The Medical Opinion Marketplace

Alan S. Keyes, MD, FACS, is a board-certified otolaryngologist (ENT) who provides comprehensive evaluation and treatment of ear, nose, and throat conditions. He practices with Eastern Virginia Ear, Nose & Throat Specialists in Chesapeake, Virginia, where he is recognized for delivering patient-centered care informed by decades of clinical experience. Dr. Keyes earned his undergraduate degree from the University of Washington and completed medical school at the Medical College of Virginia. He also served in the U.S. Navy as an otolaryngologist, taking on leadership responsibilities including serving as a department head at Naval Hospital Charleston. In addition to his clinical practice, Dr. Keyes contributes to medical education as an Assistant Professor of Otolaryngology at Eastern Virginia Medical School, now part of Old Dominion University’s Virginia Health Sciences. He is a Fellow of the American Academy of Otolaryngic Allergy and holds fellowship status in the American College of Surgeons. Dr. Keyes maintains hospital privileges with Chesapeake Regional Medical Center.

David W. Leonard, MD, is an otolaryngology physician with Eastern Virginia Ear, Nose, Throat Specialists in Chesapeake, Virginia. He provides comprehensive evaluation and treatment for conditions affecting the ears, nose, throat, and related head and neck structures, with a focus on helping patients improve breathing, hearing, voice, and overall quality of life. Dr. Leonard earned his medical degree from the Uniformed Services University of the Health Sciences (F. Edward Hébert School of Medicine). He is board certified by the American Board of Otolaryngology–Head and Neck Surgery and is a Fellow of the American College of Surgeons. He is also a fellow/member of the American Academy of Otolaryngology–Head and Neck Surgery. Known for a thoughtful and thorough approach, Dr. Leonard emphasizes clear communication, careful diagnostic assessment, and individualized care plans. He partners with patients and families to explain findings, review treatment options, and guide decisions that align with each patient’s goals and needs.

Richard F. Debo, MD, FACS, is an otolaryngologist specializing in ear, nose, and throat care, with advanced expertise in head and neck surgery. He earned his medical degree from the Uniformed Services University of the Health Sciences and completed internship and residency training in Otolaryngology–Head and Neck Surgery at Walter Reed Army Medical Center. He further pursued fellowship training in Head and Neck Surgical Oncology at the University of Virginia, strengthening his focus on complex conditions of the head and neck. Dr. Debo is board certified by the American Board of Otolaryngology–Head and Neck Surgery and is a Fellow of the American College of Surgeons. His clinical interests include comprehensive ENT care with an emphasis on the evaluation and surgical management of head and neck disorders, delivered with a commitment to meticulous technique and patient-centered decision-making. In addition to his clinical practice, Dr. Debo serves as Community Faculty in Otolaryngology at Old Dominion University, supporting the education and development of future clinicians. He is also affiliated with Sentara through medical staff participation, collaborating across teams to provide coordinated care for patients throughout the region.

Grant A. Skidmore, MD, is a neurosurgeon specializing in neurological surgery, providing comprehensive evaluation and surgical care for disorders of the brain, spine, and nervous system. He earned his medical degree from the University of Arkansas College of Medicine and brings decades of clinical experience to the care of patients with complex neurosurgical conditions. Dr. Skidmore practices with Neurosurgical Specialists, Inc., and is affiliated with Chesapeake Regional Medical Center and Sentara Princess Anne Hospital, supporting coordinated care across inpatient and outpatient settings. He is also listed with Chesapeake Regional Medical Group in the Neurosurgery service line. Known for a thorough, patient-centered approach, Dr. Skidmore emphasizes clear communication, careful diagnosis, and treatment plans tailored to each patient’s goals and overall health. He is a Medicare-participating provider and is committed to helping patients and families navigate serious neurologic and spinal conditions with expertise, compassion, and attention to long-term outcomes.

Neil Lewis Pugach, MD, is a neurologist providing comprehensive care for patients with a wide range of neurologic conditions, with particular expertise in headache and migraine medicine. He is board certified in Neurology by the American Board of Psychiatry and Neurology. Dr. Pugach earned his medical degree from Boston University School of Medicine. His postgraduate training includes an internship in Internal Medicine, followed by residency training in Psychiatry and then Neurology, reflecting a broad foundation that supports thoughtful, whole-person neurologic care. In clinical practice, Dr. Pugach evaluates and treats patients with headache disorders and provides assessment and ongoing management for neurologic concerns related to brain injury, including medication management, seizure care, and sleep-related symptoms for older adolescents and adults. He has contributed to the medical literature on migraine treatment, including published work in Headache. Dr. Pugach is a member of the American Academy of Neurology and has been recognized as a Castle Connolly Regional Top Doctor. In addition to English, Vietnamese is spoken in the office to support clear communication and patient-centered care.

