DOMUS Primary Care is a family medicine practice built around house calls. A board-certified physician comes to your home or office anywhere in New York City, and virtual visits reach you anywhere in New York State. Visits are unhurried, care is personal, and pricing is flat and published. We care for patients ages 5–64.
What should I do in an emergency?
DOMUSPrimary Care is not an emergency service. If you are experiencing a medical emergency — such as chest pain, difficulty breathing, signs of stroke, or severe bleeding — call 911 or go to the nearest emergency room immediately.
For urgent but non-life-threatening concerns, call (332) 373-1411 and we will do our best to see you the same day.
How does your care model differ from a regular doctor’s office?
We remove the barriers of office-based medicine: crowded waiting rooms, rushed appointments, limited access. The doctor comes to you instead. Visits take the time they need, usually 45 to 60 minutes, and you have direct access to your physician between visits.
Who is eligible to become a patient?
We accept New York City patients ages 5 to 64. Because DOMUS operates outside the Medicare system, we are unable to treat individuals enrolled in or eligible for Medicare. Visiting New York? Individual house calls for visitors and hotel guests are available too.
Do you offer care in Russian?
Yes. Dr. Gagarkin provides care in English and Russian, and this site is available in Russian.
What is a Discovery Call?
A complimentary conversation with the doctor. No commitment, no pressure. We'll talk through what you're looking for and whether DOMUSis right for you. Book your Discovery Call
What types of conditions do you treat?
We manage a broad range of primary care needs, including common acute illnesses, chronic medical conditions, and preventive health concerns. For a more detailed list of services please see our Services page.
Do you offer preventive, chronic, and acute/urgent care?
Yes. DOMUS covers the full range of primary care: annual physicals and preventive care, ongoing management of chronic conditions such as hypertension and diabetes, and same-day evaluation when you are sick.
Do you provide care for children?
Yes. We offer primary care services for children aged five and older, including evaluation of common illnesses, basic preventive care, and general health concerns.
Do you perform physicals and complete forms?
Yes. We perform physicals for school, camp, sports, college, work, and travel, and we complete the forms during the visit or shortly afterward through the patient portal. One house call can cover the whole household’s forms.
How much does a visit cost?
Without a membership, a house call is $475 and a virtual visit is $125. DOMUS members ($250/month) pay $250 per house call and $50 per virtual visit. Additional family members seen during the same visit are $200 each, or $100 for members. Please Note: procedures, point-of-care testing, and ancillary services may carry additional fees, always disclosed before service.
What’s included in the DOMUS Membership?
Membership is $250 per month. It includes direct physician access, priority scheduling with same-day and next-day availability, an annual wellness visit, ongoing medication management, and care coordination with specialists and labs.
Members also pay preferred rates: $250 house calls and $50 virtual visits (versus $475 and $125 without membership), and $100 per additional family member seen during the same visit (versus $200).
Is DOMUS Membership health insurance?
No. DOMUS Membership is not health insurance and does not replace it. It covers your primary care relationship with our practice. We recommend maintaining insurance for emergencies, hospitalizations, specialists, and medication coverage.
Can I schedule just one visit without becoming a member?
Yes. Individual house calls are available without a membership and are ideal for those seeking one-time or short-term medical care.
Can I upgrade to a membership after a single house call visit?
Absolutely. Think of your house call as a chance to experience our care firsthand. If you decide to join within one week of your in-person visit, we’ll waive your first month’s membership fee.
Can I cancel my membership at any time?
Yes. Cancel anytime — though we don’t think you’ll want to.
How do house calls work?
The doctor comes to you. Once your visit is scheduled, your physician arrives at your home or office with everything the visit requires. Appointments typically last 45 to 60 minutes.
What areas do you serve for house calls?
House calls are available throughout New York City — Manhattan, Brooklyn, Queens, the Bronx, and Staten Island. Telemedicine is available to patients anywhere in New York State.
What can be addressed during a house call?
Each DOMUS house call offers a comprehensive medical evaluation with a physical examination, on-site or send-out diagnostic testing, and selected diagnostic and therapeutic procedures tailored to your needs.
Are labs and imaging available with house calls?
Yes. We offer a variety of point-of-care tests during your visit (see Services). If additional laboratory testing is needed, we can collect blood and other specimens during your house call and send them to a trusted partner laboratory. While we do not perform imaging studies such as X-rays, CT scans, or MRI during home visits, we can order these tests when medically appropriate and help coordinate your care with outside facilities.
How long does a typical visit last?
Each visit takes the time it needs. House calls typically run 45 to 60 minutes; virtual visits are shorter and sized to the concern. Your physician addresses everything fully — nothing gets cut short to keep a schedule.
Can multiple family members be seen during the same visit?
Yes. One visit, and everyone is cared for. Consecutive or extended appointments for your household are arranged when you book — physicals, forms, and sick visits included.
Additional family members are $200 each, or $100 for members.
How do telemedicine visits work?
Telemedicine is conducted through a secure, HIPAA-compliant platform. Once confirmed, you will receive a private link to connect via computer, tablet, or smartphone.
Can I begin care via telemedicine?
Yes. Many conditions can be managed through telemedicine, though an in-person visit may be recommended when a more detailed examination or additional testing is needed.
Are telemedicine visits available outside of New York?
No. Telemedicine visits are limited to patients physically located in New York at the time of the visit, in accordance with state medical licensing laws.
Do you offer same-day appointments?
Yes. Same-day and next-day visits are often available, for new patients as well as established ones. Call (332) 373-1411 and we’ll confirm today’s window. Members receive priority scheduling.
How do I schedule an appointment?
Book online through our secure portal, or call (332) 373-1411. Not sure where to start? Book your Discovery Call — a complimentary conversation with the doctor.
