Mark Piker, MD

Board Certified Neurologist

tel. 425.655.0700

Online Booking

General public  (non-Medicare recipients)

  • Medicare recipients book HERE 
  • Cancellation and No-Show policy is HERE

Financial policy (non-Medicare recipients)

With the exception of Medicare, Dr. Piker does not contract with insurance companies and does not file insurance claims on the client’s behalf.

As such, Dr. Piker is considered an “out-of-network provider” for insurance companies. 

We collect the full payment for a visit at the time of scheduling appointment. 

If clients wish to be reimbursed for visits with Dr. Piker, they may request the so-called “superbill” containing information (CPT and diagnosis codes) needed for reimbursement from insurance company.

The clients bear sole responsibility for knowing specific rules of their insurance carrier.

It is highly recommended that clients consult their insurance company regarding coverage of out-of-network providers prior to scheduling appointment. 


For clients who have not seen Dr. Piker within the last 3 (three) years or never met him before
For clients who have seen Dr. Piker within the last 3 (three) years, but have not visited Integrative Headache Clinic yet
For clients who visited Integrative Headache Clinic within the last 3 (three) years


Botulinum toxin (ie, Botox) injections

Botulinum toxin, procedure only, 30 min $375

In most cases, the botulinum toxin itself (ie, Botox) is covered by your insurance with the proper prior authorization:

  • The medication is sent to our clinic from the specialty pharmacy used by your insurance
  • Please contact your insurance about your portion of the cost of the actual medication (ie, Botox)

If someone prefers to pay cash for botulinum toxin, the non-cosmetic Botox Medical prices are as follows:

  • Medication only, 100 units vial $620
  • Medication only, 200 units vial $1,240
Other procedures (includes procedure and medications)

Nerve blocks and/or Trigger point injections, 30 min $175

  • $80 if done in addition to the visit or botulinum toxin injections scheduled on the same day

Acute migraine treatments, 30 min $175

  • $80 if done in addition to the visit or botulinum toxin injections scheduled on the same day


Forms, letters, etc
  • not all forms can be completed
  • prices vary depending on the type of form, number of pages, etc
  • please contact office for details


Mon     8:30 am - 4:00 pm

Tue       8:30 am - 4:00 pm

Wed    12:00 pm - 4:00 pm

Thu      8:30 am - 4:00 pm

Fri        8:30 am - 4:00 pm

Sat, Sun                  Closed

4140 Factoria Blvd SE Ste A, Bellevue, WA 98006