Medical, Not Dental
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Sleep Apnea Specialist in Carmel Valley, San Diego
Finally sleep through the night — without a CPAP machine.
Dr. Paul Schalch Lepe, MD, FACS — double board-certified ENT & Sleep Medicine Specialist with "Top Doctor" recognition. Sleep apnea evaluation, Inspire Upper Airway Stimulation, and surgical treatment options.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
5/5 StarsBoard-Certified Sleep SpecialistInsurance Verified Before First VisitFree Consultation
Sleep Apnea Treatment Options in Carmel Valley
Our Carmel Valley office covers the medical and surgical side of sleep apnea care. Led by Dr. Paul Schalch Lepe — a double board-certified ENT and Sleep Medicine Specialist — SoCal Breathe Free provides comprehensive evaluation and treatment for patients who may need medical or surgical intervention. Dr. Schalch Lepe is certified to perform Inspire Upper Airway Stimulation, an implantable device for patients who can't tolerate CPAP or oral appliances. As part of the Solve Sleep Apnea network, he collaborates with our dental sleep medicine providers so every patient lands on the treatment that fits them best.
Learn more about how oral appliance therapy works or explore your CPAP alternatives.
Local Impact: Sleep apnea is significantly underdiagnosed among adults over 40, particularly in affluent communities where patients may attribute fatigue to busy lifestyles rather than a treatable medical condition. In the San Diego metro, an estimated 332,000+ residents have undiagnosed OSA.
Why Treating Sleep Apnea Matters
Untreated obstructive sleep apnea doesn't just rob you of sleep — it increases your risk of high blood pressure, heart attack, stroke, Type 2 diabetes, and motor vehicle accidents. The American Academy of Sleep Medicine estimates that untreated sleep apnea costs the U.S. economy $149.6 billion annually in healthcare costs and lost productivity. The sooner you get tested, the sooner you can protect your health — and start waking up rested.
How Sleep Apnea Treatment Works
Three simple steps — starting with a free conversation, not a sales pitch.
1
Free Phone Consultation with our Founder/Director
Start with a free 15-minute consultation with Thomas D'Acquisto, our Founder/Director with 40 years of experience. He'll review your symptoms, answer your questions, and determine your best next step. No pressure, no commitment — call or text +1 (888) 885-7369.
2
Try an at Home Sleep Study
If a sleep study is needed, we provide an FDA-cleared home sleep test. Pick up the device from our Carmel Valley office, sleep with it one night in your own bed, and have results reviewed by a board-certified sleep physician within days. No overnight lab visit.
3
Experience Restful Sleep & Improved Quality of Life
Thomas connects you with the right specialist for your needs. For most patients, that's a custom-fitted oral appliance — silent, portable, and covered by most medical insurance. Most patients notice improvement within the first week.
Book My Free Consultation
Or call/text +1 (888) 885-7369 to schedule your free consultation with Thomas
Why Choose Our Carmel Valley Office
Dr. Schalch Lepe is one of the few physicians in San Diego who holds board certification in both Otolaryngology and Sleep Medicine. This dual expertise allows him to precisely identify the anatomical causes of your airway obstruction and recommend the most targeted treatment. He's certified for Inspire implant surgery, speaks fluent Spanish, and has earned "Top Doctor" recognition for his patient outcomes.
40 Years Experience
Thomas D'Acquisto, Founder/Director
Board-Certified Specialist
Dr. Paul Schalch Lepe — Double Board-Certified ENT & Sleep Medicine Specialist
Insurance First
We verify coverage before your first visit
No Pushy Sales Process
Free consultation — zero pressure, zero commitment
Struggling with CPAP? You Have Options
If you've been diagnosed with sleep apnea and prescribed a CPAP machine but can't tolerate it, you're not alone. Research shows that 30–50% of CPAP users abandon therapy within the first year. The mask discomfort, air leaks, noise, dry mouth, and claustrophobia are real — and they're the reason millions of people live with untreated sleep apnea.
