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About Domus

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What is Domus Primary Care?

Domus Primary Care is a physician-led concierge practice based in Manhattan, offering personalized house call and telemedicine services for adults and children ages five and older.We provide comprehensive primary care, including preventive visits, chronic disease management, and urgent care. Our model is designed for those who value accessibility, discretion, and continuity with a trusted physician.

How does your care model differ from a regular doctor’s office?

Domus Primary Care embraces the traditional physician house call and eliminates many of the barriers associated with an office-based practice. The doctor comes to you. No crowded waiting room or rushed appointments. We limit our patient panel to ensure direct access to your physician, longer visits, and thoughtful, relationship-based care tailored to your needs.

Who is eligible to become a patient?

We currently accept patients aged 5 to 64 who reside in Manhattan. Individual House Calls may be available for visitors or non-residents on a case-by-case basis. We are unable to see individuals enrolled in or eligible for Medicare.

What types of conditions do you treat?

We manage a broad range of primary care needs, including common illnesses, chronic medical conditions, and preventive health concerns. From hypertension, diabetes, and thyroid disorders to respiratory infections, rashes, or digestive issues, care is tailored to your individual health goals.

Do you offer preventive, chronic, and urgent care?

Yes. Our care includes chronic disease management, preventive care, and evaluation of acute/urgent concerns.

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. Pediatric house calls are designed to be calm, personalized, and convenient for families.

Do you perform physicals or administrative evaluations?

Yes. We provide physical exams for school, work, camp, travel, and other administrative needs. Forms can be completed during the visit or shortly afterward through our secure patient portal.

What’s included in the Signature Membership?

Signature Members enjoy priority access, reduced rates for urgent visits and procedures, and unlimited telemedicine with direct communication by phone, text, or email.

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 care, short-term support, or medical attention while visiting Manhattan.

Can I upgrade to a membership after a single visit?

Absolutely. If you choose to enroll within seven days of an Individual House Call, the visit fee will be applied as a credit toward your first month’s membership.

How do I cancel or change my membership?

Memberships can be changed or canceled at any time. We recommend submitting any changes before your next billing cycle. Please note that fees for services already rendered are non-refundable.

How do house calls work?

Once your visit is scheduled, your physician arrives at your home or office with all medical equipment necessary for your care. Appointments are unhurried, personalized, and typically last between 45 and 75 minutes. CLIA-Waived testing is available on site. Additional equipment, such as a portable ultrasound machine (POCUS) or a 12-lead electrocardiogram (EKG), is also available if needed. For more comprehensive blood work, lab samples may be collected during the visit or arranged through a partnered lab, based on your preference. Follow-up care, including outpatient imaging or specialist referrals, is coordinated seamlessly after the visit.

What areas do you serve for house calls?

House calls are available throughout Manhattan. Requests outside Manhattan may be considered on a case-by-case basis, subject to physician availability and travel arrangements.

What can be addressed during a house call?

We evaluate and treat a broad range of acute and chronic concerns. 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.

How long does a typical visit last?

Most house calls and telemedicine appointments are scheduled for 45–60 minutes.

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. Signature Members enjoy unlimited 24/7 telemedicine access.

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 labs and imaging available with house calls?

Yes. Bloodwork and other specimens can be collected during your visit or arranged through a partnered laboratory. Imaging such as X-ray, ultrasound, or MRI is coordinated with trusted local facilities.

Do you offer same-day appointments?

Same-day and next-day availability is often possible for established patients. New patient requests are accommodated as promptly as possible.

Are telemedicine visits available outside of New York?

Telemedicine is available only to patients physically located in New York at the time of the visit, in accordance with state licensing laws.

How do I schedule an appointment?

Appointments can be requested through our secure online portal or by phone. Established members may also schedule directly with their physician.

Do I need to be a member to schedule a visit?

No. While membership offers priority access and preferred rates, Individual House Call appointments are available without a membership.

How far in advance should I book?

For routine or planned visits, we recommend scheduling at least several days in advance. Urgent or same-day requests are accommodated whenever possible, with priority availability given to signature members.

What information will I need to provide when booking?

New patients will be asked for basic information, medical history, and the reason for the visit, allowing the physician to arrive prepared for the house call.

Can I reschedule or cancel an appointment?

Yes. Advance notice is required. A cancellation policy applies for changes made within 24 hours of your appointment.

Do you offer weekend or evening appointments?

Yes. Select weekend and evening times are available, subject to limited availability and an additional fee for non-members.

How do follow-up appointments work?

Follow-up visits may be scheduled as house calls or telemedicine sessions, depending on the nature of your care plan.

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 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. Consecutive or extended appointments for multiple individuals in the same location can be arranged in advance.

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?

Domus Primary Care operates on a direct-pay model and does not bill insurance. Payment is made directly at the time of service. Patients with insurance may submit receipts to their carrier for potential out-of-network reimbursement.

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. Reimbursement is not guaranteed and depends on your policy.

What forms of payment do you accept?

We accept major credit cards, debit cards, HSA/FSA cards, and bank transfers.

Are membership fees covered by insurance?

Membership fees are generally not covered by insurance. Some patients choose to use HSA or FSA funds if allowed by their plan.

When is payment due?

Payment for Individual House Calls is due at the time of booking. Membership fees are billed monthly or annually, based on your chosen plan.

Are there additional fees for certain services?

Yes. Services such as after-hours visits, travel outside the standard service area, or certain advanced procedures 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.

How will I receive my prescription?

Prescriptions are sent electronically to your preferred pharmacy. If you require delivery, we can coordinate with a local pharmacy that offers courier services.

Can you refill my prescriptions?

Yes. Refills are provided when clinically appropriate and typically require a follow-up visit or review of your medical history.

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 may be collected on-site and sent to a partnered commercial laboratory.

Can you order imaging studies?

Yes. We can order imaging such as X-ray, ultrasound, CT, or MRI through trusted local

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.

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