FAQ

Direct Primary Care (DPC) is a healthcare model that features an affordable monthly membership rate for direct access to a physician. This includes routine and preventive care including wellness checkups and physicals, same-day appointments via telemedicine, in-person medical visits at your home (within our service area), and more. Patients enjoy the benefits that traditional medicine has to offer without the limitations of time constraints and itemized fee-for-service (FFS) visits as dictated by insurance.

Patients benefit from having a physician who is readily available by phone call or patient portal to navigate health challenges; and from having a physician who serves as an advocate when integrating care across various specialties and disciplines.

Whether optimizing health, troubleshooting chronic challenges, or requiring immediate care for an acute illness, your physician is available to support you in body and mind.

The direct primary care model enables patients to benefit from more time spent with their doctors due to physicians having a smaller patient panel size. This improves the quality of care and allows for more comprehensive visits, bolstering patient-physician trust and yielding better outcomes through improved acquisition of needed care.

In the DPC model, patients pay a monthly fee while physicians no longer bill third parties such as health insurance on a fee-for-service basis. Removing third party payment structures reduces overhead costs and administrative burdens, leading to enhanced care and improved patient experience.

Learn more here.

As of January 2026, patients can use HSA funds for DPC monthly membership payments. However, legal requirements state that individuals can spend a maximum of $150/month of HSA funds for DPC membership fees, and families can spend up to $300/month. Therefore in some cases, payments will need to be split between an HSA and another payment method. In addition, the type of payments that can be paid with an HSA are limited, particularly to primary care services, so they may not be used for registration fees. If patients choose to use HSA funds, we cannot advise patients about the use of HSA funds, so please make note that the patients are ultimately responsible for their use of HSA funds and for reviewing what does and does not qualify.

Yes, you can join as a non-member patient. Please see the pricing page.

• Most of our patients choose to use their insurance for prescriptions, labs, x-rays, specialist visits, and hospital visits. As out-of-network physicians, we work FOR YOU, not your insurance company.
• The level of care and communication that we offer is comprehensive and personalized beyond anything your insurance company can offer.
• Your medical care with us is individualized to you and 100% private between you and your physician. This allows the freedom to have appointments that are 30-90 minutes long, to communicate directly without phone trees, and to determine when telemedicine and house calls are needed.
• One of the many sad truths of insurance-based medical practice is that many medical problems can be managed remotely by a simple phone call, text message, or video chat, but unless your doctor sees you in the office, they cannot bill your insurance company for the visit. We think this is a waste of time for you and the doctor. Next time you have to schedule a visit for a rash or a refill, shake your head and contact us.

• Yes! What you are looking for is Cooperative Hormonal and Reproductive Medicine called CHARM. Dr. Duane is trained as a Creighton, FEMM and Neofertility medical consultant. For over 15 years she has been teaching medical professionals and students how to treat infertility by recognizing it as a symptom of underlying disease. We utilize the female cycle chart as a vital sign of health to guide the diagnosis and treatment of underlying conditions that can affect your ability to conceive or carry a pregnancy to term.
• Dr. Davis is a fellowship-trained reproductive endocrinologist who previously treated patients with in vitro fertilization. He now helps patients achieve pregnancy naturally by identifying and treating the root causes of infertility.
• Dr. Walsh is a Creighton Medical Consultant who helps couples with fertility issues by optimizing their hormones and cycles.

Yes. Infertility is due to male factors as often as it is due to female factors. We strongly recommend that the male partner is seen within the first three months after the woman establishes care. We require the male partner to be seen no later than six months.

Yes! Our CHARM-trained physicians can help with this, especially Dr. Nigra, who is a pediatrician. Again, we advise girls to chart the signs of their cycles, which serves as a daily diary of her hormonal health. This information helps us to identify the underlying causes of her hormonal health issues to guide treatment in a cooperative manner.

Yes! Our CHARM physicians can help with this, too. In fact, our founder Dr. Marguerite Duane did a research fellowship specifically investigating common modifiable causes of recurrent miscarriage.

Dr. Davis is an MD for Life physician, but sees patients at Tepeyac in Fairfax, VA, where he is training the clinical staff.

Emergencies happen to the best of us. If you need to go to the hospital or have already been admitted, please notify us so we can help expedite your care. We will be in close contact with your hospital team to ensure seamless communication and follow-up management.

If you are giving birth at Inova Alexandria Hospital, Inova Fairfax Medical Campus, or Inova Fair Oaks Hospital, Dr. Nigra would love to see your baby!