Meet Dr. James Piepergerdes

Leader in Allergy Asthma & Immunology.

Dr. James Piepergerdes, MD


450 Sutter Street
Suite 1404
San Francisco, CA 94108

Dr. Piepergerdes on Yelp

James Piepergerdes, MD

Dr. James Piepergerdes is a board certified Otolaryngologist and a Fellow of the American Academy of Otolaryngic Allergy. He has been treating allergy patients for over 30 years, and specializes in the use of Sublingual (under the tongue) drops for allergy immunotherapy.

Dr. Piepergerdes' patient care philosophy is to first educate his patients about allergic reactions, and then explain the allergy treatment options including medications, avoidance, and allergy immunotherapy. He enjoys collaborating with his patients and considering their ideas and specific needs. Together, they decide on the best course of allergy treatment to provide optimal immediate and long term allergy relief.


  • B.S. Cum Laude University of Iowa, Iowa City, Iowa 1965-1967
  • M.D. University of Colorado School of Medicine, Denver, Colorado 1967-1971

Postgraduate Medical Training

  • Internship: San Francisco General Hospital, San Francisco, California 1971-1972
  • Residency: University of California San Francisco, San Francisco, California
    Otolaryngology – Head and Neck Surgery 1972-1976


  • Board Certified: American Board of Otolaryngology
  • Fellowship Examination: American Academy of Otolaryngic Allergy


  • Walson Army Hospital, Fort Dix, NJ: Chief of Otolaryngology. 08/76-07/77
  • Letterman Army Hospital, San Francisco, CA: Chief of Otolaryngology 8/77-5/79
  • Private and Veterans Administration Practice
  • Private practice, Walnut Creek, CA 6/79-10/93
  • Private practice, Rockville, MD 11/93-10/94
  • Ear, Nose, Throat & Allergy Center, Washington, DC 10/94-5/96
  • Arlington ENT Associates, PC, Arlington, VA 5/96-8/08
  • Bethesda ENT Allergy Center, LLC, Bethesda, MD 9/07-8/08
  • X. O. Barrios, M.D., Inc., San Francisco, CA 6/09 – 8/11
  • VAPAHCS Livermore VA ENT Clinic, Livermore, CA 4/10 – 10/17
  • VAPAHCS Livermore VA Allergy Clinic, Livermore CA 4/11 –10/17
  • San Francisco Otolaryngology Medical Group, San Francisco, CA 10/11-present

Hospital Medical Staff Affiliation

  • St. Francis Memorial Hospital
  • University of California San Francisco Medical Center


  • Fellow: American Academy of Otolaryngology – Head and Neck Surgery
  • Member: American Academy of Otolaryngic Allergy
  • Fellow: American Academy of Otolaryngic Allergy


  • “Keratosis Obturans and External Auditory Canal Cholesteatoma, The Laryngoscope, Vol. XC, No. 3, pp 383-391, March 1980