Food Allergy Skin Test Comprehensive testing to wheat, soy, milk, peanut, seafood and 50 other foods (results in 15 min)
Food Allergy IgE ImmunoCAP Blood Test
Food Patch Test
Environmental Allergy Skin Test Comprehensive testing to cat, dog, dust mite, pollens, molds and more (results in 15 min)
Pulmonary Function Testing
Penicillin/Drug Allergy Testing & Challenge
Patch Testing for Allergic Contact Dermatitis
Immune Function Testing
Allergy, Asthma & Immunology
Voluntary Assistant Clinical Professor, UCSD School of Medicine
IN-Network PPO/EPO/POS "Open Access"
Aetna, Cigna, Anthem/Blue Cross, Federal BC/BS, Blue Shield of CA (except "Individual" policies starting with letters XEK or XED.)
Unfortunately, we're OUT-of-network for all Medi-Cal, HMO and Covered CA plans.
Please click here for a complete list:
"Is Dr. Feigenbaum Board-Certified in Allergy & Immunology?"
Yes, Dr. Feigenbaum is Board-Certified (adult and pediatric) by the American Board of Allergy & Immunology.
Dr. Feigenbaum attended the Boston University 6-year accelerated medical program. After 2 years of undergrad at BU, he started medical school at Boston University School of Medicine. He received his B.A. and M.D. in 1989, then completed 3 years of residency training in Internal Medicine and an additional 2 years of fellowship training in Allergy & Immunology.
"Is your Allergy Testing covered by my PPO (or EPO/POS) health plan or Medicare?"
Yes. Every test we perform--Allergy testing (food, airborne/environmental, patch, penicillin allergy testing, etc.), Pulmonary testing (spirometry/pulmonary function) is considered "standard-of-care" for an Allergy & Immunology MD to perform, and IS covered by Medicare and all health plans. Our patients have never run into problems with that.
Of course, "covered" by the health plan does not mean that there's no cost to the patient. Most PPO/EPO/POS health plans have some combination of specialist copay and/or deductible, co-insurance, etc. which may result in an out-of-pocket cost for Allergy tests, even though the Allergy tests are "covered."
This can be difficult for a patient to figure out. So, we'll contact your health plan and email you the exact expected out-of-pocket cost before we do any testing, so that you can make an informed decision. If you like, we're glad to provide you with the "CPT" Procedure codes and Diagnosis codes that you'll need if you want to call your health plan and verify for yourself.
"I heard that some Allergy practices don't do allergy testing at the first visit, so I would have to schedule another visit and pay another copay to get tested. Do you perform testing at the first visit?"
Yes!...for in-person visits, we routinely perform Allergy skin testing for environmental/airborne or food allergies at the 1st visit, assuming the tests are indicated and the patient wants them. (Except for specific situations like pregnancy, which make skin testing contra-indicated...)
Obviously, we can't do skin testing if your visit is a video Telemedicine visit, but we could schedule skin testing in-person for the next visit, or send you to Quest, Labcorp, etc. for blood allergy testing if you like.
"I heard that some Allergy practices require a separate "Summary" visit to discuss the allergy testing results. Do you require that?"
No. Right after the testing (food, environmental/airborne, patch, penicillin), Dr. Feigenbaum will provide you with the results and updated assessment and treatment plan.
"Does allergy testing hurt?"
We get that question a lot! After going through the testing, most of our patients say, "That's it?!"
If you previously had allergy testing with one allergy test needle at a time, repeated 30-40 times, that's the old-school way to do it. We use a plastic skin testing device (Multitest) which can test 8 different food or environmental allergens with one simultaneous "prick." Applying a total of 5 to 8 Multitest devices, each loaded with a different set of allergens allows us to test 50-60 food or environmental allergens in around 30 seconds. And we apply them on your arms (not on your back) where you can see what's going on.
Click here to watch an instructional video from the Multitest people. The video is very 1970's! ;) At around 0:30 you'll see the skin testing.
Really, skin testing is probably not what you're thinking.
"Do I "have to" get allergy testing if I come to you?"
No. Most of our patients choose to undergo Allergy Testing and it's routinely covered by health insurance as detailed above. But Allergy Testing is not appropriate for some of the conditions we treat, or for some patients, and is definitely not something we require patients to undergo.
"Doesn't everyone have allergies?"
No....according to the medical literature, most people don't have ANY allergies--not to food, airborne allergens, or medications. Only approximately 25-30% of the US population has an allergy.
"Do you push allergy shots?"
No. Fewer than 1% of our patients are started on allergy shots (subcutaneous immunotherapy.) Most of our patients find the relief their looking for with: allergen avoidance, medications or other treatments and decide that they don't need or want shots.
There are also some newer immunotherapy options without shots. Immunotherapy can be thought of as a "disease-modifying" therapy, as opposed to medications. Medications work very well and for most people are all that is needed. But for those who want to address the "root cause" of allergies, allergen avoidance and immunotherapy may make sense.
Immunotherapy which doesn't require shots include:
--Sublingual (under the tongue) "drops" of the same extracts used in allergy shots. As opposed to allergy shots, sublingual is not usually (as of 10/15/22) covered by health plans, so the cost is all out-of-pocket.
--There are also FDA-approved Rx sublingual pills containing timothy grass allergen (Grastek) or ragweed allergen (Ragwitek) or dust mite allergen (Odactra.) In this case, one would take up to 3 different pills each day (with up to 3 different often pricey copays per month at the pharmacy.) Sublingual immunotherapy pills are not available for the full range of allergens.
"Do I need a referral to be seen in your office?"
PPO/EPO/POS "Open Access" and Medicare do not require a referral and those are the only plans with which we are IN-Network. Right now, we're Out-of-network for all HMO plans.
"What if I don't have health insurance?"
Then, you'll want to know what the visit will cost. Please give us a call. Once we understand your allergy symptoms, we can give you a price (not an estimate, an exact price) for a consultation and any testing which may be recommended at the visit.
"I have a disability and would need special accommodation..."
We're at your service. Please tell us how we can meet your needs.
Esta bien. El Doctor tambien habla Espanol.
"My question isn't on here...
Please give us a call, 619 291 5800, or send us a question using the web form on the right side of the page about half way down. We'd love to help!"
Allergy Consultation and Testing in 5 Easy Steps:
Step 1 - NEW patient appointments available within 10 days. We're IN-network with most PPO "group" health plans (PPO/EPO/POS), including out-of-state and Federal Blue Cross/Blue Shield. Call us (619) 291-5800 and we'll confirm that we're IN-network with your plan. No "referral" needed for PPO.
Step 2 - We'll send you our easy-to-complete online forms.
Step 3 - We'll call your plan and email you the expected out-of-pocket cost for an Allergy visit and/or testing.
Step 4 - Meet us in UTC, Encinitas or online for a Telemedicine visit. Free parking.
Step 5 - Understand your immune system and allergies and start your customized treatment plan.
San Diego Allergy, Asthma & Immunology Consultants, Inc
Office (619) 291-5800
Fax (415) 634-1344
UTC/La Jolla Office
8929 University Center Lane #100
San Diego, CA 92122
1/4 mile from Whole Foods in UTC. Free, easy, outdoor parking!
285 N El Camino Real, #211
Encinitas, CA 92024
Food Allergy and Food Sensitivity
Gluten Intolerance, Celiac Disease
Hives and Angioedema
Eosinophilic esophagitis (EoE)