Ultomiris®

What is Ultomiris®?

Ultomiris® (ravulizumab-cwvz) is a long-acting complement inhibitor used to treat several serious autoimmune and blood disorders in adults and children. At Central Texas Neurology Consultants, we specialize in using Ultomiris infusion therapy for neurological conditions including generalized myasthenia gravis (gMG) in adults who are anti-acetylcholine receptor (AChR) antibody-positive, and neuromyelitis optica spectrum disorder (NMOSD) in adults who are anti-aquaporin-4 (AQP4) antibody-positive.

What makes Ultomiris unique is its long-acting formulation, which allows for significantly fewer infusions compared to previous complement inhibitors. Patients typically receive treatment every 8 weeks rather than every 2 weeks, providing greater convenience while maintaining effective disease control.

Ultomiris infusion is administered at our specialized infusion center. The treatment schedule includes:

Weight-Based Dosing Schedule (Adults 40 kg or more):

  • Loading dose: Single infusion on Day 1
  • First maintenance dose: Two weeks after loading dose
  • Subsequent maintenance doses: Every 8 weeks

Infusion Duration:

  • Most adult maintenance infusions take 30 minutes to 1 hour
  • Infusion time is weight-dependent
  • Post-infusion monitoring for at least 1 hour after each infusion

Important Safety Requirement: Because Ultomiris affects the immune system's ability to fight certain infections, vaccination against meningococcal bacteria is required before starting treatment. Additional vaccinations against Streptococcus pneumoniae and Haemophilus influenzae are also recommended.

How Does Ultomiris Work?

In autoimmune neurological conditions like myasthenia gravis and neuromyelitis optica spectrum disorder, the body's immune system mistakenly attacks healthy tissue. A key part of this attack involves the complement system, a series of proteins that normally help fight infections but can cause damage when overactivated.

Specifically, the complement system can attack:

  • In myasthenia gravis: The receptors at the junction where nerves communicate with muscles, disrupting signals and causing severe muscle weakness and fatigue
  • In NMOSD: The aquaporin-4 channels in the optic nerves and spinal cord, causing inflammation, vision loss, pain, and weakness

Ultomiris works through a specific mechanism:

  • Targets C5 complement protein: This is a critical protein in the complement cascade that triggers cell destruction
  • Provides immediate inhibition: Complete C5 complement inhibition begins after the first dose
  • Blocks immune attack: By inhibiting C5, Ultomiris prevents the complement system from destroying healthy cells
  • Reduces inflammation: With less complement activity, inflammation in affected tissues decreases significantly
  • Protects nerve and muscle function: By stopping the immune attack, Ultomiris helps preserve normal neurological function

Ultomiris provides immediate, complete, and sustained C5 complement inhibition after the first dose, with initial results often appearing quickly. For generalized myasthenia gravis, many patients notice improvements in daily activities (e.g., talking, chewing, swallowing, and standing up) within 1 week of starting treatment. While Ultomiris does not cure these conditions, it helps control disease activity, reduce symptoms, and improve quality of life.

Common Ultomiris infusion side effects include:

  • Headache
  • Upper respiratory tract infection
  • Diarrhea
  • Nausea and/or vomiting
  • Back or joint pain
  • Fatigue
  • Abdominal pain
  • Fever
  • Urinary tract infection

Serious Ultomiris infusion side effects require immediate medical attention:

  • Serious meningococcal infections: The most serious risk, requiring immediate attention. Symptoms include fever with high heart rate, severe headache, stiff neck or back, confusion, sensitivity to light, body aches, or rash
  • Other serious infections: Including pneumonia or blood infections from Streptococcus pneumoniae and Haemophilus influenzae
  • Infusion-related reactions: Lower back or abdominal pain, muscle spasms, blood pressure changes, tiredness, shaking chills, discomfort in arms/legs, bad taste, chest pain, or trouble breathing
  • Severe allergic reactions: Swelling of face/tongue/throat, hives, or difficulty breathing

Your healthcare team provides comprehensive monitoring throughout your treatment, including observation during and after each infusion and ongoing assessment for any signs of infection.

How Much Does Ultomiris Cost?

The Ultomiris infusion cost depends on insurance coverage and provider. At Central Texas Neurology Consultants, we're dedicated to improving access and affordability for all our patients.

We work with most major insurance plans throughout Texas, including Aetna, Cigna, Blue Cross Blue Shield, WellMed, Humana, UnitedHealthcare, along with Medicare. Our team works closely with your insurance company to ensure you receive maximum coverage for your Ultomiris treatment.

Our infusion staff provides comprehensive support to make treatment more accessible:

  • Manages prior authorizations and benefits verification
  • Provides clear information about expected out-of-pocket costs
  • Assists with copay assistance programs and foundation support
  • Explores all available financial resources to reduce treatment costs

Why Patients Choose Central Texas Neurology Consultants' Infusion Center to Receive Their Ultomiris Infusion

Clinical Excellence and Neurological Expertise

Our infusion center is led by board-certified neurologists and supported by a team of BSN-prepared Registered Nurses who specialize in neurological infusion care.

Our comprehensive approach includes:

  • Ensuring all required vaccinations are completed before treatment initiation
  • Careful monitoring during and after each infusion
  • Ongoing assessment for any signs of infection
  • Education about recognizing symptoms that require immediate medical attention
  • Coordination with other specialists when needed

Our clinical expertise extends to comprehensive care for multiple sclerosis, neuromuscular disorders, movement disorders, headache, epilepsy, and other neurological disorders as well.

Lower Costs and Financial Assistance

We help patients handle insurance paperwork and access copay and foundation assistance to make treatment more affordable.

A Cigna report recently found that infusions at physician-owned centers like Central Texas Neurology Consultants' Infusion Center often result in lower overall costs than at hospital outpatient centers.

35+ Years of Trusted Neurological Care

With 35+ years of expertise in neurological care, Central Texas Neurology Consultants proudly serves patients across the state. Our established reputation and proven track record with immunotherapy and infusion treatments give patients confidence they're receiving care from a team with extensive experience in managing complement inhibitor therapy.

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Important Info

Referral Form:
Ultomiris®
What It Treats:

Paroxysmal Nocturnal Hemoglobinuria (PNH)

Atypical Hemolytic Uremic Syndrome (AHUS)

Generalised Myasthenia Gravis

Neuromyelitis Optica Spectrum Disorder (NMOSD)

FDA Approval:

Paroxysmal Nocturnal Hemoglobinuria (PNH): Approved on December 21, 2018

Atypical Hemolytic Uremic Syndrome (AHUS): Approved on October 18, 2019

Generalised Myasthenia Gravis: Approved on April 28, 2022

Neuromyelitis Optica Spectrum Disorder (NMOSD): Approved on March 25, 2024

Manufacturer:

Alexion Pharmaceuticals, Inc.

What Our Patients Have to Say

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Dr. Peery is professional yet amicable and kind.

Kat D.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

Dr. Peery is professional yet amicable and kind.

Kat D.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

Dr. Peery is professional yet amicable and kind.

Kat D.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

Dr. Peery is professional yet amicable and kind.

Kat D.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.