Devon C. LeFever, MD, is a neurological surgeon who provides comprehensive evaluation and surgical care for conditions affecting the brain, spine, and nervous system. He cares for adult and geriatric patients and is committed to delivering clear communication and individualized treatment plans that align with each patient’s goals and overall health. Dr. LeFever earned his medical degree from The University of Toledo College of Medicine. He completed neurosurgery residency training at Louisiana State University Health Sciences Center New Orleans and pursued fellowship training at Virginia Mason Medical Center, further refining advanced operative and perioperative management skills. In addition to clinical practice, Dr. LeFever has contributed to the neurosurgical literature, including peer-reviewed work addressing complex intracranial pathology such as subependymomas and obstructive hydrocephalus. His academic interests support an evidence-based approach to care and ongoing engagement with evolving surgical techniques and outcomes research. Dr. LeFever practices in Virginia and is affiliated with Centra Virginia Baptist Hospital and Centra Lynchburg General Hospital. He sees patients in English.

John Shutack, MD, is a board-certified neurological surgeon serving patients in Chesapeake, Virginia. He earned his medical degree from the Lewis Katz School of Medicine at Temple University and completed postgraduate training at Virginia Commonwealth University (VCU) Health System, including an internship followed by neurosurgical residency training. With more than 25 years of experience, Dr. Shutack provides comprehensive neurosurgical care with a clinical focus that includes minimally disruptive spine surgery and cerebrovascular surgery. Dr. Shutack is associated with the Chesapeake Regional Neuroscience Institute and is affiliated with Chesapeake Regional Medical Center and Sentara Albemarle Medical Center. He is also engaged in the broader neurosurgical community through professional membership in organizations such as the Congress of Neurological Surgeons and the North American Spine Society. In addition to his clinical work, he has contributed to medical communication as a contributing editor for Hampton Roads Physician magazine. Dr. Shutack is recognized for a patient-centered approach that emphasizes thoughtful evaluation, individualized treatment planning, and evidence-based surgical care.

Edward W. Gold, MD, is an orthopedic surgeon with more than four decades of clinical experience. He earned his medical degree from Universidad Autonoma de Ciudad Juarez (Instituto de Ciencias Biomedicas) and completed residency training at the University of Virginia Health System. Dr. Gold provides evaluation and surgical care for a range of musculoskeletal concerns, with clinical interests that commonly include foot and heel pain, gout, corns and calluses, and fungal nail conditions. His practice also includes procedures frequently associated with lower-extremity care, such as extremity X-ray evaluation, neuroma or plantar callus surgery, and surgical nail removal. Known for a practical, patient-centered approach, Dr. Gold emphasizes careful diagnosis, clear communication, and treatment plans tailored to individual needs and activity goals. He works with patients to address pain, improve function, and support safe return to daily activities through appropriate conservative care, procedural options, and follow-up.

Amrutlal J. (Jethalal) Barot, MD, is a neurologist in Chesapeake, Virginia, providing comprehensive evaluation and treatment for a wide range of neurologic conditions. He is affiliated with Virginia Neurology & Sleep Centers, where his clinical interests include neurophysiology, sleep medicine, and vascular neurology. Dr. Barot is also affiliated with Sentara Obici Hospital and Chesapeake Regional Medical Center, supporting continuity of care for patients who require hospital-based services. In addition to his clinical work, Dr. Barot serves as an Associate Professor of Clinical Neurology at Eastern Virginia Medical School, reflecting an ongoing commitment to medical education and the training of future clinicians. He has been recognized with professional fellowship designations including Fellow of the American Academy of Neurology (FAAN) and Fellow of the American Academy of Sleep Medicine (FAASM), underscoring his engagement with national standards and continuing professional development. Dr. Barot earned his medical degree from Topiwala National Medical College. He practices in English and is dedicated to patient-centered care that emphasizes careful diagnostic assessment, clear communication, and individualized treatment planning.

Rex G. Diaz, DPM, is a foot and ankle surgeon and podiatrist serving patients in the Chesapeake, Virginia area. He earned his Doctor of Podiatric Medicine degree from the New York College of Podiatric Medicine and completed residency training at Our Lady of Mercy Medical Center in the Bronx, New York. Dr. Diaz is board-certified in foot and ankle surgery and provides comprehensive care for a wide range of conditions affecting the foot and ankle, with an emphasis on both surgical and nonsurgical treatment options tailored to each patient’s needs. Dr. Diaz maintains hospital privileges with multiple Sentara facilities, supporting coordinated care when advanced imaging, operative treatment, or hospital-based services are needed. He also contributes to clinical education as a site supervisor at Sentara Leigh Hospital, reflecting an ongoing commitment to training the next generation of clinicians and promoting high standards of patient care. Translation services are available at the practice location, including support for hearing-impaired patients and telephone interpretation, helping to ensure clear communication and an accessible care experience.