The Patriot Path Medical Team​

Board-certified MDs, licensed psychologists (PhD/PsyD), and toxicologists author every Patriot Path VA nexus letter.

The Patriot Path Medical Team

Board-certified MDs, licensed psychologists (PhD/PsyD), neuroscientists & toxicologists — specialty-matched to your condition.

Every nexus letter and independent medical opinion (IMO) delivered by Patriot Path is authored by a credentialed clinician, a licensed physician, psychologist, neuroscientist, or toxicologist with demonstrated expertise in both the underlying medical condition and the VA disability evaluation process.

Our team includes a U.S. Navy veteran and Flight Surgeon who served seven years; including combat operations off North Vietnam, and who later spent more than four decades as a board-certified orthopedic surgeon before dedicating his practice to VA nexus work. It also includes a doctoral-level licensed psychologist with over 2,000 completed VA evaluations, board-certified internists, neuroscientists, and toxicologists with PACT Act expertise.

The identity of individual clinicians is protected by mutual agreement. This page documents the credentials, specialties, board certifications, and clinical experience of the team as a whole, giving veterans and attorneys the transparency they need to evaluate the strength of our medical opinions. We serve veterans nationwide across all 50 states, with telehealth options available through PSYPACT-certified psychologists in 40+ states.

Explore more about how our physicians write nexus letters.

Patriot Path provides Independent Medical Opinions (IMOs) based on review of existing records. We do not diagnose or treat medical conditions, and no physician-patient relationship is created through this service. Our opinions are prepared to support VA disability claims and do not constitute medical advice.

3,500+
VA Evaluations Completed
60+
Years MD Clinical Experience
40+
States Served via Telehealth
20+
Years VA Evaluation Experience

Why Clinician Credentials Matter for Your VA Claim

The VA is not required to accept every medical opinion submitted with a disability claim. When evaluating a nexus letter, VA adjudicators and the Board of Veterans’ Appeals assess whether the author is a “competent medical expert”, a standard that turns on the clinician’s qualifications relative to the condition being evaluated.

A nexus letter authored by an MD specializing in internal medicine carries more evidentiary weight for a metabolic or cardiovascular claim than a letter from a general practitioner unfamiliar with VA adjudication standards. A psychological nexus opinion for PTSD is strengthened when authored by a licensed psychologist or psychiatrist who is specifically trained in trauma assessment, DSM-5 diagnostic criteria, and VA C&P examination standards. 

Why Specialty Matching Matters

As a result, Patriot Path matches each case to the appropriate specialist. A veteran filing a PTSD claim is reviewed by one of our licensed psychologists. Similarly, a toxic exposure claim is reviewed by our toxicology-trained physicians. In fact, this specialty matching is not incidental; it is the standard the VA and the Board of Veterans’ Appeals expect.

Our Clinical Specialties

Patriot Path works with a team of credentialed clinicians across five core specialty areas. Each specialty is represented by at least one licensed professional with documented experience in VA disability documentation.

Licensed Psychologists & Mental Health Specialists
PhD · PsyD · PSYPACT Certified · VA Disability Evaluation

Credentials & Experience

  • Doctoral-level licensure (PhD in Counseling Psychology from a nationally accredited U.S. university)
  • Active psychologist license in good standing, with PSYPACT certification enabling telehealth service in 40+ states nationwide
  • More than 2,000 completed Independent Psychological Evaluations (IPEs) for VA disability claims
  • Specialization in DSM-5 diagnostic criteria as applied to VA rating standards
  • Experience with direct service connection, secondary connection, aggravation, and TDIU opinions
  • Familiar with VA C&P examination standards and Board of Veterans’ Appeals evidentiary requirements

Conditions Supported

  • Post-Traumatic Stress Disorder (PTSD) — primary and secondary to TBI, MST, or chronic pain
  • Major Depressive Disorder — direct and secondary to PTSD, tinnitus, sleep apnea
  • Generalized Anxiety Disorder, Panic Disorder, Social Anxiety
  • Adjustment Disorders — with and without depressed or anxious mood
  • Total Disability based on Individual Unemployability (TDIU) opinions
  • Mental health rating increases with updated IPE and DBQ documentation

