About Us

Our promise


Our work is high quality, timely and accurate. We promise. We stand behind that promise and work until the case and IME reports are completed according to the best practices. Dont hesitate to ask us questions we are always happy to provide clarification and follow up addendums. Each member of our staff is friendly, knowledgeable and ready to assist.

On target service


Our Medical Consulting Services broadly include

  • Independent Medical Evaluations (IMEs
  • Expert Witness Testimony 
  • Speaking and Mentorship Services 


The types of IME Services we provide for State (Govt) and Private Workers Comp Agencies (such as Marylands IWIF), Case Managers, Attorneys, and IME Brokers include

  • Standard and Complex IMEs (multiple injuries, preexists, large medical records case file
  • Second Opinion IMEs and “behind the scene support”
  • Catastrophic Case Managemen
  • Testimony, Trials, Depositions
  • Medical File Review 
Dr Ralph Salvagno


Dr. Ralph Salvagno is the founder of Main Street IME Physicians. He is a nationally renowned Orthopaedic Surgeon, speaker, trainer and consultant. He is currently the Chief of Staff at Meritus Medical Center as well as the Mayor of Hancock, Maryland. Dr. Salvagno is a graduate of the University of Maryland School of Medicine. He completed his residency in orthopedic surgery at Case Western Reserve University in Cleveland, Ohio. He is a member of the American Academy of Orthopedic Surgeons and the American Association of Hip and Knee Surgeons

During his Orthopaedic career Dr Salvagno has preformed over 8,000 hip, knee and shoulder replacements as well as preformed countless orthopaedic trauma surgeries. He also offers expert advise in nonsurgical occupational and workrelated injuries

Dr. Salvagno is certified and trained by the American Board of Independent Medical Examiners (ABIME) and is a member of the International Academy of Independent Medical Evaluators. (IAIME).