never quite been under control, referring them to us may be one of the most useful things you can do for them. Many patients spend years moving between providers before finding someone who takes the time to actually understand what’s happening — you already know what that difference feels like. The easiest way to request an appointment is through the web request form, and we’ll take it from there.
leave us a review
Share Your Experience
If your visit gave you the answers you’d been looking for, we’d love for you to share it in a Google review. Your reviews help others find us, and allow us to continue providing exceptional service.
allergy shot next steps
Starting Allergen Immunotherapy
For patients who have consented during their visit to begin allergen immunotherapy, your prescription(s) will be made on the next upcoming mix date(s). Once serum is mixed, you will receive a text message that your serum has been prepared. Once you receive this message and have also filled your prescription for your epinephrine autoinjector, you may begin scheduling through Klara or on the practice website. Please wait until you receive this message before you begin scheduling to ensure that your serum is ready. Your first shot appointment will be an orientation visit. Upon arrival, please check in at the front desk.
For patients who make their decision to begin allergy shots after their visit, please contact our office via text message through Klara. We will then send you a consent form, and once we receive your signed consent in return, we will prepare your allergy shot prescription(s). If we have not yet ordered epinephrine for you, we will do so at that time.
Referral Guidance
Will your insurance require a referral?
Whether a referral is required depends on your insurance plan. HMO and managed-care plans typically require a Primary Care Provider referral before specialty visits are covered. PPO, EPO, and Medicare plans typically don’t — but rules vary, so always confirm directly with your insurance company using the number on your card.
If your plan requires a referral, check how many visits it covers and whether it expires after a set time. Once visits are used or the referral lapses, a new one is required before your next appointment. If a required referral isn’t on file, your visit may not be covered, and the cost becomes your responsibility.
For referring providers: please include the diagnosis, number of authorized visits, and authorization dates when submitting a referral.
often required
HMO & Managed Care
typically not required
PPO, EPO & Medicare
Insurance & Financial Eligibility
Coverage is complex. Here's how we handle it.
Insurance plans vary widely — sometimes even within the same carrier. Because so many plans now have closed networks or limited out-of-network benefits, we no longer maintain a list of “accepted” plans on our website. It’s more reliable, and more accurate, for you to confirm your specific coverage directly with your insurer before scheduling.
If your plan requires a referral or preauthorization, it’s your responsibility to have that documentation on file with us before your appointment. Without it, your visit likely won’t be covered and the cost becomes your responsibility.
Before scheduling a telehealth visit, please confirm telehealth is a covered service under your plan and sign our telehealth consent form.
This is also why testing and procedures are sometimes scheduled as a separate visit rather than combined with your appointment — see What to Expect at Your Visit above.
Out-of-Network Care
Seeing Us Out of Network
If we are not in network with your insurance plan, you are welcome to be seen as a self-pay patient at our transparent cash-pay pricing. After your visit, you can submit an itemized receipt to your insurer if you have out-of-network benefits — reimbursement depends entirely on your plan and isn’t guaranteed. Our team can help you understand what to ask your insurer, though confirming coverage remains your responsibility.
UNDERSTANDING YOUR COVERAGE
Allowed Amount
The maximum amount your plan bases payment on for a covered service.
Co-insurance
Your percentage share of a covered service’s cost, on top of any deductible owed.
Co-payment
A fixed amount paid at the time of service, which varies by service type.
Deductible
What you owe before your plan begins paying for covered services.
Out-of-Pocket Limit
The most you’ll pay in a policy period before your plan covers 100% of the allowed amount.
Coming this fall
A Note on Our Financial Policy
AN UPDATE FOUNDED IN TRANSPARENCY
This fall, we’re introducing a clearer, more transparent way to handle payment — so you always know what to expect before you’re ever billed. Every patient will keep a card on file, and before each visit, we’ll fully evaluate what you’re expected to owe under your specific insurance contract, taking into account whether your deductible has been met and whether coinsurance applies.
That amount is collected at the time of service, so there’s no waiting weeks for a bill to arrive after your claim has processed — you’ll know your cost upfront, and we’ll provide a printed estimate before your visit as a standard part of how we do business.
Location & Hours
Visit Us in Vienna, Virginia
Our practice is located in beautiful Vienna, Virginia, one of the D.C. metro area’s most quaint and unique suburbs.
Our office location also overlaps into the Old Courthouse District of Tysons, Virginia, located 13 miles from Washington D.C. Tysons is an area of significant growth given the proximity to the Capital Beltway and Dulles International Airport, along with access from the Silver Line of the D.C. Metrorail System.
We are located in The Alley on Old Gallows Road, with easy access to Leesburg Pike, the Capital Beltway, Vienna and Merrifield.
The building is within 1.5 miles of the Tysons Corner Metro Station of the Silver Line, and surrounded by an abundance of restaurants and shopping.
address
Kaufman Allergy Asthma and Immunology, PLLC
1945 Old Gallows Rd, Suite 205
Vienna, VA 22182
CONTACT
Phone: (703) 403-5413
Text (Klara, HIPAA-compliant): (571) 605-7321
Fax: (833) 314-0496
Email (not HIPAA-compliant): info@kaufmanallergy.com
HOURS
Appointments
Mon–Thu 7:40am–5:30pm, Fri 7:40am–4:30pm
Allergy Shots
Mon/Wed/Fri 7:30am–4:00pm, Tue/Thu 7:30am–5:00pm
Closed Saturday & Sunday
Questions before your visit?
Text us through Klara or call the office — we’re happy to help you get ready.