Dealing with chronic pain can feel like a lonely struggle. But at Balcones Pain Consultants, we strongly believe that successful pain management is a team effort. Our experienced staff of professional caregivers will work personally with you to identify and develop the most effective course of treatment for your specific needs—so you never have to go it alone.

Matt McCarty, MD

Over the last 14 years, Dr. Matt McCarty has enjoyed partnering with patients to restore function and break the grip that chronic pain has held on their lives. Dr. McCarty is a Board Certified Anesthesiologist with Subspecialty Certification in Pain Medicine. He received his undergraduate degree from Baylor University and medical school degree from the University of Oklahoma. He completed his anesthesiology residency at the University of Texas Health Science Center in San Antonio and practiced successfully in Tyler, Texas for 14 years.

Once he decided to pursue his growing interest in Chronic Pain Medicine, Dr. McCarty completed a one-year fellowship in interventional chronic pain management at the University of South Florida and moved his family to Austin to begin private practice. He believes that chronic pain can rob us of our time, energy and relationships ultimately leading us to isolation and despair. He is committed to a partnership for success with his patients by returning them into community through the various treatment modalities such as physical therapy, medications, advanced interventional procedures and behavioral therapies.

Dr. McCarty is also committed to research and innovation in the areas of medication monitoring and prescription fulfillment. He is the CEO and founder of Genotox Labs which performs genetic testing of our individual metabolic differences in metabolizing medication but primarily specializes in proprietary methods of urine drug monitoring. He has been honored to present the labs patent pending method called ToxPROtect, which aims to help other labs improve quality assurance surrounding lab labeling errors as well as detecting the use of substitute synthetic or other human urine in medication and sobriety monitoring.

Dr. McCarty is available for consultation in South Austin.

Gus Lowry, MD

Because he understands that chronic pain affects people in many ways, Dr. Lowry employs an individualized approach to each patient’s pain to help them live the best life possible.

A native Texan, Dr. Lowry obtained his undergraduate degree from Texas A&M University and his medical degree from the University of Texas Health Science Center in San Antonio. He completed residency training at Baylor College of Medicine in internal medicine and anesthesiology.

Having developed a desire to improve the lives of chronic pain patients, Dr. Lowry completed a one-year pain management fellowship at Harvard Medical School’s Beth Israel Deaconess Medical Center. He is Board Certified in Anesthesiology and Pain Medicine.

Dr. Lowry is available for consultation in Austin and Marble Falls.

George J. Arcos, D.O., F.A.O.C.A.

Dr. Arcos completed medical school at the New York College of Osteopathic Medicine/ NY Institute of Technology. He completed residency training in Anesthesiology at University of Medicine/ Dentistry of New Jersey. Dr. Arcos completed a two-year military fellowship program in pain management, and was awarded the United States Air Force Commendation Medal for contributions in the area of pain management.

He served as Chief of Anesthesiology and Pain Management at USAF Regional Hospital Homestead AFB, Florida. Dr. Arcos later served as Medical Director, Pain Management North Florida/South Georgia Veterans Affairs Medical Center, VISN8, which is responsible for Georgia, Florida, Puerto Rico and US Virgin Islands.

Dr. George J. Arcos is board certified in anesthesiology with subspecialty added qualification in pain management.  Dr. Arcos is listed in “Leading Physicians of the World”, which is limited to the top one to two percent of all physicians.  He is a member of the editorial board of the Journal “Pain Physician” as well as “Interventional Pain Management Reports”. He is recognized by his peers as a leader in the field of pain management, and has functioned as a consultant for several large multispecialty organizations, Florida Department of Health, and various State Medical Boards. Dr. Arcos serves on the Board of Directors of Florida Society of Interventional Pain Physicians.

Dr. Arcos’ interest in end of life pain management and coupled with his formal fellowship training in Medical Ethics, contributed to his nomination for President Bush’s Council on Bioethics.

Balcones Pain Consultants welcomes Dr. Arcos to our practice and is currently scheduling appointments for him in Austin, Cedar Park, and Marble Falls.


Rey Ximenes, MD

Rey Ximenes, MD is a multi-disciplinary pain management physician dedicated to the integration of modalities used to alleviate pain. Dr. Ximenes began his career in medicine as an anesthesiologist, working in such places as M.D. Anderson Hospital, Texas Heart Institute, St. Luke’s Hospital, Hermann Hospital, St. Joseph’s Hospital, and The Texas Children’s Hospital in Houston. He was also a founding member of South Austin Anesthesiology in Austin, Texas. His training included general anesthesia, cardio-vascular anesthesia, neuroanesthesia, obstetrical anesthesia, as well as pain management. This gave him a broad perspective to draw upon in the practice of alleviating pain.

