Notice of Data Incident
August 1, 2023

Dear Patients:
We post this Notice pursuant to the United States Health Insurance Portability and Accountability Act (“HIPAA”) to inform you about a data incident involving an unauthorized release of patient Protected Health Information (“PHI”), as that is defined by HIPAA, at Gary Motykie, M.D., a Medical Corporation and Gary Motykie, M.D. (“Practice”), a covered entity under HIPAA.

PHI, as defined by HIPAA, is information that is “created, received, maintained, or transmitted by or on behalf of the health care component of the Covered Entity.” § 164.105 (a)(2)(i)(D). Information that is created or received by a Covered Entity and that relates to the past, present, or future physical or mental health or condition of an individual; or the past, present, or future payment for the provision of healthcare to an individual is considered PHI. PHI is required to be protected when transmitted or maintained in any form by a Covered Entity. Individual identifiers (including but not limited to name, address, telephone number, fax, email address, social security number, medical record number, etc.) maintained in a designated record set along with health information (including but not limited to x-rays, images, scans, physician notes, diagnoses, treatment, eligibility approvals, claims, remittances, etc.) are collectively considered PHI.

Event Description:
On or about June 6, 2023, an initial technical analysis of the Practice’s information technology network determined an unauthorized release of PHI occurred to an unknown third party. The initial analysis determined that the unknown third party accessed the Practice’s network. It was further determined that the unknown third party acquired some of the Practice’s patient’s unencrypted PHI and that party was not authorized to do so and did so in an unlawful manner.

The information that may have been accessed or acquired during this unauthorized access included:

  • First and last name 
  • Social Security Number (if provided)
  • Address
  • Driver’s license or identification card number
  • Financial account or payment card number, in combination with any required CVV code
  • Intake forms, which may include medical information and history
  • Images taken in connection with the services rendered at our office
  • Health insurance information (if provided)
Steps Taken to Address:
Upon discovery, the Practice took the following immediate steps to address the situation:
  • Computers and servers replaced
  • Network passwords changed
  • Endpoint detection, virus, and malware detection tools and software installed on workstations and server
  • Limitations concerning Internet access
  • Access controls put in place for users based on role and responsibility
  • Server policies in place
  • Device locking mechanisms
  • Multi factor authentication enabled
  • Network segregation efforts
  • Encryption of devices
  • Additional workforce training
Risk Assessment:

The Practice conducted a risk assessment to evaluate the potential harm to potentially impacted individuals. Based on that assessment, it is determined that there is a high risk of harm. It is essential for potentially impacted individuals to remain vigilant in monitoring their personal accounts and data and promptly report any suspicious activity to law enforcement or their financial institutions.

Assistance and Resources:
Starting on or about June 22, 2023, letters were mailed to patients providing the following resources to assist the potentially impacted individuals, offering at no cost:
  • two (2) years of no cost Triple Bureau Credit Monitoring/Triple Bureau Credit Report/Triple Bureau Credit Score/Cyber Monitoring services.
  • the services also include reviewing whether Information appears on the dark web and alert the individual if such Information is found online.
  • proactive fraud assistance to help with any questions in event a potentially impacted persons becomes a victim of fraud.

Steps to Prevent Future Incidents: We deeply regret any inconvenience or concern this Incident may cause. The Practice is taking numerous steps to help prevent similar Incidents in the future. We will continue to review and enhance our security measures, policies, and employee training.

If you failed to receive your letter in the mail, and/or if there is a concern your mailing address has changed since you were a patient at the Practice, please contact 1-800-405-6108 or call our office immediately at 310-246-2355 from 9:00 am to 5:00 pm Pacific time, Monday through Friday.


Rhinoplasty (Nose Job Surgery) Cost

Rhinoplasty (Nose Job Surgery) Cost

Board certified plastic surgeon, Dr. Gary Motykie, provides state of the art cosmetic surgery procedures such as rhinoplasty to his patients in Beverly Hills, West Hollywood, Los Angeles and other areas. During the initial consultation, Dr. Motykie will discuss the cost aspects of the procedure in order to help the patient make an informed decision.

Cost Factors in Rhinoplasty

The cost of rhinoplasty can differ from one practice to another and even from one patient to another at the same practice. A number of factors may go into determining the overall cost of this plastic surgery procedure.

Where the Practice is Located

The cost of living index varies from one region to another, which can impact the cost of most types of goods and services, including the services provided by a cosmetic surgeon. For instance, the cost of rhinoplasty in Beverly Hills, West Hollywood, Los Angeles, and surrounding areas may not be the same as the cost of the same procedure in Denever, CO.

Surgeon’s Fee

A cosmetic surgeon may charge a fee based on their qualifications, experience, and recognition in the field of nose surgery. This can impact the overall cost of rhinoplasty between two practices.

Anesthesia and Surgical Room Costs

Rhinoplasty may be performed under general anesthesia or intravenous sedation. The fee charged by the anesthesiologist may vary according to their skills and experience. The cost of the surgical facility may also vary depending on the kind of technologies, personalized care and service, experienced staff and amenities provided at a particular facility.

Complexity of Surgery

Rhinoplasty can be a widely varied procedure, depending on the facial anatomy, condition of the nose, and the unique aesthetic goals of a patient. Some patients may need only a minor improvement such as removal of a bump from the nasal bridge or sharpening of the nasal tip.

Some other patients may need extensive surgery, which may include cartilage grafting or synthetic implants, or even complete nose reconstruction in some cases. Sometimes the patient may need a functional correction along with aesthetic enhancement. The overall cost of rhinoplasty plastic surgery may vary depending on the extent and complexity of surgery involved.

Insurance and Financing

Full or partial cost of rhinoplasty may be covered by health insurance only if the procedure is performed for medical reasons to correct a functional anomaly such breathing obstruction. However, when the procedure is performed purely as a cosmetic surgery, the cost may have to be borne only by the patient.

Several financing options are available to most patients, including payments by credit cards, loans from a bank, borrowing from friends or family, or getting the procedure financed through a private medical care financing company.

To see more services and treatments provided by Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles and his team please visit:

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