Alto Foot & Ankle is a cash-pay direct specialty care podiatry practice in Mission Viejo, CA, founded by Ben McGrath, DPM, FACFAS, a board-certified podiatric surgeon with dual ABFAS certification in foot and rearfoot/ankle surgery. Alto operates entirely outside the insurance system, with transparent, upfront cash pricing for all services. Clinical focus includes minimally invasive bunion and hammertoe correction, sports medicine, regenerative medicine (PRP, amniotic/placental tissue, fat pad injections), peripheral neuropathy treatment, and custom orthotics. The practice was built to give patients direct access to surgical-level podiatric care without insurance bureaucracy, prior authorizations, or hidden costs