Dr. Ximenes is Board Certified in Interventional Pain Management, Acupuncture, and Naturopathy. He is the past President of the American Academy of Medical Acupuncture and a Board Member of the Texas State Board of Acupuncture.

Dr. Ximenes is well versed in the full complement of medication management techniques and also acupuncture, osteopathic manipulations, homeopathic, myofascial release, massage therapy, Tui Na, Qi Gong healing, nutritional counseling, herbal therapy, psychological counseling, exercise therapy/counseling (including Tai Chi, Qi Gong, aerobics, strength training, and Yoga), Reiki, meditation, and many others as well. He maintains an informal network of friends, teachers, practitioners and healers to provide a truly multi-disciplinarian approach to health care.

Dr. Ximenes is accepting patients at our South Austin location.

Shaylyn Burnham, FNP-BC

Shaylyn Burnham, MSN, APRN, FNP-BC, is dedicated to providing innovative, evidence-based, multi-dimensional care to allow patients to take control of their chronic pain.

Shaylyn received her Associate in Applied Science in Nursing, Bachelor of Science in Nursing, and Master of Science in Nursing/Family Nurse Practitioner from Angelo State University in San Angelo.  Throughout her nursing career, she has placed her focus on improving patients’ overall health and quality of life.  She strives to create a partnership with each patient to accomplish their individual pain management goals.

After living in West Texas for most of her life, Shaylyn and her family are excited to start a new adventure here in the Texas Hill Country.

Shaylyn Burnham, FNP-BC, is now accepting patients at our Marble Falls Office.

Tavie Coyle, FNP-C

Tavie Coyle, MSN, APRN, FNP-C is a board certified Family Nurse Practitioner. A native of south Louisiana, she received her Bachelor of Science in Nursing from Nicholls State University in 2005. She has 10 years of experience as a Registered Nurse, primarily in the surgical and trauma intensive care settings, and earned her Master of Science in Nursing from University of Cincinnati in 2016.

She understands how traumatic injuries can be life changing and often lead to chronic pain, which impacts multiple aspects of life. Her goal is to assist patients in regaining function and improving quality of life in a safe and realistic way. She recognizes that pain affects the mind, body, and spirit, and is passionate about treating the whole person. In addition, she is an advocate of enabling patients to assume active roles in their treatment to achieve and maintain quality of life.

When away from work, Tavie enjoys spending time with her family, friends, and two dogs. She is a member of the American Association of Nurse Practitioners, Texas Nurse Practitioners and Austin Advanced Practice Nurses.

Tavie is currently accepting patients in our South Austin Location.

Peggy Pais, CNS-C

Peggy Pais, CNS-C, has a passion for working with patients with chronic conditions. She seeks to acquire a comprehensive evaluation of every patient by taking time to listen and understand their particular needs to tailor a treatment plan that works for them.

Peggy is a board certified Clinical Nurse Specialist. She received her undergraduate degree from The University of Texas Health Science Center in San Antonio, and her Master of Science in Nursing from the University of Incarnate Word .  She began her career in the laboratory as a phlebotomist in Seguin Texas. Since that time she has various area of patient care working as a charge nurse in the Intensive Care Unit, as a nurse practitioner rounding with the hospitalists, and working with clients at a weight loss clinic. With Peggy’s commitment for education, she worked part time as an associate professor  for undergraduate nursing students at Texas State University. She went to Haiti on a medical mission post earthquake in 2010 and served on the Texas Disaster Team.

Peggy is currently accepting patients at our Cedar Park and Marble Falls locations.

Kimberly Prall, MSN, FNP-C

Kim is passionate about education, disease prevention and health promotion.

Originally from Houston, Kim earned her Bachelor of Science in Nursing from the University of Texas Medical Branch at Galveston. She worked for several years in the Houston Medical Center and received sixteen years of registered nurse training in emergency nursing, perioperative nursing, and case management. She completed her Master of Science in Nursing at the University of Texas at Austin. She coauthored the clinical practice guideline, Managing Chronic Gout in Adults, May 2012, published in the National Guideline Clearing House for the Agency for Healthcare Research and Quality. Kim received her Family Nurse Practitioner certification from the American Academy of Nurse Practitioners.

Kim is accepting patients in South Austin.

Yari Tran, PA

Yari Tran, PA, graduated from Texas A&M University with a Bachelor degree in Psychology in 2003. She then completed her Master of Physician Assistant Studies at Texas Tech University in Midland, TX in 2005.

Yari worked in neurosurgery for five years before transitioning into Pain Management.  Yari became very familiar with surgical evaluation and treatment for neck and low back pain and she was exposed to patients who deal with chronic pain. She enjoys working with patients to manage their chronic pain and improve their quality of life.

Yari is currently accepting patients in our South Austin location.