Vern C. Juel, MD
Neurologist
My Locations
About Me
- Professor of Neurology, Neurology, Neuromuscular Disease 2018
- Division Chief, Neuromuscular Disease in the Department of Neurology, Neurology 2015
- Director of EMG Lab Services in the Department of Neurology, Neurology 2006
Call for an Appointment
Areas of Expertise
- Neuromuscular Disorders
- Myasthenia Gravis
- Lambert-Eaton Myasthenic Syndrome
- Botulinum Toxin (Chemodenervation) for Focal Dystonia
Ratings and Reviews
The ratings and reviews are based on patient responses to the overall provider rating question from the survey. The question reads: “Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider?” Responses are converted to a 5-point rating system and applied consistently to all providers. Learn more about our survey process. Patients who see some types of providers receive a different version of the patient satisfaction survey. Those results are not available on DukeHealth.org.
Training and Education
Clinical Focus and Research
My research interests are focused in neuromuscular transmission disorders, especially myasthenia gravis (MG) and Lambert-Eaton myasthenia (LEM) in collaboration with other faculty in the Neuromuscular Division. We are developing MG and LEM-specific rating scales and assessments to better measure how well patients function over the course of their treatment. We also seek to identify new treatments and improved treatment strategies through clinical trials and by carefully tracking responses to standard treatments.
- DNA08: ARGX-113-2315 awarded by Argenx BVBA 2025 - 2030
- Alexion ALXN1720-MG-301 awarded by Alexion Pharmaceuticals, Inc. 2023 - 2028
- Li, Yingkai, John S. Yi, Jeffrey T. Guptill, Vern C. Juel, Lisa Hobson-Webb, Shruti M. Raja, Tabitha Karatz, and Karissa L. Gable. “Immune dysregulation in chronic inflammatory demyelinating polyneuropathy.” J Neuroimmunol 391 (June 15, 2024): 578360. https://doi.org/10.1016/j.jneuroim.2024.578360.
- Narayanaswami, Pushpa, Donald B. Sanders, Laine Thomas, Dylan Thibault, Jason Blevins, Rishi Desai, Andrew Krueger, et al. “Comparative effectiveness of azathioprine and mycophenolate mofetil for myasthenia gravis (PROMISE-MG): a prospective cohort study.” The Lancet. Neurology 23, no. 3 (March 2024): 267–76. https://doi.org/10.1016/s1474-4422(24)00028-0.
- Garbey, M., Q. Lesport, H. Girma, G. Öztosun, M. Abu-Rub, A. C. Guidon, V. Juel, et al. “Application of digital tools and artificial intelligence in the Myasthenia Gravis Core Examination.” Frontiers in Neurology 15 (January 1, 2024). https://doi.org/10.3389/fneur.2024.1474884.
- Tarawneh, R., and V. C. Juel. “The Neuromuscular Junction and Myasthenia Gravis.” In Novel Challenges in Myasthenia Gravis, 51–66, 2015.
- Sanders, Donald, Michael Lutz, Shruti Raja, Vern Juel, Lisa Hobson-Webb, and Janice Massey. “THE DUKE MG PATIENT REGISTRY: III. THE COMPARATIVE EFFECTIVENESS OF AZATHIOPRINE AND MYCOPHENOLATE MOFETIL IN MYASTHENIA GRAVIS, A RETROSPECTIVE SINGLE CENTER REVIEW.” In MUSCLE & NERVE, 70:592–592, 2024.
- Nowak, Richard, Vern Juel, Jeffrey Guptill, Betty Soliven, Rachana Gandhi Mehta, Ali Habib, Katherine Ruzhansky, et al. “EXPLORING OUTCOMES AND CHARACTERISTICS OF MYASTHENIA GRAVIS 2 (EXPLORE-MG2): DESIGN, RATIONALE, AND BASELINE RESULTS.” In MUSCLE & NERVE, 70:716–17, 2024.