Internal Medicine & Neurology Physicians
MD, PhD · Licensed · Internal Medicine · Neurology · Family Medicine

Credentials & Experience

  • Doctor of Medicine (MD) from an accredited medical school; board-certified in internal medicine with additional clinical training in neurology and family medicine
  • 15+ years of active clinical practice managing complex, multi-system conditions including metabolic disorders, renal disease, chronic pain, and neurological presentations
  • Has authored private medical opinions and Disability Benefits Questionnaires (DBQs) in contested VA disability cases at the Board of Veterans’ Appeals level
  • Familiar with VA diagnostic codes, disability rating criteria, and the “at least as likely as not” evidentiary standard
  • Experienced in evaluating secondary and intermediate step connections between service-connected conditions and new diagnoses
  • Provides opinions for both primary service connection and secondary condition claims across a wide range of internal medicine presentations

Conditions Supported

  • Diabetes mellitus (Type 2) — direct and secondary to PTSD, medications, or toxic exposure
  • Hypertension — service connection and rating increase opinions
  • Chronic kidney disease and renal conditions secondary to service-connected hypertension or medications
  • Cardiovascular conditions — ischemic heart disease, heart disease secondary to PTSD or toxic exposure
  • Neurological conditions — peripheral neuropathy, TBI residuals, nerve-related diagnoses
  • Sleep apnea — direct service connection and secondary to PTSD or other conditions
  • Tinnitus and hearing loss as internal medicine claims
  • Chronic pain and multi-system conditions involving intermediate step connections

Orthopedic Surgery & Musculoskeletal Medicine
MD, FACS · Board-Certified Orthopedic Surgeon · U.S. Navy Flight Surgeon Veteran · 60+ Years Experience

Credentials & Experience

  • Doctor of Medicine from Saint Louis University School of Medicine; residency completed at the University of California, San Diego
  • Board-certified by the American Board of Orthopaedic Surgery (American Board of Medical Specialties)
  • Fellow of the American Academy of Orthopaedic Surgeons (FAAOS) and Fellow of the American College of Surgeons (FACS)… the highest credentialing tier in surgical medicine
  • Member, California Orthopaedic Association
  • U.S. Navy veteran: trained as a Flight Surgeon at the U.S. Naval Aerospace Medical Institute; served seven years including deployment aboard USS Yorktown during the 1968 USS Pueblo Incident and flight operations off North Vietnam; honorably discharged as Lieutenant Commander
  • More than 60 years of active clinical and surgical experience, including a long-tenured practice at Scripps Memorial Hospital in La Jolla, CA
  • Since 2015, has transitioned to a dedicated ambulatory practice focused on Independent Medical Evaluations (IMEs) and VA nexus appeals for veterans; bringing surgical-level orthopedic expertise to the VA claims process
  • Also provides medical-legal expert testimony in plaintiff and defense litigation
  • Published author on healthcare quality and cost-efficiency, including co-authorship of The International Handbook of Healthcare Value

Conditions Supported

  • All orthopedic and musculoskeletal VA claims: spine, knee, hip, shoulder, ankle, foot, and upper extremity
  • Degenerative disc disease, herniated disc, spinal stenosis, spondylolisthesis, and radiculopathy
  • Rotator cuff tears, shoulder impingement, and post-surgical shoulder residuals
  • Knee injuries: ACL/MCL/LCL tears, meniscus tears, patellofemoral syndrome, osteoarthritis
  • Fractures and post-traumatic arthritis from service-related injuries or falls
  • Flat feet, plantar fasciitis, and lower extremity biomechanical conditions
  • Flight-related musculoskeletal conditions specific to aviation and carrier operations
  • Arthritis: service-connected joint degeneration secondary to physical demands of military service
  • Nerve root injuries, pinched nerves, and sciatica secondary to spinal conditions

Neuroscientists & Neuropsychologists
PhD · Doctoral Research · Cognitive & Neurological Evaluation

