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27 Years
experience
Your Trusted OB/GYN Practice in Asheville, NC
Grace OB/GYN Physicians has been dedicated to providing exceptional women's healthcare in Asheville, NC, since 1999. Our team of board-certified physicians and compassionate professionals specializes in comprehensive obstetric and gynecologic care, from routine wellness exams to complex high-risk pregnancies. We prioritize patient-centered care, ensuring every woman receives personalized attention, evidence-based treatments, and the information needed to make informed health decisions.

As the first SCOPE Certified practice in Western North Carolina by ACOG, we maintain rigorous safety and quality standards. Our physicians bring decades of combined experience in areas including infertility, urogynecology, and minimally invasive surgery, supported by a staff committed to creating a welcoming, non-judgmental environment. Recognized as a high-quality/low-cost provider by major insurers, we blend clinical excellence with accessibility for women at all life stages.
Services
Obstetrics Gynecology Infertility Treatment Hysterectomy Urogynecology Menopause Management Adolescent Gynecology Prenatal Care Well-Woman Exams Vulvar Dermatology
Details
  • Year established: 1999
Highlights and features
  • First SCOPE Certified OB/GYN practice in Western North Carolina
  • Board-certified physicians with 15-30 years of clinical experience
  • Personalized fertility evaluations and tailored treatment plans
  • State-of-the-art facility with patient-centered environment design
  • Recognized as high-quality/low-cost provider by major insurers
Associations and certifications
  • Safety Certification in Outpatient Excellence (SCOPE) for Women's Health
What people say
Compassionate professionals Make you feel comfortable Best decision for care Never rushed during visits Immediate concern resolution
Services
Obstetrics
Our comprehensive obstetric care covers low-risk and high-risk pregnancies with personalized monitoring, advanced diagnostics, and compassionate support throughout all trimesters. Board-certified physicians provide evidence-based care for uncomplicated pregnancies and manage complex cases including gestational diabetes and hypertension. Patients benefit from immediate access to urgent consultations and seamless coordination with regional perinatologists when needed.
Infertility Treatment
We offer specialized infertility evaluations and tailored treatment plans using the latest reproductive technologies. Our approach combines advanced diagnostics with individualized care for conditions like PCOS, endometriosis, and unexplained infertility. Physicians collaborate with patients to explore options ranging from ovulation induction to intrauterine insemination, maintaining open communication about success rates and emotional support resources.
Gynecology
Routine and specialized gynecologic services include annual exams, contraceptive counseling, and management of menstrual disorders. Our providers emphasize preventive care through HPV vaccinations, bone density screenings, and menopause management. Patients receive education on reproductive health across all life stages, with access to minimally invasive procedures like endometrial ablation for heavy periods.
Hysterectomy
We provide comprehensive hysterectomy care using advanced laparoscopic and robotic-assisted techniques. Preoperative counseling covers all surgical options while addressing patient concerns about recovery and long-term effects. Our team specializes in minimally invasive approaches that reduce hospital stays and focuses on postoperative rehabilitation to ensure optimal quality of life outcomes.
Urogynecology
Specialized care for pelvic floor disorders includes non-surgical and surgical treatments for urinary incontinence and pelvic organ prolapse. Providers use urodynamic testing to diagnose bladder dysfunction and offer pelvic floor therapy referrals. Treatment plans prioritize conservative management first, with surgical interventions like sling procedures reserved for refractory cases.
People
David Cobb Jr., MD, FACOG
Physician
Practicing since 1999, Dr. Cobb specializes in obstetrics and gynecology with a focus on patient-centered care. He completed residency at MAHEC and maintains active involvement in community health initiatives.
Logan Lechner, MD, FACOG
Physician
With six years of academic medicine experience at MAHEC, Dr. Lechner brings expertise in minimally invasive surgery and high-risk obstetrics to our practice since 2018.
Danica McAden, MD, FACOG
Physician
A 2022 graduate of MAHEC's residency program, Dr. McAden specializes in menopause management and adolescent gynecology, combining modern techniques with compassionate patient education.
Jennifer L. Paltzer, DO, FACOG
Physician
Board-certified in obstetrics and gynecology, Dr. Paltzer offers 20+ years of experience including military service and specialized training in sexual health counseling.
Rebecca Seay, MD
Physician
Joining in 2024, Dr. Seay brings fresh perspectives to our team while maintaining the same high standards of comprehensive women's healthcare.
Questions
What OB/GYN services do you offer?
We provide comprehensive care including prenatal services, infertility treatment, gynecologic surgery, menopause management, and routine wellness exams.
Do you accept my insurance?
We participate with most commercial insurers. Patients should verify in-network status directly with their provider as we don't file Medicaid claims.
Can I schedule appointments online?
Routine non-emergent GYN appointments can be scheduled online. Pregnant patients should call our office directly for scheduling.
What makes your practice unique?
We combine ACOG's SCOPE Certification with personalized care, offering both advanced medical expertise and a warm, patient-centered environment.
Are weekend appointments available?
Our office hours are Monday-Friday 8:00 AM-5:00 PM. Emergency consultations are available during regular business hours.
How do you handle urgent concerns?
Patients with urgent issues are prioritized for same-day evaluation. Our staff ensures prompt access to physicians for critical health concerns.
Reviews (5)
KayAnn Cargo
Apr 26, 2022 Report
First off, I'd like to say that most the staff seemed wonderful and helpful. My first two visits with Grace were with Dr. Shakar and he was absolutely wonderful to work with. My husband and I loved how excited her got about our baby with us and made the visit a good experience. At our third visit we were with Dr. Pestoff and I came with questions and comments about what I wanted my birth to be like.

She shot down everything I said I wanted and kept saying "it's your first baby you'll change your mind" she acted like just because it's my first baby that I had no idea what I wanted and when I stated I did not want to birth on my back but squatting (since they won't do water births) she told me that birthing on your back is the same as squatting, which is definitely not correct. I immediately changed my OBGYN office and I could not be happier with my new doctors who actually listen and want to make my birth not as stressful.

I was also informed that you don't get to choose which doctor births your baby, is a gamble of who will be on call, and that was a deal breaker for us because I did not feel confident I would be listened to in labor especially by Dr. Pestoff.
Natalie Franks
Apr 23, 2022 Report
I'm SO thankful I switched to Grace for my pregnancy. ALL the staff we have encountered so far have been beyond amazing. The doctors truely care and never me feel silly for asking questions or rushed. I can't recommend them more.
Anna Smith
Apr 10, 2022 Report
The best OB care in Asheville hands down. I moved to Asheville very nervous about branching out to a new OB, but it turned out to better care than I received before. Anytime I call with concerns or to make an appointment they always take great care of me.
Astyn Adkins
Apr 09, 2022 Report
So, no one likes to go to the OBGYN and I mean no one. Especially if you have an issue and dread results. Today was my first time going and I have to say that I was thoroughly impressed by the staff and in particular, Dr. Shaker. He ACTUALLY listened. He didn't dismiss my fears and took an ample amount of time answering any questions that I had and went above and beyond to make me feel safe, heard and all of my concerns put to rest. Before leaving, we had a game plan set in stone. That way, I know exactly what to expect should it come to that. I would highly recommend this facility to anyone.
Ryan W.
Mar 23, 2022 Report
My wife and I had great news that we were going to have a baby. We heard amazing things about Grace. So we decided to give it a go. Man did we fall in love. All the staff is phenomenal, the Doctors are amazing and treat my wife and I both with amazing respect. I highly recommend this place to everyone!