- Li, Yingkai Kevin, Simon Gregory, Michael Aksu, Karissa Gable, Tabitha Karatz, and Vern Juel. “IMBALANCED PRO-INFLAMMATORY IMMUNE RESPONSES IN SEROPOSITIVE AND SERONEGATIVE MG.” In MUSCLE & NERVE, 70:699–699, 2024.
Insurance Accepted
Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below.
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Aetna
- Aetna Choice POS, Aetna Choice POS II
- Aetna Elect Choice HMO, Aetna Open Access Elect Choice
- Aetna Health Network Only, Aetna Health Network Option
- Aetna HMO
- Aetna Limited Benefit Insurance PPO
- Aetna Managed Choice POS
- Aetna Medicare Assure Plan (HMO D-SNP)
- Aetna Medicare Eagle Plan (PPO)
- Aetna Medicare Essential Plan (PPO)
- Aetna Medicare Value Plan (HMO)
- Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice
- Aetna Open Choice PPO
- Aetna PCP Coordinated POS Plan
- Aetna Quality Point of Service (QPOS)
- Aetna Select HMO
- Aetna Traditional Choice
- Aetna Voluntary Indemnity Group Plan
- Aetna Whole Health – Duke WakeMed WKCC
- Aetna/CVS Health
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Ambetter
- Ambetter of North Carolina
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Blue Cross Blue Shield of NC
- Blue Advantage
- Blue Medicare (HMO, PPO)*
- Blue Options (123, PPO, HSA)
- Blue Select
- NC State Employees Health Plan
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*Duke HomeCare and Hospice does not participate in the plan.
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Cigna
- Cigna Behavioral Health (*Limited eligibility)
- Cigna Choice Plus
- Cigna Connect Individual Family Plan
- Cigna Open Access
- Cigna Open Access Plus
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*Please call Cigna Behavioral Heath to see if the provider is participating in your plan.
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Duke Group Plans
- Duke Basic
- Duke Select
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Experience Health
- Experience Health Medicare Advantage (HMO) Plan
- Gateway Health Alliance
- Healthgram
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Humana
- Humana Choice (PPO)
- Humana Choice - Medicare Advantage (PPO)
- Humana ChoiceCare - Medicare Advantage (PPO)
- Humana Gold Choice - Medicare Advantage (PFFS)
- Humana Gold Plus - Medicare Advantage (HMO)
- Humana Medicare Advantage Group Plan - NC State Retirees
- MedCost
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Medicare
- First Medicare Direct
- Medicare Part A
- Medicare Part B
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NC Medicaid
- AmeriHealth Caritas North Carolina
- Carolina Complete Health
- Healthy Blue
- NC Medicaid Direct
- WellCare of North Carolina
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TRICARE
- TRICARE Prime
- TRICARE Prime Remote
- TRICARE Select
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United Healthcare
- AARP Medicare Advantage Plan 2 (HMO-POS)
- AARP Medicare Complete (HMO, PPO)*
- AARP Medicare Complete Essential (HMO)*
- All Savers Alternate Funding
- All Savers Fully Insured
- United Healthcare (HMO, PPO, POS)**
- United Healthcare Charter/Charter Balance/Charter Plus
- United Healthcare Choice/Choice Plus
- United Healthcare Core/Core Essential
- United Healthcare Navigate/Navigate Plus/Navigate Balanced
- United Healthcare Option PPO
- United Healthcare Passport Connect Choice/Choice Plus
- United Healthcare Passport Connect Options PPO
- United Healthcare Select/Select Plus
- United Healthcare Shared Services - Harvard Pilgrim/UHC Options PPO Network
- United Medical Resources (UMR)
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*Duke HomeCare and Hospice and mental health providers do not participate with the plan.
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**Duke Health does not participate in UHC plans on the Health Insurance Marketplace.
Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any co-payments, co–insurances, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.
External Relationships
- Accordant Health Services
- Alexion Pharmaceuticals, Inc. a subsidiary of AstraZeneca
- Amgen, Inc.
- Immunovant
- Janssen Scientific Affairs