What is Direct Primary Care (DPC)?

Direct Primary Care is a care model where patients work directly with their physician without insurance billing in between. Instead of per-visit charges, care is structured around transparent fees and an ongoing relationship.

For me, DPC means fewer patients, more time, and the ability to focus on clinical judgment rather than coding, quotas, or checkboxes.

Why don’t you bill insurance?

Insurance billing drives many of the problems patients experience today — rushed visits, fragmented care, and administrative complexity.

By not billing insurance, I’m able to spend more time with patients, communicate directly, and focus on what actually matters clinically. You still use insurance for labs, imaging, medications, specialists, and hospital care — just not for my professional services.

Do I still need health insurance if I join B2 Direct Care?

Yes. Direct care is not a replacement for health insurance.

I strongly recommend maintaining insurance coverage for emergencies, hospitalizations, specialty care, imaging, and procedures. Direct care works best alongside insurance, not instead of it.

How often can I see you?

There are no per-visit limits or co-pays. Visits are based on medical need, not billing rules.

We’ll decide together what level of follow-up makes sense for your situation — whether that’s occasional check-ins or more frequent touchpoints during complex or transitional periods.

How do visits work — in person or virtual?

Much of my care is delivered through telemedicine, which allows for timely access and flexibility. In-person visits and home visits may be available on a limited, case-by-case basis depending on location, need, and scheduling.

We’ll talk through what makes the most sense for your care.

Can you prescribe medications?

Yes. I can prescribe medications and I will use all resources to get the best price, the electronic health record I use actually has a function where it searches for the best cost option as well!

You can use your insurance or discount programs at the pharmacy, just as you would with any other physician. I aim to keep medication plans thoughtful, evidence-based, and as simple as possible.

Do you order labs and imaging?

Yes. When appropriate, I can order labs and imaging. In FACT, the direct cash price is a FRACTION of what you would probably pay related to insurance. I’ll often even draw the blood myself at your visit.

What happens if I need a specialist?

I don’t replace specialists. Instead, I help you decide when a specialist is needed, which type makes sense, and how to prepare. That being said, as a hospitalist who has been fortunate to work directly with specialists for over a decade, my comfort level is higher than many physicians who had to see excessive numbers of patients and “refer out” all complexity which would have previously lived in a primary care model

I can also help review specialist recommendations and integrate them into your overall care plan so nothing gets lost or duplicated.

Can I join for a short period of time?

Some services — such as hospital-to-home support or chart review — may be structured as short-term engagements.

Ongoing care works best with continuity, but we’ll discuss what makes sense based on your needs.

Is there a long-term contract?

No long-term contracts. Expectations, scope, and fees are discussed clearly upfront so there are no surprises.

What if this isn’t the right fit?

That’s okay. Direct care isn’t for everyone, and my goal is alignment — not volume.

If it becomes clear that another care model would better serve you, I’ll be honest about that and help guide you appropriately.

I bring humility to medicine, I just want what is best for you.

Is this practice right for complex or medically fragile patients?

Many patients I work with have complex medical histories, recent hospitalizations, or multiple specialists involved. That said, complexity looks different for every person.

We’ll talk through your situation to determine whether my practice is the right level of support for you.