You've managed your migraines long enough.
Let's actually stop them.
The Migraine Performance Reset™ is a 60-minute, neurologist-led consultation built around your specific pattern, triggers, hormones, and history — not a generic prescription.
Initial consultation $375 · Superbill provided
This is for you if:
You're losing workdays or canceling plans because of migraines
You've cycled through medications without real relief
Hormonal shifts are making things worse
You want a prevention strategy, not another reactive prescription
You want direct access to a neurologist who has time to listen
What's included in your consultation
60-minute physician consultation You see Dr. Kulman directly. No rushed visits. No mid-level handoffs.
Migraine pattern analysis Frequency, triggers, hormonal influences, sleep, vascular factors, medication history — all reviewed.
Prevention strategy Not just abortive medication. A structured plan built around your physiology and lifestyle.
Advanced therapeutic review CGRP therapies, Botox candidacy, hormonal considerations, and infusion pathways discussed when appropriate.
Medication reconciliation We optimize what's working and remove what isn't.
Written care plan You leave with defined next steps — not vague suggestions.
Patient portal follow-up access For clarification and plan refinement after your visit.
Most migraine care is reactive. This isn't.
Most providers prescribe a medication and wait to see what happens. At Axonaire, we map your full migraine pattern — triggers, hormones, sleep, vascular factors, medication history — and build a prevention strategy around it.
Three things that make this different:
Decisive adjustments based on your pattern, not guesswork
60-minute visits with direct neurologist access
Private pay — no insurance restrictions on your care
Exploring other neurological concerns? View all services →
Consultation fees
Initial Migraine Performance Reset™ — $375 (60 minutes) Follow-up visits — $295
Payment is due at booking. Superbill provided for out-of-network reimbursement.
Common questions
Do you accept insurance?
We don't bill insurance directly. Superbills are provided upon request.
Do you prescribe CGRP medications or Botox?
Yes, when clinically appropriate.
I've already seen a neurologist. Is this still relevant?
Yes. Many patients come for second opinions or structured prevention planning after fragmented care.
Do you offer infusion therapies?
Yes, when clinically indicated.
“After years of unpredictable migraines, I finally have a structured plan that works. I feel in control again.”
— A.S., verified patient
Ready to stop managing and start preventing?
Telehealth consultations available in DC, Maryland, and Virginia.
Initial consultation $375 · Superbill provided