Who Should Come

We see a variety of adolescent and adult patients who are experiencing head and neck pain. Whether you are just starting to look for answers to solve your or your child’s pain problems or have experienced failed treatments in the past, you can find the help you’re looking for at the Piper Clinic.

What to Expect

Your appointment at the Piper Clinic will be a full day experience.

The complete workup consists of testing the bite; evaluating your muscles; listening for joint noises; going through your history of treatments and traumas; and scanning your condyle bone with a CT to check height, dimensions and comparing those measurements to normal. A CT scan will help tell if you have longstanding damage from years ago due to a trauma or a childhood growth issue. We also send you a few blocks away to have an MRI completed. The MRI will give us a clear picture of the bone and tissue and tell us if the disks in the TMJ are dislocated.

After the workup is completed, Dr. Piper will answer all of your questions, present recommendations for treatment and develop a plan of action. An assistant will take notes during the consultation and before you leave, you will receive a copy.

When to Schedule

Our consultations are scheduled on Mondays and Tuesdays.

When to Arrive

Patients should arrive at the Piper Clinic promptly, preferably early, at 7:00 am. Plan on staying late. You could be here as late as 8 or 9pm. We ask our patients not to drive or fly home until the day after the appointment because there is no guarantee how long you could be here.

What to Bring

Please bring the following items:

  • Our completed records
  • An updated chronology of your problem and reports from other doctors, such as operative reports, laboratory reports, consult letters and imaging reports
  • An updated list of contact information for all of your doctors
  • Old photos of you if your face has undergone changes because of your condition
  • Facial CT if you have it
  • Actual MR of TMJ, neck or brain

Do not bring office notes, legal files and scans taken outside the head and neck region.

You will also have a break for lunch and some down time throughout the day. We recommend bringing something to occupy your time: books, magazines, laptop, etc..., It is always wise to bring a sweater because of the office temperature.

Clinic Location

We are located in The Signature Place Tower on the bottom floor. There is on the street parking in front of the clinic or in the parking garage across the street. The Piper Clinic is within walking distance to many downtown hotels, restaurants and shops. See our Directions web page for detailed driving directions and a map.

Where to Stay

There are several hotels within a short walking distance of The Piper Clinic. You may view a list of local hotels and approved rental properties on the Accommodations web page. If you are unsure, please ask one of our patient care coordinators to assist you with your accommodation.

Getting Around

If you don’t plan to leave downtown St. Petersburg during your stay, your own two feet are the best way to get around while seeing the sights. There are several miles of waterfront parks, museums, restaurants and stores within a short walking distance from the Piper Clinic.

If you want to visit other area attractions, such as the Gulf Beaches and theme parks in Tampa, you may need to rent a car, take a cab or rely on the public transportation system. The Gulf beaches are 12 miles from downtown St. Petersburg, about an 18 minute car ride taking I-275 south to Pinellas Bayway.

Scanning Center
Diagnostic Imaging at Baywalk is about 3 blocks north of the Piper Clinic
129 1st Ave North
St. Petersburg, Florida 33701
P: (727) 896-2273
F: (727) 895-2554

How the Day Will Flow

  1. Meet Dr. Piper
  2. Review of your history of treatments and traumas with our Physician Assistant, Jeff Thompson
  3. Impressions of your teeth and bite records mounted on an articulator
  4. Facial and occlusal (bite) photographs
  5. Joint Kinematics
  6. Diagnostic Doppler examination, which allows us to listen to joint sounds
  7. Examination with Dr. Piper
  8. CT Scan of the TMJ, including the airway and sinuses
  9. MR Scan of the TMJ at Diagnostic Imaging at Baywalk
  10. Diagnostic Nerve Blocks, if advised in the consultation
  11. Educational video about the TMJ and various pain patterns
  12. TMJ Orientation Video
  13. Consultation with Dr. Piper for diagnostic and treatment options

After the Consultation

At the end of the week, we mail your records to you on a CD. You will receive images of the CT scan, MRI scan, photos of the bite and the models, CT scan and MRI dictation, your updated history, and a letter from Dr. Piper summarizing his findings and recommendations. Those doctors you listed on your consent form will also receive these records. We then schedule a follow up appointment in person or by phone a few weeks later after you've had time to review your records.


Although we do not accept any insurance, The Piper Clinic staff will give you a claim form that includes all applicable procedure codes and diagnosis codes you can submit to your medical insurance. Your medical insurance company will then reimburse the agreed upon amount.

If you need any prior approvals or help with any appeals, contact our Patient Care Coordinators. Please feel free to email Info@PiperClinic.com or contact our office at (727) 823-3220 with your insurance-related questions.

Consultation Fees

The initial consultation is $1,950. Patients can pay by cashier’s check or credit card the morning of the consultation.

The consultation fee includes the complete workup during your full day experience at the Piper Clinic.

Any outside services, such as the MRI, are a separate fee. Diagnostic Imaging at Baywalk accepts many major medical insurances. They will contact you a week or two before your appointment to get any insurance information and let you know if you have been approved or if you have a co-pay.

Can My Family Come?

Absolutely, family and friends are a wonderful support system and are always welcome. There will be down time for them to see the sights downtown and they can accompany you to lunch or when you're waiting around in the office for your consultation with Dr. Piper.

Can My Doctor Come?

We do allow a patient’s doctor to attend consultations for a fee. The Doctor Tutorial is $955 to follow every step of the consultation process with the patient, Dr. Piper and his staff.

Quick Links



131 2nd Ave. S.

St. Petersburg, FL 33701