Credentials & Experience

  • Doctoral-level neuroscientists with research and clinical expertise in brain function, cognitive impairment, and neurological sequelae
  • Training in neuropsychological evaluation relevant to VA disability standards
  • Expertise in peer-reviewed medical literature on traumatic brain injury, blast exposure, and neurological trauma
  • Capable of providing opinions grounded in neuroimaging findings, cognitive testing, and functional assessments

Conditions Supported

  • Traumatic Brain Injury (TBI) — cognitive, behavioral, and functional residuals
  • TBI as a primary condition leading to PTSD, depression, or anxiety as secondary claims
  • Blast exposure and concussive injury documentation
  • Cognitive impairment and memory loss secondary to service-related neurological events
  • Sleep disorders with neurological etiology

Toxicologists & Environmental Medicine Specialists
Board-Certified Toxicology · PACT Act · Occupational & Environmental Exposure

Credentials & Experience

  • Board-certified toxicologists and physicians with advanced training in occupational and environmental medicine
  • Expert knowledge of chemical agents, fuels, combustion products, pesticides, herbicides, and radiation exposure pathways
  • Current familiarity with PACT Act presumptive conditions, TERA/MOS noise and toxic exposure listings, and VA toxic exposure guidance
  • Capable of citing peer-reviewed epidemiological literature linking specific exposures to specific diagnoses

Conditions Supported

  • Burn pit exposure — respiratory cancers, constrictive bronchiolitis, skin conditions
  • Agent Orange — prostate cancer, ischemic heart disease, diabetes mellitus type 2, peripheral neuropathy
  • Camp Lejeune contaminated water — kidney cancer, bladder cancer, non-Hodgkin’s lymphoma
  • Asbestos exposure — mesothelioma, asbestosis, pleural plaques
  • JP4/JP8 jet fuel and diesel fume exposure
  • Pesticide, herbicide, and radiation exposure claims under PACT Act and prior regulations

How We Select and Work With Our Clinicians

Every clinician working with Patriot Path goes through a structured review before authoring VA nexus opinions. This process is not perfunctory: it is built around the standards VA adjudicators and BVA judges apply when evaluating whether a medical opinion is “competent and credible.”

Federal law under 38 U.S.C. §5125 requires the VA to accept medical reports from private healthcare professionals. Under 38 C.F.R. §3.159(a)(1), the weight given to a medical opinion turns directly on the training and expertise of the provider. This is why credentialing is not optional — it is the legal standard.

Licensure Verification

All physicians hold active MD or DO licenses in good standing with no disciplinary history. Psychologists hold doctoral-level state licensure. Where applicable, PSYPACT certification is verified to ensure lawful telehealth delivery across state lines.

Specialty Matching

Cases are routed to the clinician whose specialty aligns with the claimed condition. A respiratory condition from burn pit exposure goes to our toxicology physician. A PTSD claim goes to our licensed psychologists. A diabetic neuropathy claim goes to our internal medicine MD. This matching is documented in our case workflow.

VA Standards Training

Each clinician is trained on the specific language, structure, and evidentiary standard the VA requires in a nexus opinion — including the “at least as likely as not” threshold, how to reference service records appropriately, how to cite medical literature, and how to structure a DBQ. However, general clinical writing ability is not sufficient; VA-specific documentation competency is required.

Quality Review

Completed nexus letters are reviewed by Patriot Path’s case team before delivery to ensure the opinion
addresses all elements of the claim, uses VA-compliant terminology, and is free of speculative or unsupported statements. Before finalization, veterans review the draft. Factual corrections are permitted; medical opinions are final.

Medically Reviewed by the Patriot Path Medical Team

All condition pages, blog posts, and clinical content on patriot-path.com carry the attribution:

Medically Reviewed by the Patriot Path Medical Team

Board-certified physicians and licensed psychologists specializing in VA disability documentation, independent medical opinions, and service-connected condition evaluation.

