Dr. David L. Ewing, MD is a null in Saint Joseph, MO specializing in psychiatry & neurology and neurology (brain & spinal cord disease). He graduated from University of Oklahoma College of Medicine in 1985 and has 41 years of experience. Dr. David L. Ewing, MD is affiliated with Amberwell Health, Mosaic Life Care, LESTER E COX MEDICAL CENTERS and HEARTLAND REGIONAL MEDICAL CENTER.
Stroke
A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.
Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.
Risk factors for stroke include:
There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.
Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.
Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.
Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:
-Disorientation or confusion
-Difficulty speaking
-Difficulty walking
-Impaired vision
-Weakness in the face, legs, or arms
-Severe headaches
When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.
Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.
Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.
Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.
If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.
Temporomandibular Joint Disorder (TMJ)
TMJ stands for the temporomandibular joint, the little round joint that lies in front of the ear between the temporal bone ( the cheek bone) and the mandible (the lower jaw.) Often people use the acronym 'TMJ' to refer to temporomandibular joint dysfunction or disorder - that is, pain and stiffness in this joint and the muscles around it.
TMJ can cause a wide variety of symptoms related to the movement of the jaw. They can include earaches, headaches, an inability to open the mouth very far, painful clicking or popping noises when chewing or talking, and stiffness or pain in the jaw, face, or neck. Sometimes TMJ symptoms seem to go in cycles, getting better or going away for a while only to come back again. Symptoms can be mild and not very bothersome, or so persistent and painful as to be almost debilitating.
There can be many potential causes of TMJ. An injury or trauma to the jaw, arthritis, or grinding the teeth can all contribute to TMJ. The temporomandibular joint contains a small disc of cartilage that allows it to move smoothly, and this disc can become dislocated or torn. Sometimes the cause is unknown. There are no standard tests for TMJ, and it can be difficult to diagnose and treat.
Mild cases of TMJ may benefit from self-care such as eating soft foods, practicing stress management techniques, and applying ice packs to the jaw. NSAIDS, such as ibuprofen, can be purchased without a prescription and work to reduce pain and inflammation. Some dentists and occupational therapists can suggest stretching techniques for the jaw which may help relieve stiffness. More serious cases may require a form of splinting called a stabilization splint or bite plate, which helps reduce pressure on the joint. Extreme cases may benefit from arthroscopic surgery on the joint.
Click on any procedure below to see further details on volume and pricing among Medicare patients.
In 2023, Dr. David L. Ewing, MD had a list price for chemodenervation for cervical dystonia, chemodenervation for cervical dystonia or laryngeal disorders, electrodiagnostic testing, electrophysiological (EP) study, and nerve conduction studies (NCS) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.
In 2023, Dr. David L. Ewing, MD had a list price for chemodenervation that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.
In 2012, among providers in related specialties within Missouri, Dr. David L. Ewing, MD performed more inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 75% of them and he also had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2012 were diagnostic procedures, injections, minimally invasive procedures and pain management.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 801 |
|---|---|
| doctor visit | 2130 |
| electroencephalography (EEG) | 24 |
| injections | 107 |
| minimally invasive procedures | 76 |
| pain management | 31 |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2013 were hospital care, inpatient care, diagnostic procedures and electroencephalography (EEG).
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 87 |
|---|---|
| doctor visit | 1585 |
| electroencephalography (EEG) | 57 |
| hospital care | 698 |
| inpatient care | 698 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2014 were hospital care, inpatient care, electroencephalography (EEG) and diagnostic procedures.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 66 |
|---|---|
| doctor visit | 1670 |
| electroencephalography (EEG) | 78 |
| hospital care | 805 |
| injections | 22 |
| inpatient care | 772 |
| minimally invasive procedures | 22 |
| outpatient care | 33 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2015 were hospital care, inpatient care, diagnostic procedures and electroencephalography (EEG).
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 68 |
|---|---|
| doctor visit | 1672 |
| electroencephalography (EEG) | 58 |
| hospital care | 625 |
| injections | 31 |
| inpatient care | 585 |
| minimally invasive procedures | 31 |
| outpatient care | 40 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2016 were hospital care, inpatient care, minimally invasive procedures and injections.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 50 |
|---|---|
| doctor visit | 1753 |
| electroencephalography (EEG) | 20 |
| hospital care | 613 |
| injections | 95 |
| inpatient care | 566 |
| minimally invasive procedures | 95 |
| outpatient care | 47 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2017 were hospital care, inpatient care, minimally invasive procedures and injections.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| blood draw | 14 |
|---|---|
| diagnostic procedures | 44 |
| doctor visit | 1791 |
| electroencephalography (EEG) | 22 |
| hospital care | 757 |
| injections | 121 |
| inpatient care | 711 |
| minimally invasive procedures | 121 |
| outpatient care | 46 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2018 were hospital care, inpatient care, minimally invasive procedures and injections.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 30 |
|---|---|
| doctor visit | 1543 |
| electroencephalography (EEG) | 65 |
| hospital care | 667 |
| injections | 113 |
| inpatient care | 639 |
| minimally invasive procedures | 113 |
| outpatient care | 28 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2019 were hospital care, inpatient care, electroencephalography (EEG) and minimally invasive procedures.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 30 |
|---|---|
| doctor visit | 1517 |
| electroencephalography (EEG) | 140 |
| hospital care | 646 |
| injections | 52 |
| inpatient care | 596 |
| minimally invasive procedures | 52 |
| outpatient care | 50 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2020 were hospital care, inpatient care, minimally invasive procedures and injections.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 26 |
|---|---|
| doctor visit | 1216 |
| electroencephalography (EEG) | 38 |
| hospital care | 276 |
| injections | 38 |
| inpatient care | 276 |
| minimally invasive procedures | 38 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2021 were hospital care, inpatient care, electroencephalography (EEG) and diagnostic procedures.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 19 |
|---|---|
| doctor visit | 1211 |
| electroencephalography (EEG) | 47 |
| hospital care | 374 |
| inpatient care | 374 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO during 2022 were hospital care, inpatient care, electroencephalography (EEG) and diagnostic procedures.
