Advanced Infectious Disease Care for Complex Chronic Illness
General Infectious Disease • Long COVID • ME/CFS • Lyme Disease & Co-Infections • Mast Cell Disorders • Complex Undiagnosed Conditions
- Yale-Trained
- Board-Certified Infectious Disease
- Telemedicine Available.
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A highly individualized medical practice focused on complex conditions.
We bridge the gap between traditional medicine and advanced immunology, providing the time and clinical depth necessary for treatment-refractory cases.
Board-certified infectious disease and immunology mastery.
Extended time devoted to complex history and analysis.
A direct line to your physician, ensuring seamless continuity.
Timely scheduling, including rapid availability when clinically indicated
Unwavering support throughout the week.
CONDITIONS WE TREAT
A sophisticated clinical lens applied to the most challenging immunologic puzzles.
General Infectious Disease and Travel Medicine
Comprehensive infectious disease evaluation and management, including:
- Acute and chronic infections
- Complex or atypical presentations
- Persistent or treatment-refractory infectious conditions
- Tailored pre-travel vaccination strategy and itinerary-specific risk stratification
Integration of advanced infectious disease expertise with immunologic insight to guide targeted, patient-specific treatment strategies.
Long COVID / Post-Acute Sequelae of COVID-19 (PASC)
Evaluation and treatment of:
- Severe fatigue and post-exertional symptom exacerbation
- Dysautonomia and POTS
- Cognitive dysfunction and neuroinflammation
- Persistent immune activation and inflammatory syndromes
Focused on identifying and addressing underlying immune dysregulation, autonomic dysfunction, and inflammatory drivers.
Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS)
Specialized care for:
- Post-exertional malaise (PEM)
- Neuroimmune dysfunction
- Autonomic instability
- Severe, function-limiting fatigue
A physiology-driven model incorporating targeted therapeutic interventions aimed at addressing underlying disease mechanisms, including cellular stress and danger response pathways.
Lyme Disease and Co-Infections
Evaluation and treatment of:
- Acute Lyme disease
- Persistent or treatment-refractory infectious conditions
- Treatment-refractory or relapsing illness
- Acute and chronic tick-borne co-infections
Comprehensive assessment incorporating infectious, immunologic, and inflammatory factors, with advanced diagnostics and individualized treatment strategies informed by ILADS-aligned clinical frameworks.
Mast Cell Activation Syndrome (MCAS)
Evaluation and management of:
- Multisystem inflammatory and hypersensitivity symptoms
- Food, medication, and environmental triggers
- Dermatologic, gastrointestinal, neurologic, and systemic manifestations
Proactive identification of triggers, targeted stabilization strategies, and treatment directed at underlying drivers of mast cell activation as well as mast cell stabilization.
Complex Undiagnosed Conditions
Consultation for patients who:
- Have undergone extensive prior evaluations at multiple institutions
- Remain without a clear diagnosis or effective treatment plan
- Experience persistent, unexplained, or multisystem symptoms
A comprehensive, pattern-based evaluation designed to identify overlooked or interacting disease processes, often serving as a final level of clinical assessment for complex cases.
This practice is designed for patients who:
Experience significant symptoms despite prior medical care.
Have undergone multiple evaluations without clear answers.
Seek a deeper, mechanism-based understanding of their condition.
Value a highly individualized, physician-directed approach.
Precision, Depth, and Individualization
Care is centered on identifying and addressing underlying disease mechanisms, including:
- Immune dysregulation
- Chronic infection
- Inflammatory pathways
- Autonomic dysfunction
- Cellular stress and danger response pathways
This approach emphasizes:
- Detailed clinical analysis and pattern recognition
- Targeted diagnostic evaluation
- Individualized, stepwise therapeutic strategies
WHAT TO EXPECT
Initial Consultation
01
- Comprehensive review of medical history and prior testing
- Identification of key clinical drivers and patterns
- Development of a targeted diagnostic and treatment plan
Ongoing Care
02
- Close follow-up with ongoing treatment refinement
- Coordination with specialists to ensure a unified and coherent medical management plan.
- Continuous monitoring of inflammatory and immunologic markers.