This attribution links to /medical-team/, allowing veterans, attorneys, and Google’s quality reviewers to verify the qualifications behind every piece of clinical content published on this site.

For a full explanation of how content is researched, drafted, reviewed, and approved before publication, see our “Medical Review Process.”

 

Condition / Claim TypePrimary SpecialistPage
PTSD, Depression, AnxietyLicensed Psychologist (PhD/PsyD)PTSD
Depression
Anxiety
Orthopedic / MusculoskeletalBoard-Certified Orthopedic Surgeon, FACSServices
Spine — Disc, Stenosis, RadiculopathyBoard-Certified Orthopedic Surgeon, FACSServices
Sleep ApneaInternal Medicine MDSleep Apnea
Tinnitus / Hearing LossInternal Medicine MDTinnitus
Diabetes (Type 2)Internal Medicine MDDiabetes
Cancers / Toxic ExposureToxicologistCancer
TBI / NeurologicalNeuroscientist / Neurologist(Blog: TBI posts)
TDIU LetterSpecialist matched to underlying conditionServices
Who will actually write my nexus letter?
Your nexus letter is written and signed by a credentialed clinician whose specialty matches your condition. Mental health claims (PTSD, depression, anxiety) are handled by our licensed psychologists. Physical and metabolic conditions are handled by our board-certified MDs. Toxic exposure and cancer claims are reviewed by our toxicology specialists. Patriot Path’s case team manages the intake, records review, and quality check before delivery.
Why don’t you publish the doctors’ names?
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Our clinicians have chosen to keep their professional identities private in connection with this service, which is a legitimate and common arrangement in independent medical opinion work. Their credentials, specialty certifications, and experience are fully documented here. What matters for your VA claim is not a name on a website — it is the signature, credentials, and license number on the nexus letter itself, which are present on every document we deliver.
Are your psychologists licensed to work in my state?
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Our primary mental health clinician holds PSYPACT certification, which authorizes telehealth psychological services in the majority of U.S. states and territories. PSYPACT (Psychology Interjurisdictional Compact) is a formal interstate licensing agreement for psychologists. Most veterans in the continental United States qualify for telehealth service under this certification.
What is PSYPACT certification and why does it matter?
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PSYPACT is a licensing compact that allows licensed psychologists to provide telehealth services across state lines without needing a separate license in each state. For veterans who need a psychological nexus letter, this means you can work with a highly experienced VA-focused psychologist regardless of where you live in the U.S., rather than being limited to whoever is available locally.
Will the VA accept a nexus letter from your doctors?
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The VA does not maintain an approved list of nexus letter authors. What the VA evaluates is whether the author is a “competent medical expert” relative to the condition being addressed, and whether the opinion is “well-reasoned and fully articulated.” Our clinicians are board-certified or doctoral-level specialists in the relevant fields, and our letters are written to meet the exact evidentiary structure the VA and the Board of Veterans’ Appeals require. That said, no provider — including us — can guarantee a VA outcome, which depends on many factors beyond the nexus letter.
Do your doctors have experience with VA adjudication standards specifically?
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Yes. Familiarity with general medicine or psychology is necessary but not sufficient for VA nexus work. Our psychologist alone has completed more than 2,000 independent psychological evaluations for VA disability claims. Our physicians are trained on the “at least as likely as not” standard, how to reference service records within a medical opinion, and how to address direct, secondary, and aggravation theories of service connection.

Data Privacy & HIPAA Compliance

Patriot Path handles all medical records, service documents, and personal health information submitted through our platform in compliance with the Health Insurance Portability and Accountability Act (HIPAA). Records you provide are used solely for the preparation of your nexus letter or independent medical opinion and are never shared with third parties without your explicit written authorization.

All data transfers occur through secure, encrypted channels. Submitted records are retained only as long as necessary to complete your case and fulfill any applicable legal obligations, after which they are destroyed in accordance with our data retention policy.

Patriot Path provides independent medical opinion services and does not establish a physician-patient treatment relationship through this service. For questions about how your information is handled, contact us at Info@patriot-path.com or review our Privacy Policy.

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