David R. Barnes, MD, FACS operates an otolaryngology practice in Chattanooga focused on ear, nose, throat, and head and neck conditions, serving both adults and children with surgical and non-surgical treatment options.
Dr. Barnes holds board certification from the American Board of Otolaryngology and maintains fellowship status in the American College of Surgeons (FACS designation), credentials that indicate completion of an accredited residency program and demonstrated expertise in the specialty. His practice handles conditions ranging from chronic sinusitis and hearing loss to thyroid disorders and voice problems, with the capacity to perform procedures both in-office and in surgical settings. In Chattanooga's medical landscape, this represents one of several ENT practices, though practices vary significantly in procedural scope and subspecialty focus.
The practice provides diagnostic evaluation, medical management, and surgical intervention across the full spectrum of ENT care. Common services include nasal endoscopy, audiometry, allergy testing, and imaging interpretation. Surgical procedures available include septoplasty, functional endoscopic sinus surgery (FESS), myringotomy tube placement in children, thyroid and salivary gland surgery, and neck dissection for cancer cases. Office-based procedures such as cautery for nosebleeds or injection laryngoplasty for voice disorders are also performed.
Specific pricing depends on the procedure, imaging requirements, and whether surgery is involved. A new-patient consultation typically ranges from $150 to $300 out-of-pocket, though this varies by insurance plan and deductible status. Surgical procedures are billed separately and include facility and anesthesia costs when performed in a hospital or surgery center. Most major insurance plans are accepted; patients should verify coverage before scheduling, as some procedures may require prior authorization.
Chattanooga has multiple ENT providers, and choosing among them depends on subspecialty needs and access logistics. Dr. Barnes' FACS credential and surgical scope position him for complex cases involving cancer, thyroid disease, and revision sinus surgery. Practitioners focused primarily on allergy management or pediatric care alone may be more cost-effective for uncomplicated seasonal rhinitis or routine ear infections in children. A patient with recurrent sinusitis unresponsive to antibiotics would benefit from endoscopic evaluation and possible FESS, areas where a full surgical practice is appropriate. A parent seeking only cerumen removal in a young child might find a pediatrician or nurse practitioner adequate and faster to access.
This practice suits adults and children with conditions requiring specialist-level diagnosis or surgical intervention: chronic rhinosinusitis, hearing loss, thyroid nodules, voice changes, neck masses, or recurrent ear infections. It also serves patients already referred by primary care physicians or other specialists. The practice does not function as an urgent walk-in center; patients with acute conditions like sudden hearing loss or severe vertigo may be accommodated quickly but should contact the office first rather than assume same-day availability. Adults seeking allergy management alone might find an allergist or primary care physician sufficient unless symptoms are tied to anatomic sinus obstruction requiring surgery.
New patients receive an appointment (not same-day walk-in) during which Dr. Barnes takes a detailed history, performs otoscopic and nasal endoscopic examination, and orders additional testing if needed, such as audiometry, imaging, or allergy testing. This appointment typically lasts 30 to 45 minutes. The clinician explains findings in lay terms, discusses treatment options from conservative (watchful waiting, medication) to surgical, and sets expectations for timeline and recovery if surgery is recommended. Patients leave with a clear care plan and contact information for follow-up questions.
The practice operates on a weekday schedule; specific hours should be confirmed by calling the office, as scheduling can shift seasonally. Parking is typically available on-site or nearby. The practice may be located within a medical office building or hospital system, which affects access and whether imaging is available in-house or requires referral to another facility. Verify the exact address and parking situation before the first visit.
Dr. Barnes' board certification and surgical credentials reflect training and ongoing professional accountability that distinguish his practice from less specialized providers, making it a logical referral point for complex or surgical ENT pathology in Chattanooga.