Oral appliance therapy is an FDA-cleared alternative that the American Academy of Sleep Medicine recommends as a first-line treatment for mild to moderate obstructive sleep apnea, and as an option for severe cases when CPAP is not tolerated. It's a custom-fitted mouthpiece — similar to a retainer — that gently repositions your jaw to keep your airway open. No mask, no machine, no noise.
CPAP
- —Mask and headgear required
- —Machine noise
- —Requires electricity
- —50–60% adherence rate
- —Dry mouth and skin irritation common
Oral Appliance
- Custom-fitted mouthpiece
- Completely silent
- No electricity needed
- ~90% adherence rate
- Fits in your pocket for travel
Already have a CPAP diagnosis? You don't need a new sleep study to switch to an oral appliance. Learn why 50–60% of CPAP users quit within a year. Call Thomas at +1 (888) 885-7369 to discuss your options.
What Patients Are Saying
5/5 Stars
Rated 5 out of 5 stars
“
I can now breathe through my nose for the first time in over a decade. My only regret is not booking my initial appointment years ago!
”— A.W.
GoogleYour Carmel Valley Sleep Apnea Specialist
Dr. Paul Schalch Lepe, MD, FACS
SoCal Breathe Free
Double Board-Certified ENT & Sleep Medicine Specialist
Dr. Paul Schalch Lepe is a double board-certified ENT and Sleep Medicine Specialist with "Top Doctor" recognition. He leads SoCal Breathe Free in Carmel Valley, providing comprehensive sleep apnea evaluation and treatment for patients who may need medical or surgical intervention. His expertise includes Inspire Upper Airway Stimulation, an innovative implantable device for patients who cannot tolerate CPAP or oral appliances. Dr. Schalch Lepe works closely with the Solve Sleep Apnea network to ensure patients receive the most appropriate treatment for their individual needs.
Board-Certified, Otolaryngology — Head & Neck SurgeryBoard-Certified, Sleep MedicineFellow, American College of Surgeons (FACS)"Top Doctor" recognition
View Full ProfileSoCal Breathe Free
Start with a free consultation with Thomas D'Acquisto. He'll review your situation and connect you with Dr. Paul Schalch Lepe if treatment is right for you.
Ready to Sleep Better in Carmel Valley?
Start with a free consultation with Thomas D’Acquisto — he’ll review your situation and connect you with the right specialist. Call or text +1 (888) 885-7369.
INSURANCE & COVERAGE
We Accept PPOs, Medicare, and TRICARE
Oral appliance therapy is FDA-cleared and billed through your medical insurance — not dental. For other plans, our team verifies your specific benefits at no cost, before anything begins.
PPOsMedicareTRICARE
We Handle Everything
Verification, prior authorization, claims, and reimbursement — our team manages the paperwork so you don’t have to.
Verified Before You Commit
We check your specific coverage and explain your benefits before anything begins. No surprises.
Serving Carmel Valley and Surrounding Areas
Our Carmel Valley office conveniently serves patients from across the region.
Del MarRancho Santa FeSolana BeachRancho BernardoScripps RanchLa Jolla
About Our Carmel Valley Location
Carmel Valley is an upscale residential community in northern San Diego, situated between Del Mar and Rancho Bernardo along the I-5 and SR-56 corridors. Our office on Carmel Mountain Road is convenient for patients from Del Mar, Rancho Santa Fe, Solana Beach, Scripps Ranch, and La Jolla. The area is home to many professionals and families who prioritize health and well-being.
Office Hours
mondayBy Appointment
tuesdayBy Appointment
wednesdayBy Appointment
thursdayBy Appointment
fridayBy Appointment
saturdayClosed
sundayClosed
Learn More About Sleep Apnea Treatment
CPAP Alternatives
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Take the First Step Tonight
Call or text Thomas D’Acquisto at +1 (888) 885-7369 — even at 2am when you can’t sleep. Or book your free consultation online.