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
| diagnostic procedures | 49 |
|---|---|
| doctor visit | 1513 |
| electroencephalography (EEG) | 59 |
| hospital care | 375 |
| injections | 40 |
| inpatient care | 375 |
| minimally invasive procedures | 40 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
Volume of procedures performed by Dr. David L. Ewing, MD for Medicare patients.
The highest averages for the top procedures that Dr. David L. Ewing, MD treated as a null in Saint Joseph, MO were hospital care, inpatient care, diagnostic procedures and injections.
| blood draw | 14 |
|---|---|
| diagnostic procedures | 115 |
| doctor visit | 1600 |
| electroencephalography (EEG) | 55 |
| hospital care | 583 |
| injections | 68 |
| inpatient care | 559 |
| minimally invasive procedures | 65 |
| outpatient care | 40 |
| pain management | 31 |
Information about Medicare patients treated by Dr. David L. Ewing, MD.
| Male | |
|---|---|
| Female |
| Black / African American | |
|---|---|
| Asian / Pacific Islander | |
| Non-Hispanic White | |
| Native American / Alaskan Native | |
| Hispanic | |
| Other |
| 75 to 84 | |
|---|---|
| 85 and over | |
| Less than 65 | |
| 65 to 74 |
The highest averages of the most common conditions of Medicare patients that Dr. David L. Ewing, MD treated were hypertension, high cholesterol, ischemic heart disease and depression.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoporosis | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Atrial Fibrillation | |
| Dementia | |
| Cancer |
Dr. David L. Ewing, MD graduated from University of Oklahoma College of Medicine in 1985. He completed residency at University of Kansas Affiliated Hospitals. He is certified by the Certification: American Board of Psychiatry & Neurology (Sub: Neurology) and has a state license in Missouri.
Medical School: University of Oklahoma College of Medicine (1985)
Residency: University of Kansas Affiliated Hospitals
Board Certification: Certification: American Board of Psychiatry & Neurology (Sub: Neurology)
Licensed In: Missouri
Dr. David L. Ewing, MD is associated with these hospitals and organizations:
Dr. David L. Ewing, MD has an exceptional overall rating with an average of 4.7 out of 5 stars based on 361 ratings. We collect ratings and reviews of Dr. David L. Ewing, MD from all over the web to help you find the right in Saint Joseph, MO.
These charts describe general payments received by Dr. David L. Ewing, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
|
$54,811
BOTOX THERAPEUTIC - HH $53,500 |
BOTOX $702 |
NAMZARIC $212 |
NAMENDA XR $197 |
Botox Therapeutic $74 |
Other $127 |
|
|
$37,373
COPAXONE $36,293 |
AUSTEDO $357 |
AZILECT $158 |
Zecuity $74 |
AJOVY $67 |
Other $423 |
|
|
$9,039
UBRELVY $8,860 |
BOTOX $179 |
|||||
|
$8,469
TYSABRI $7,314 |
TECFIDERA $444 |
PLEGRIDY $285 |
Vumerity $139 |
ZINBRYTA $119 |
Other $168 |
|
|
$4,200
ONFI $4,003 |
NORTHERA $197 |
|||||
|
$15,530
UBRELVY $2,302 |
Wakix $1,291 |
Rebif $642 |
NURTEC ODT $594 |
Briviact $463 |
Other $10,237 |
| $84,835 | |
| $18,268 | |
| $10,100 | |
| $8,700 | |
| $6,892 | |
| $628 |
Dr. David Ewing practices neurology (brain & spinal cord disease). Patients rated Dr. Ewing highly, giving him an average of 4.5 stars (out of 5). Areas of expertise for Dr. Ewing include migraine, torticollis, and blepharospasm. After attending the University of Oklahoma College of Medicine for medical school, he completed his residency training at a hospital affiliated with the University of Kansas. His hospital/clinic affiliations include Amberwell Health and Mosaic Life Care. Dr. Ewing's practice in Atchison, KS is open to new patients as reported by Amberwell Health.
