NMS Spine and Joint Institute

Professionalism, clinical excellence, comfort, and convenience are the hallmarks of NMS Spine and Joint Institute. To ensure your convenience, below is the information you need about our hours, location, appointment, scheduling, insurance, and billing.

NMS Spine & Joint Institute
760 West Lincoln Hwy
Exton, PA 19341
610-594-1017 (F)
8:00 A.M. - 6:00 P.M.
8:30 A.M. - 4:30 P.M.
8:00 A.M. - 6:00 P.M.
8:30 A.M. - 4:30 P.M.

Click here for door to door driving directions


We now have made requesting an appointment a simple process via our Web site. If, for any reason, you cannot keep a scheduled appointment or will be delayed, please call as soon as possible. Ideally, we would appreciate 24 hours notice of cancellation.

Payment Policies

Payment for all provided services is due at the time of your appointment. We accept payment with MasterCard, VISA, Discover, and American Express as well as personal checks.

Insurance and Billing

We accept most insurance coverage from leading private insurance carriers. Please contact our office to verify acceptance of your plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. Benefits are not a guarantee of payment to the doctors and patients are ultimately responsible for their accounts.

Facilities and Equipment

  • DRX 9000 True Spinal Decompression

In addition to many services offered, Drs. Hiller and Verna incorporate the treatment option of the FDA-cleared Axiom Worldwide DRX9000 True Spinal DecompressionTMand implement the non-surgical spinal decompression researched protocols for back pain sufferers.  Drs. Hiller and Verna are the first doctors in Chester County to implement the DRX9000TMsystem in an outpatient center.  By combining proven scientific principles, along with advanced technology, the DRX9000TM decompresses lumbar discs and facet joints relieving pressure on the spinal nerves caused by disc herniations, degenerative disc disease, sciatic neuralgia and/or posterior facet syndrome.  Unlike traditional traction, which pulls both muscle and spinal elements, the DRX9000TM applies forces to decrease intradiscal pressure and enhance fluid diffusion to the disc.  Expanding the space between the bones restores nutrients and blood flow to the disc, which promotes healing.  With the focus on cutting-edge technology and evidence-based protocols, patients suffering from herniated discs, degenerative disc disease, and other back ailments may receive an effective and affordable alternative to surgery. 

There are many traction-based therapies marketed to patients and described as spinal decompression; however, the DRX9000TMis the actual and proprietary unit covered in recent publications including the December 2007 issue of Anesthesiology News which highlighted exciting research on this medical device, the publication on-line at Pain Medicine News , the media coverage on CBS 3 by Stephanie Stahl, NBC 10 news by Cherie Banks, and the September 2005 issue of “Men’s Journal.”  With the strict protocol of the DRX9000TM, patients undergo a series of only 15 to 20 treatments with each treatment session lasting from 30 to 45 minutes depending on diagnosis and medical necessity.  Following DRX9000TM treatment sessions, electrical muscle stimulation and cryotherapy (ice) are applied with structured transition to a core stabilization (physical therapy/rehabilitation) protocol.

Additional informational can be found here, here, here, and here.  For information on clinical outcomes regarding spinal decompression go here.

  • LLLT (Low-Level Laser Therapy)
  • EMS (Electrical Muscle Stimulation)
  • U/S (Ultrasound)
  • Physical Rehab - CARDIO/WTS/Balance TX