Direct Primary Care

Updated Fee Schedule beginning 5/1/2026

Monthly fee:

Adults 18+ - $35/month, Children 0-17 $30/month - Includes ONE visit per contract year. Subsequent visits are billed at $75/30 minute visit. (The FIRST visit of the contract year is included. Subsequent visits are billed on the day of the appointment. If the first visit of the contract year is an urgent/sick visit, that will be included/non billed and the well visit will be a billed visit).
BRIEF Patient portal messaging including quick updates, simple questions, refills, scheduling, sharing lab results without a new / change of plans.

NEW for 2026 and beyond

- E-visits will be billed at a flat rate of $50 per E-VISIT for portal messaging that includes a NEW symptom (urinary frequency, cough), interpreting complex functional labs, adjusting a treatment protocol or any messaging that requires more than two responses

The reason for the change:

In evaluating the current structure, I found that patient needs for digital communication and portal management vary significantly. Rather than implementing a general increase in monthly membership fees for everyone, I have decided to introduce a billable "E-Visit" model.

This means that while your monthly membership will continue to cover standard access and routine check-ins, more complex clinical issues handled entirely through the portal—those requiring dedicated time for assessment, lab review, or plan adjustments—will be billed as a flat-rate E-Visit. This allows me to keep monthly costs stable for the entire practice while ensuring that those who require more intensive, "behind-the-scenes" clinical time are supported fairly.

You will still have your included visit as part of your membership, and you will always have the choice to address concerns during an in-person or video appointment or via an E-Visit.

Consultation visits: $200 for an initial 45 minute new patient visit. $125 per 30 minute follow up visit

This is NOT primary care. You cannot make these appointments if you require ongoing care including medication refills, screening tests, etc.
This does not include ANY communication outside of visits – no email, texts, message or phone follow ups. All questions, paperwork and follow up must be completed in the time allowed.

DPC Fee Schedule (Archived, for Contracts signed PRIOR to 5/1/2026)

Monthly fees:

Option A – Includes two 30-minute in clinic or video visits per MONTH, additional appointments will be billed at $60 / 30 minute visit

Children 0 to 18 - $60 / month

Adults - $85 / month

Option B – Includes four 30-minute in clinic or video visits per YEAR, additional appointments will be billed at $60 per 30-minute visit.

Children 0 to 18 - $ 45 / month

Adults - $50 / month

Option C - includes one 30-minute in-clinic visit per year, additional appointments will be billed at $60 per 30-minute visit. This is NOT an option for infants and children under 2 years of age due to the frequency of appointments.

Children 2 to 18 - $30 / month

Adults - $35 / month

Included in monthly fee – not charged as additional appointments

Brief calls, text, emails, portal messages
Medication refills
Requests for referrals that do not require an appointment/exam
Requests for lab testing
Triaging urgent issues / need to go to ER
1-2 page paperwork or letters needed

All patients are required to be seen in clinic once per year to maintain active patient status.

One well visit annually is required for individuals 40+ due to yearly recommended screening discussions.

10% discount per member for individuals in the same household.

I reserve the right to indicate the need for an appointment OR recommend an adjusted option based on a patient’s communication needs.

I will do my best to be available after hours and on weekends but request that non-urgent issues be saved for weekday business hours.

Frequently asked questions:

- What happens with labs? Imaging? Referrals to specialists or physical therapists?

-- This should not change and will still be billed to your insurance. There are occasional insurance plans that require that these orders be placed by an in network physician. You are responsible for verifying this with your insurance.

- Can I use FSA/HSA funds to pay for your services?

-- It is imperative that you speak with your insurance provider for HSA and accountant for FSA funds, in speaking with other DPC doctors, it should not be an issue to use these accounts to pay for the monthly fee and per appointment fees. A letter of medical necessity can be provided as needed.

- Do all members of the family have to choose the same option, or can we choose different options based on need?

-- Family members can choose different options based on need.

- Is there a discount for large families?

-- Families including 4 or more individuals who are my patients can receive an additional discount. Please email me directly for rates.