Patient Perspectives
Posted on Google Chris StubenrauchTrustindex verifies that the original source of the review is Google. Dr. Scoma is truly exceptional when it comes to Long COVID, ME/CFS, and POTS. His depth of knowledge in these complex, often-misunderstood conditions is remarkable, he clearly stays up to date with the latest research and medical findings, and it shows in every appointment. What sets him apart isn't just his medical expertise, but the way he treats you as a partner in your care. He's quick to suggest new approaches and medications as the science evolves, and he genuinely wants to see you improve, you can feel that from the very first visit. He's professional in every sense of the word, yet also warm, kind, and has a great sense of humor that makes difficult appointments so much easier. On top of all that, he's remarkably accessible. He prioritizes you when you need an urgent appointment and is always available when you need him, which means the world when you're dealing with conditions that can change day to day. If you're struggling with Long COVID, ME/CFS, or POTS, and feel like you haven't been heard or helped, Dr. Scoma is the doctor you've been looking for. I can't recommend him highly enough.Posted on Google Alicia MahoneyTrustindex verifies that the original source of the review is Google. Dr. Scoma is truly the best doctor I have ever had! He listened to me and treated me as an individual person. He established a personalized treatment regimen for chronic osteomyelitis based on clinical presentation, imaging and how/when my symptoms started. He reviewed all of my documents in person with me. He did not make assumptions based on another doctors' assessment. He truly was a second opinion! I have been battling chronic fungal and bacterial osteomyelitis for years. He is the most intelligent, helpful, caring doctor. Dr. Scoma allows for open communication and genuinely listens to feedback and adjusts treatment as he sees fit. During my hospital stay every person I came across spoke extremely highly of him too. I live in central PA and drove to see him in NY. He is worth the trip! I have been searching for an infectious disease doctor like him for 2 years. I have seen 6 different Infectious Disease doctors in PA and MD and no one comes close to his level of expertise, intelligence and care. He is an angel on earth!Posted on Google Colleen DalyTrustindex verifies that the original source of the review is Google. The smartest infectious disease doctor I've met. You are in good hands.Posted on Google Kim Gordon-PodlasTrustindex verifies that the original source of the review is Google. Dr. Scoma helped my dad through a case of cellulitis, and I honestly can’t say enough good things. From the start, he was attentive, thorough, and extremely knowledgeable. He took the time to explain what was going on, what to watch for, and made sure we felt comfortable with the treatment plan. Most importantly, my dad improved significantly under his care, which gave us real peace of mind. It’s rare to find a doctor who is both highly skilled and genuinely caring - Dr. Scoma is both. We are very grateful and would highly recommend him.Posted on Google Jed BergmanTrustindex verifies that the original source of the review is Google. Dr Scoma is a phenomenal physician. He has been treating our son for ME/CFS (chronic fatigue) for almost a year. Dr Scoma is tireless, creative, caring, attentive, responsive, and an all around champ. He seems to know everything about the field and the latest research, he “plays nicely with others” on a large medical team, and he never seems to sleep. Cannot recommend him highly enough.Posted on Google Greg SmithTrustindex verifies that the original source of the review is Google. 5 months with Dr. Scoma has made so much progress on a severe ME/CFS + POTS patient everyone else gave up on as too complicated. Energy crashes that cut meals short? Almost gone. GERD? Minimized. Insomnia? Much improved, after *every* regular medication on the market failed. His secret sauce is a compounding pharmacy that ships unique treatments tweaked just for you. As a full time caregiver, having him available to field questions 7 days a week has been a huge stress relief for me too. We'd been searching 5 years for a doctor to work with her. We came across Dr. Scoma from his social media posts on Long COVID, ME, and POTS. It only took one 3 month engagement to march through every treatment option we'd wondered about, plus the start of his unique treatment list. From seeing how she responded, he confidently worked out which category of ME patient she was in and moved on to her custom medications.Posted on Google Sergii PypkoTrustindex verifies that the original source of the review is Google. I have known Dr. Scoma for the past two years as the primary physician treating my wife for ME/CFS and Long COVID. During this time, he has been instrumental in diagnosing, assessing, and significantly improving her condition—from severe to mild. This progress is largely due to his deep knowledge, clinical expertise, and commitment to applying state-of-the-art medical approaches. I strongly recommend Dr. Scoma to other patients seeking knowledgeable and dedicated care.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
PRACTICE MODEL
A private medical practice designed to provide
a higher level of access, more time with your physician,
and highly individualized patient care.
Extended Consultations
Time is our most valuable diagnostic tool. We never rush the narrative of your illness.
Timely Access
Appointments scheduled based on clinical priority, not administrative quotas.
Direct Communication
Secure, direct physician communication channels for seamless updates.
Out-of-Network Support
We provide detailed documentation to assist with out-of-network insurance claims.
Personalized Care Across New York
Request a Consultation
If you are dealing with a complex, persistent, or unresolved medical condition and are seeking a more advanced and individualized approach: