What is Direct Primary Care?

Direct Primary Care (DPC) is an alternative payment and practice model for primary care services. The focus of a DPC practice is putting the personal relationship back into patient care which includes access to your actual physician. DPC physicians offer services for a flat monthly rate instead of a traditional fee for service arrangement. DPC physicians do not file insurance claims. Instead, DPC physicians work directly with the patient instead of the insurance corporations to offer increased access to care, faster scheduling, more time with your physician, and better and more cost effective options for medications, labs, imaging studies, and more.

Covered Services

Primary Care (Internal Medicine)

What is Internal Medicine?

Internal medicine is the field of medical practice focused on the primary and specialty medical care of the adult patient. Internal medicine physicians apply scientific knowledge and clinical expertise to the diagnosis, treatment, and care of patients. The scope of practice includes acute and chronic illnesses, disease prevention, screening, patient education and follow-up care from hospitalization.

Commonly treated conditions include:

  • Headache (Migraine)
  • Post Concussive Syndrome
  • Sinus Issues
  • Allergies
  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Upper Respiratory Tract Infection
  • Pneumonia
  • Gastroesophageal Reflux Disease (GERD)
  • Peptic Ulcer Disease
  • Constipation/Diarrhea
  • Irritable Bowel Syndrome
  • Hypertension
  • Hyperlipidemia
  • Heart Disease
  • Diabetes Mellitus
  • Hyper- or Hypothyroidism
  • Fibromyalgia
  • Neck and Back Pain
  • Muscle Ache/Pain
  • Osteoarthritis
  • Osteoporosis
  • Anemia
  • Anxiety/Depression
  • Urinary Tract Infection
  • Acute and Chronic Renal Failure

In-Office Procedures

A wide variety of procedures are provided in order to provide patients with the most comprehensive care.

Osteopathic Manipulative Treatment

Osteopathic Cranial Manipulation

Electrocardiography (EKG)

Holter Monitor ($80-$185)

Cardiac Event Monitor 30-Day ($185)

Joint Injections

Cerumen (Ear Wax) Removal

Laceration Repair

Suture Removal

Basic Wound Care

Transcutaneous Electrical Nerve Stimulation (TENS) / Electric Muscle Stimulation (EMS) (Unit Rental: $5/week; Electrode Pads $12.50-$20.00)

Blood Pressure Assessment


Lesion/Wart/Skin Tag Removal

Cryosurgery (varies based on number of lesions)

Nebulizer Treatment

Point-of-Care Ultrasound (POCUS)

Point-of-care ultrasound (POCUS) refers to the use of portable ultrasound by a medical professional for diagnostic or procedural purposes and is considered by some to be the largest advancement in bedside diagnosis since the advent of the stethoscope. POCUS is a quick, abbreviated study performed and interpreted immediately by the evaluating and treating physician to help answer clinically impactful questions. In the primary care setting, POCUS has shown to aid in the completion of procedures, lower costs, decrease emergency department visits, and reduce the need for further imaging.

In-Office (Point-of-Care) Labs and Testing

In office labs and tests are offered at discounted prices.

Rapid Influenza

Rapid Strep A


Fecal Occult Blood Test


Urine Pregnancy

Urinalysis (Dipstick)

Laboratory Services

We have partnered with independent labs to offer high quality clinical laboratory testing services at discounted prices.

Blood serum testing samples are collected in the office and sent to the laboratory. Patients are charged at the time of service.

Saliva and blood spot testing kits are available in the office. Samples are collected and the patient mails the samples and payment to the laboratory.

Pathology Services

In the state of Ohio, Ohio House Bill 493 prevents any physician from client billing biopsies or biopsy-related charges.

We have partnered with an independent pathology laboratory to offer high quality clinical pathology testing services at discounted prices.

Biopsy or biopsy-related samples are collected in the office and sent to the pathology laboratory. Patients receive negotiated discounted self-pay prices which are billed to the patient by the pathology laboratory.

Sleep Study Services

Dr. Zachary K. West is a member of the Direct Primary Care Alliance and DPC Alliance member physicians obtain special pricing discounts for patients on some third-party services including home sleep studies.

We partner with an independent home sleep study outfit where all applicable insurance benefits and any necessary prior authorizations are obtained by the organization. Patients are provided with full good-faith estimates prior to scheduling and are quoted both insurance and self pay pricing.

A home sleep test is shipped directly to the patient’s front door. The two (2) night test measures multiple channels with accurate and reliable results which are manually scored by licensed Polysomnographic Technologists and reviewed by Board Certified Sleep Physicians. Results are available within two (2) business days of receiving the device back from the patient. When the results are ready, a licensed Sleep Coach will call the patient with the results, and a copy of the results will be faxed to our office. Should a patient be diagnosed with Obstructive Sleep Apnea, the faxed results will include a pre-populated order for AutoCPAP therapy with all settings and configurations properly marked. The sleep study outfit will begin to coordinate AutoCPAP setup options for the patient.

Special discounted home sleep study and AutoCPAP setup prices available as a direct primary care member patient.

Direct Pharmacy

Medications are ordered in the most cost effective manner possible. We have partnered with pharmacy suppliers to offer medications at discounted prices. Medications are ordered and dispensed from the office to the patient with the patient being charged at the time of service.

Note: The practice does not purchase or possess controlled substances. Any controlled substance will require a prescription. Drugs that are considered controlled substances under the Federal Controlled Substances Act are divided into five schedules (I-V). For more information, including a complete list of controlled substances, please visit: https://www.dea.gov/drug-scheduling.

Regenerative Medicine

Patient’s receive discounted pricing on regenerative medicine platelet rich plasma (PRP) and platelet rich fibrin (PRF) services.

Aesthetic Medicine

Patient’s receive discounted pricing on facial aesthetic injectables (botulinum toxin and fillers), microneedling and platelet rich plasma (PRP) facial services.

Order supplements through my Fullscript store.

If you are interested in learning more about direct primary care, please complete the following form.