Golden capitalized letters - DOMUS; with smaller golden letters below it -PRIMARY CARE
DOMUS PRIMARY CARE · Membership & Pricing

Direct Primary Care Membership
in New York City

One flat monthly fee. A doctor who actually knows you.

Membership and Pricing

Single Visit

Episodic care · no retainer
Pay per visit
House Call
$475
+ each additional family member
$200 / person
Virtual Visit
$125
MOST POPULAR

Member

Ongoing care · one physician
$250 / month
House Call
$250
+ each additional family member
$100 / person
Virtual Visit
$50
Annual Wellness Visit
Included
First month on us: join within one week of your first house call and your first month’s membership fee is waived.
Prices current as of July 2026. Procedure or ancillary charges, if any, are disclosed before service.
You are entitled to a Good Faith Estimate of expected charges before your visit. Learn more.

A physician on retainer

Most New Yorkers have insurance. Far fewer have a doctor who answers their texts, knows their history, and shows up at their door. Membership gives you that doctor, for about $8 a day.

A Single Visit is an appointment

Excellent care for a one-time or short-term concern
Ideal for visitors to New York, second opinions, and independent evaluations
The best way to experience DOMUS before deciding on membership
When the visit ends, so does the engagement. Book again whenever you need us

Membership is a relationship

Your doctor answers your questions, worries, and "is this normal?" texts directly, without booking a visit
Your care continues between visits: results tracked, medications managed, specialists coordinated
Priority when it matters: same-day and next-day scheduling
Your annual wellness visit is included, and every visit costs roughly half
Our honest advice: if you only count per-visit prices, occasional single visits are the cheaper way to see a doctor, and we’ll happily provide exactly that. Membership is for people who want a physician in their corner all year: one doctor who knows you, answers you, and comes to your door. Start with a single visit and see how DOMUS feels. If you join within a week, the first month is on us.

Membership Benefits

Direct Physician Access

Message or speak directly with your doctor for guidance, questions, and care planning. No phone trees, no gatekeepers.

Priority Scheduling

Same-day or next-day appointments, with expedited scheduling when something can’t wait.

Annual Wellness Visit

A comprehensive preventive visit every year, included in your membership rather than billed on top.

Medication Management

Ongoing medication review and treatment adjustments as appropriate.

Care Coordination

Referrals, testing, specialist communication, and transitions of care, handled for you rather than by you.

Preferred Member Rates

$250 house calls and $50 virtual visits, plus reduced pricing on procedures, testing, and select in-home services.

Membership Questions

What’s included in the DOMUS Membership?
Membership is $250 per month and includes direct physician access, priority scheduling (including same-day and next-day availability), an annual wellness visit, ongoing medication management, care coordination with specialists and labs, and preferred member rates: $250 house calls and $50 virtual visits, versus $475 and $125 without membership.
Is a DOMUS Membership health insurance?
No. A 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 medications.
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 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 visit, we’ll waive your first month’s membership fee.
Can I cancel my membership at any time?
Yes. Memberships can be canceled at any time. Please note that fees for services already rendered are non-refundable.
More questions? Visit the full FAQ →

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.
Book your Discovery Call
Dr. Dmitriy Gagarkin and a DOMUS Primary Care team memberDr. Dmitriy Gagarkin and a DOMUS Primary Care team member