Second to none. I have a skin condition that was misdiagnosed for 17 years prior to Dr. McElgunn seeing me. He took one look an immediately knew what was going on. His treatments had positive impact right away. I have never had more confidence in a doctor and would not see anyone else ! His staff is a reflection on him as well. I am made to feel as an important patient. When he says if I have a need or a question to contact the office he means it. The care given to me is top notch and I have shared this opinion many times. His office is extremely helpful in dealing with paperwork associated with medication. They are very proactive and quick in returning phone calls and answering questions. Explanations whether from Dr. McElgunn or staff are understandable and patients appreciate this.