Do I need to be a member to schedule a visit?
No. You can schedule your house call without being a DOMUS member.
How far in advance should I book?
Need care today? Call us — same-day visits are often available. For routine or planned visits, booking a few days ahead gives you the best choice of times. DOMUS members receive priority scheduling.
What information will I need to provide when booking?
New patients will be asked for basic demographic information, medical history, payment information, and the reason for the visit.
Can I reschedule or cancel an appointment?
Yes, through the patient portal or by phone.
Cancellations made more than 24 hours before your appointment are fully refunded. Within 24 hours, cancellations are refunded at 50%; rescheduling within 24 hours is free the first time. Once your physician is on the way, the visit is non-refundable.
If something unexpected comes up, call us and we’ll do our best to be fair.
Do you offer weekend or evening appointments?
Yes. We see patients seven days a week, including evenings and weekends, subject to availability.
How do follow-up appointments work?
Follow-up visits can be conducted as a house call or telemedicine session, depending on what’s clinically appropriate — for example, a medication check-in may work well by video, while a follow-up requiring an exam or point-of-care testing may call for an in-person visit.
What qualifies as a VIP or special accommodation?
These are requests that extend beyond standard scheduling or visit arrangements, such as discreet entry, extended appointment times, multi-patient visits, or coordinating care at hotels, offices, or event venues.
How should I request special accommodations?
When booking, please indicate any specific needs or preferences. Our team will follow up promptly to confirm details and ensure all arrangements are in place.
Can you provide care in non-residential locations?
Yes. House calls may be arranged in private offices, hotels, or other approved locations within our service area, provided the environment is safe, secure, and suitable for medical care.
Do you offer fully discreet services?
Yes. All visits, whether in person or virtual, are conducted with the utmost discretion. Additional privacy measures can be arranged upon request.
Can multiple family members be seen during the same visit?
Yes. One visit, and everyone is cared for. Consecutive or extended appointments for your household are arranged when you book — physicals, forms, and sick visits included.
Additional family members are $200 each, or $100 for members.
Are there additional fees for VIP services?
Certain special accommodations, such as extended time, after-hours visits, or travel outside standard service areas, may carry additional fees, which will be discussed before confirming your appointment.
Do you accept insurance?
No. DOMUS operates on a direct-pay model and does not bill insurance. Visits are paid directly at the time of booking, and we can provide a superbill for you to seek reimbursement from your insurer.
Can you provide documentation for reimbursement?
Yes. We can provide a detailed invoice or “superbill” with the necessary codes for you to submit to your insurance company. If your plan includes out-of-network benefits, as many PPO plans do, a superbill may recover part of the cost. Reimbursement depends on your policy and is not guaranteed.
What forms of payment do you accept?
We accept major credit cards, debit cards, and bank transfers. HSA/FSA coverage is dependent on individual plan details and cannot be guaranteed.
Are membership fees covered by insurance?
Membership fees are generally not covered by insurance and are typically not eligible for HSA or FSA payment. Visit fees and clinical services often are, depending on your plan.
When is payment due?
Payment for a House Call or Virtual Visit is collected at the time of booking to confirm your appointment. Membership fees are billed monthly. Any additional procedure or testing fees are discussed with you before service and charged afterward.
Are there additional fees for clinical services?
Yes. Point-of-care testing and ancillary services (see our Services page) may have separate charges. All fees are discussed before confirming your appointment.
Can you prescribe medications during a visit?
Yes. Medications may be prescribed when clinically appropriate, including during house calls and telemedicine visits. Controlled substances are prescribed only when medically necessary and in compliance with federal and state regulations. Please note: DOMUS does not accept new patients solely for the prescription or refill of controlled substances.
How will I receive my prescription?
Prescriptions are sent electronically to a pharmacy of your choice.
Can you refill my prescriptions?
Yes. Refills are provided when clinically appropriate.
Do you offer lab testing during house calls?
Yes. CLIA-waived point-of-care testing, such as rapid strep, flu, and COVID-19 tests, can be performed during your visit. Bloodwork and other lab specimens can also be collected on-site and sent to a partnered commercial laboratory. Laboratory processing fees are not included in DOMUS visit fees and are billed separately by the lab — they may be fully or partially covered by your insurance plan.
Can you order imaging studies?
Yes. We can order imaging such as X-ray, ultrasound, CT, or MRI through trusted local partners. Imaging costs are not included in DOMUS fees and are billed by the imaging facility — they may be fully or partially covered by your insurance plan.
Will I get a copy of my lab results?
Yes. All results are shared securely, along with a physician review and recommendations for next steps.
Can you coordinate specialized lab work?
Yes. Advanced or specialty testing can be arranged through our partnered laboratories, with results integrated into your medical record.
How is my personal information protected?
All medical records and communications are stored on secure, HIPAA-compliant platforms. Access is limited to authorized personnel directly involved in your care.
Are telemedicine visits secure?
Yes. All virtual visits are conducted through encrypted, HIPAA-compliant video platforms to ensure privacy and confidentiality.
Do you share my information with third parties?
Your information is never shared without your consent, except as required by law or in the event of a medical emergency.
How will I access my records and visit notes?
Patients receive secure online access to visit summaries, lab results, and care plans through our patient portal.
Can I communicate with my physician electronically?
Yes. Secure messaging is available through the patient portal for non-urgent questions, follow-ups, and prescription requests.
What if I’m not comfortable with technology?
Our team can guide you through each step, from accessing the patient portal to connecting for telemedicine visits, ensuring you feel confident using our systems.
Not sure yet?
A Discovery Call is a complimentary conversation with the doctor. No commitment, no pressure. We’ll decide together whether DOMUS is right for you.
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