Consultation & risk assessment
A long first visit: history, ECG, echogram if needed, and an honest read of your risk for the next ten years — not a five-minute tick-box.
Millbrook, New York · Established 2009
Your heart, looked at carefully.
Two cardiologists and a small nursing team who take the time to explain what they find, why it matters, and what happens next. Most new patients are seen within the week — and you will not be handed a pamphlet and pointed at a door.
- Seen within the weekNew patients are usually booked inside five business days. Urgent referrals we squeeze in the same or next day.
- Testing and results hereEchocardiograms, stress tests and rhythm monitors are done in-office, and a doctor — not a call centre — explains the findings.
- One doctor throughoutYou see the same cardiologist at every visit. Notes, images and medications stay in one chart.
- We deal with worryPalpitations, chest tightness, a parent who died young, a borderline blood test — bring the thing you can’t quite put into words.
What we do
Testing and treatment, under one roof
Nearly everything below is done in our two-suite office on Factory Street. Where a procedure needs a hospital cath lab, we arrange it and come with you to explain it.
Echocardiogram
Ultrasound of the heart valves and pumping chambers. Performed in-suite; images read the same afternoon by Dr. Calder.
Stress testing
Treadmill ECG and stress echocardiogram for chest pain on exertion, or before surgery and a new exercise programme.
Rhythm monitoring
24-hour Holter and 14-day patch monitors for palpitations, faintness, and atrial fibrillation — fitted and removed in-office.
Heart failure & hypertension
Structured follow-up with weights, blood pressure logs and medication adjustment between visits by our nurse, Joanne.
Prevention & lipids
Cholesterol that won’t move, family history of early heart disease, statin questions. We do Lp(a) and coronary calcium scoring.
Cardiac rehabilitation
Supervised exercise and education after a heart attack, stent or valve surgery — three mornings a week at our gym partner on Water Lane.
Second opinions
Already saw someone? Bring your records and we will tell you plainly whether the plan makes sense. Often a single 40-minute visit.
Insurance & referrals
We bill most plans directly. Some need a referral from your primary doctor first — call us and we will check before you book.
The practice
Two cardiologists, one shared phone line
We have practised together for fifteen years. Between us we cover imaging, rhythm and prevention, so you are rarely sent elsewhere for answers.
Dr. Nadia Calder, MD
Cardiology · Imaging
Reads every echocardiogram that leaves this building. Trained at Johns Hopkins, then five years in a hospital valve clinic before opening here. Known for going slowly through the images with you on the screen.
- Residency, Johns Hopkins Hospital
- Fellowship, Cardiovascular Disease — New York-Presbyterian
- Board certified: Cardiovascular Disease; Echocardiography
- Sees: adults 18+ · English, French
Dr. Thomas Vance, MD
Cardiology · Rhythm & prevention
Handles palpitations, atrial fibrillation and the long, unglamorous work of blood pressure and cholesterol. Runs the cardiac rehab programme and refers to the cath lab at Millbrook Regional when it is genuinely needed.
- Residency, University of Michigan
- Fellowship, Cardiovascular Disease — Brigham and Women’s
- Board certified: Cardiovascular Disease; Clinical Cardiac Electrophysiology
- Sees: adults 18+ · English
If you are nervous
What the first visit is actually like
1
You call
A nurse takes your symptoms down before you book, so we know whether to see you this week or tomorrow. Bring your medication bottles.
2
60–75 minutes in
History first, not machines. An ECG takes five minutes and is painless. You will be asked about family history in some detail.
3
Testing, if any
An echogram while you are here adds half an hour. Stress tests and monitors are usually scheduled for a separate morning.
4
A doctor calls you
Results come by phone within two working days, with a written summary posted after. Normal results get a call too.
Common questions
Things people ask in the waiting room
My chest hurts. Should I come in or go to the hospital?
Chest pressure or pain that is new, lasts more than a few minutes, comes with shortness of breath, sweating, nausea or pain in the jaw or arm — go to the emergency room. Do not drive yourself. Pain that is sharp, only when you press on the spot, and clearly linked to movement is usually not the heart, but call the nurse line and we will triage it with you over the phone.
Do I need a referral from my primary doctor?
For most plans, no. A few HMO and employer plans do require one. Call with your card number and we will check your benefits before you book, so you are not surprised by a bill.
What should I bring?
All medication and supplement bottles (or a photo of each label), any implant or stent card, imaging CDs if you had a scan elsewhere, and your blood pressure or home monitor readings from the last two weeks if you keep them.
Is an echocardiogram painful?
No. Gel on the chest, a handheld probe pressed firmly in a few positions, sometimes a little discomfort under the left breast or ribs. It takes 30–45 minutes and you sit upright in a gown.
I have a palpitation and every test so far is normal.
That is common, and it does not mean you are imagining it. A normal ECG in a calm room says nothing about Tuesday at 2am. We usually reach for a 14-day patch monitor, and if events are rare, an event recorder you keep for a month.
My father had a heart attack at 49. Does that make it mine?
It raises it, it does not set it. Family history of early heart disease is one of the strongest single risk factors, and it changes what we test — lipoprotein(a), coronary calcium scoring, sometimes a genetic lipid clinic referral. If this is you, say so on the phone when booking; we allow extra time.
Hours & directions
Factory Street, Millbrook
Checking today’s hours…
- Address
- 214 Factory Street, Suite 2
Millbrook, NY 12545 - Phone
- (845) 555-0142 — answered 8:30–5 weekdays, 9–11 Saturday
- After hours
- One of the two doctors is on call overnight. Our answering service will reach them; for emergencies call 911.
- Parking
- Free lot behind the building, entrance on Cooper Lane. Two accessible bays nearest the door.
Plans we bill directly
We file claims yourself, so you are not chasing a reimbursement. If your plan is not listed, we will still see you and give you an itemised superbill.
AetnaCignaEmpire BCBSUnitedHealthcare
MedicareCDPHPMVPOscarCDHP / HSA plans
Costs, before you come
Asked for in writing, we will quote an office visit and any test we plan, so you know roughly what you owe. Cash and card, and a payment plan if a test lands in one month.
Interpreter services available at no charge on request.
Appointments
Request an appointment
Fill this in and our nurse, Joanne, will call you back — usually the same business day — to confirm a time and check your insurance. If you would rather talk to a person, call (845) 555-0142.
Your request is written down.
- Joanne reviews it and calls the number you gave, usually the same business day.
- She checks whether your plan needs a referral, and books you a block of time that fits your reason.
- You get a reminder call the day before, with what to bring.
This form does not send anything over the network — nothing has left this page. Please call the office to actually book, or write the details down and have them ready.