Concierge medicine in Charlotte, with one physician and no waiting room.

Concierge medicine is a membership model where you pay your physician directly, monthly or annually, in exchange for a much smaller patient panel and direct access. The physician takes a fraction of the usual number of patients, which is what buys the longer visits, the same-day availability, and the direct line. Most concierge practices still bill your insurance for visits on top of the membership fee. Mine does not: this is cash-pay direct care, with superbills provided for HSA/FSA and any out-of-network benefits.

In my practice it is a month-to-month membership, solo or per couple, with no enrollment fee, and the annual rate is ten months for twelve. Labs and medications are billed at my actual cost with the invoice visible, so nothing in the practice is marked up. Concierge programs in the Charlotte market vary widely, and most quote an annual fee while still requiring you to carry and use insurance for the visits themselves. See the full cost breakdown at /charlotte/concierge-medicine-cost.

It is worth it when access and time are the thing you are actually missing. If you are healthy, rarely need care, and are satisfied with a fifteen-minute visit twice a year, a membership will not pay for itself. If you have been told your labs are normal while you feel anything but, if you are managing something that needs more than a fifteen-minute slot, or if you want a physician who answers his own phone, this is what you are buying.

No. The practice is cash-pay direct care. I provide superbills for HSA/FSA reimbursement and for any out-of-network benefits your plan may offer. Not running insurance is what lets me spend the time real synthesis requires, and it is why labs can be billed at cost instead of marked up through a billing department.

Yes, and most patients do. Your primary care doctor handles sick-care and what insurance covers. I do something different. I coordinate with your cardiologist, your OB, your endocrinologist, and I write the Plan in a form you can hand to any of them. I do not replace hospital care, and you keep your insurance for hospitals and specialists.

The line is blurry and the terms get used interchangeably. Direct primary care usually means a lower monthly fee, no insurance billing at all, and a focus on the bread and butter of primary care. Concierge usually means a higher fee, a smaller panel, and in most programs insurance still gets billed for the visits. My practice takes the direct primary care billing model, no insurance, everything at cost, and the concierge panel size and access, then adds the longevity work on top.

Three things. National networks like MDVIP and hospital-system concierge programs are built around a physician who still carries several hundred patients and still bills your insurance for visits. Mine takes a handful of households at a time and bills no insurance at all. Second, this is physician-only. You work with me directly, not a coach or a nurse practitioner running a protocol. Third, the longevity work is built into the membership rather than sold as a five-figure add-on, with labs at cost and my fee for the interpretation stated plainly.

Yes. Across the Charlotte metro, sick visits come to you and your annual well visit happens at home. The deeper longevity work begins with an in-home Precision Workup, where I come to your house for an exposome and mobility audit, with labs drawn at a Quest near you. There is no waiting room, and that is the point. I don't have a waiting room. I have your address.

Yes, a handful of households at a time. This is a high-touch practice and the panel is capped deliberately, because the access is only real if the number stays small. The free Longevity Plan is the easiest first step, and the Precision Call is a 30-minute conversation with me to see whether this is a fit.

House calls and the in-home Precision Workup are a signature of the Charlotte metro. Outside the metro, the same membership runs fully virtually across North Carolina and Michigan, with testing collected at home and blood drawn locally. Either way, you work directly with me.