South Florida Hospital News
Sunday July 5, 2020

test 2

August 2019 - Volume 16 - Issue 2

First Choice Neurology: Offering Florida Neurologists an Effective Strategy in a Complex Healthcare Market

As the largest neurology group in the country, Medley, FL-based First Choice Neurology has more than 41 facilities in six Florida counties and services at 35 major hospitals. 

The single specialty neurology group was formed in 2003 and became operational in 2004 in response to South Florida’s increasing need for high-quality neurology services. First Choice Neurology has over 75 Neurologists as well as diagnostic and rehabilitative services, including the practice of Brian Costell, M.D., a neurologist based in Boca Raton, FL.
One of the reasons that Dr. Costell became a part of the group was because it was a single specialty neurology group and not a multi-specialty one.
“Being a part of a single specialty neurology group, we gain all of the knowledge of working together and basically doing the same job for the same goal,” says Dr. Costell who joined the network last year. “Our other option was to join a multi-specialty group of general surgeons. It offers the same goals as other physicians but it’s from different specialties.”
First Choice Neurology has both adult and pediatric neurologists, 4 neuropsychologists, nutrition & wellness physicians, physical medicine & rehabilitation physicians, nurse practitioners, and 120 support health care staff members.
“Its main goal is to service patients in multiple parts of Florida and we reach patients throughout Southern Florida, Eastern Florida, and Central Florida,” says Dr. Costell.
One of the benefits for patients is that First Choice offers patients an informative patient resource section on their website, a dedicated section that provides educational materials. Some of the topics covered include neurological issues, diagnostic testing, treatment options and other patient information that can prove helpful for those undergoing treatment. With the resource center, patients can find the information they need regarding the treatment they require and ensure they get the results desired.
The mission of First Choice Neurology is to improve the quality of neurology services while providing those services in a cost-effective manner to the communities its members serve.
“Since there are dozens of neurologist in different locations in Florida as part of First Choice, we tend to consult with each other to help with the diagnosis of difficult cases. We have access to multiple sub specialties,” says Dr. Costell whose own sub specialty is epilepsy.
For example, its adult neurology group services patients with a variety of neurological conditions including Alzheimer’s disease, dementia, epilepsy, familiar amyloid polyneuropathy, migraines, multiple sclerosis, Parkinson’s disease, sleep disorders, and strokes.
Additional subspecialties include neuromuscular disorders, pain management, neuropsychology, neuroradiology, physical medicine, and rehabilitation.
Its pediatric neurology specialties include ADHD, Autism, Cerebral Palsy, Developmental Disorders, Movement Disorders, Headaches, Sleep Disorders, Neurogenetics, Neonatal Neurology, Epilepsy, Stroke, and Neuromuscular Disorders.
By combining these resources, First Choice is able to offer both adults and children these critical health care options.
Another advantage of being part of the group, is that it has allowed his practice to have more direct communication with the insurance payers, according to Dr. Costell. “We’re able to speak with them with more authority and let them know that we’re just not one doctor speaking; we’re dozens of physicians with one voice. “This way the insurance companies have a more realistic view that it’s not only a medical practice but a business like any other, and the need for cooperation from them.”
Group purchasing is another reason why Dr. Costell believes other neurologists should join First Choice Neurology.
“Our supplies and banking are more uniform because First Choice represents many neurologists,” he says.
If his practice did not join First Choice, it would have been difficult to survive on their own, acknowledges Dr. Costell.
“It was a no-brainer to join First Choice,” he says. “It was a never a question if we were going to join First Choice, but when. This model works and it works great. Private physicians, who are a part of a group like this, can get along well with each other. This model should be used across the country in other states.”

For more information, visit

Share |