About
Dr. Paul A. S. in Marine Biology from Texas A&M University before returning to Peru to complete his medical degree at San Martin de Pores University. He then trained in Family Medicine at Nebraska Medicine, Clarkson Family Medicine in Omaha, Nebraska. Board-certified in Family Medicine, he has practiced medicine for over two decades. He spent several years as a family medicine physician with Ascension St. Vincent's Health Care before founding Integra Wellness & Aesthetics. He has called the Jacksonville and Saint Augustine area home for more than a decade.
Dr. Busse's clinical focus spans hormonal optimization, bioidentical hormone therapy, medical weight loss using semaglutide and tirzepatide, men's and women's health, and mental health support. He attended a specialty seminar on bioidentical hormone therapy to deepen his expertise for patients. He provides trauma-informed, culturally humble care for LGBTQ+ patients and serves as a designated Civil Surgeon for USCIS immigration medical exams. Fluent in English and Spanish, he treats patients as whole people rather than collections of symptoms. Outside medicine, he enjoys sailing, paddle boarding, cycling, the beach, and time with family and friends. His path into medicine began when his father received a diagnosis of a near-bursting brain aneurysm, an experience that sparked a lasting fascination with diagnosis and healing.
Education & Training
Undergraduate
Texas A&M University, B.S. Marine Biology
Medical School
San Martin de Pores University, Peru
Residency
Family Medicine, Nebraska Medicine, Clarkson Family Medicine, Omaha, Nebraska
Certifications
Languages
English, Spanish
Conditions Treated
Who is Dr. Busse right for?
Dr. Busse is a strong fit for adults seeking a primary care physician who investigates root causes rather than managing symptoms alone. Patients dealing with hormonal imbalances, metabolic syndrome, fatigue, brain fog, or weight challenges benefit from his integrative approach. He serves both men and women, including those navigating menopause, perimenopause, low testosterone, or sexual dysfunction. LGBTQ+ patients find his practice affirming and culturally humble. Those needing USCIS immigration medical exams also receive efficient, on-site support from him directly.
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Frequently Asked Questions
Dr. Busse treats a broad range of conditions including hypertension, type 2 diabetes, insulin resistance, hypothyroidism, Hashimoto's thyroiditis, high cholesterol, and metabolic syndrome. He also addresses fatigue, brain fog, anxiety, depression, burnout, sleep disorders, low testosterone, erectile dysfunction, menopause, perimenopause, and digestive conditions such as IBS and reflux. His approach prioritizes identifying underlying causes rather than only managing symptoms.
Yes. Dr. Busse holds board certification in Family Medicine. He completed his residency training at Nebraska Medicine, Clarkson Family Medicine in Omaha, Nebraska, and has practiced clinical medicine for over two decades.
Dr. Busse takes a root-cause approach to hormonal imbalances. He offers Evexipel bioidentical hormone pellet therapy, compounded and bioidentical hormones, and individualized hormonal optimization plans. He attended a specialty seminar focused on bioidentical hormone therapy to strengthen his clinical expertise in this area.
Yes. Dr. Busse provides physician-supervised medical weight loss using semaglutide and tirzepatide. He pairs these treatments with personalized plans that address the hormonal and metabolic factors behind weight challenges. His goal is lasting results grounded in clinical science.
Yes. Dr. Busse delivers LGBTQ+ affirming primary care with a trauma-informed and culturally humble approach. He provides comprehensive primary care, hormonal support, and mental health services to LGBTQ+ patients.
Yes. Dr. Busse is a designated Civil Surgeon authorized by USCIS to perform immigration medical exams. His office handles all required testing on-site, including bloodwork, TB screening, and vaccinations. He prepares the completed sealed Form I-693 packet within three to four business days.
Yes. Dr. Busse is fluent in both English and Spanish. The entire Integra Wellness & Aesthetics team operates bilingually, so Spanish-speaking patients receive full support throughout their care.
Dr. Busse believes strong medical care begins with understanding the person, not just the symptoms. He builds personal relationships with his patients and takes time to understand their full health history and long-term goals. His concierge model gives him the time and space to practice medicine this way.
Dr. Busse offers Botox, Cutera XEO laser skin rejuvenation, laser hair removal, truSculpt body sculpting, and Cutera TruFlex muscle toning. His medical background informs every aesthetic treatment, ensuring results that account for anatomy, physiology, and individual health history.
Dr. Busse earned his medical degree from San Martin de Pores University in Peru. S. in Marine Biology. He then completed his Family Medicine residency at Nebraska Medicine, Clarkson Family Medicine in Omaha, Nebraska.
Doctor profile last updated June 9, 2026