Avalon Primary Care logo
Direct Primary Care
Family Medicine

Avalon Primary Care

Quick Facts

Membership Price RangeInfant to 25yrs: $40/mo (without parent/sibling member), $20/mo (with parent/sibling member); 26yrs to 64yrs: $70/mo per person; Medicare Recipients: No monthly fee; Family Rates: 2 Parents + 2-3 children $180/mo, 2 Parents + 4+ children $200/mo
Practice TypeDirect Primary Care
LocationLancaster
DoctorsLouise Butler DO, Family Medicine
Year Founded2019
Telehealth TypePhone, text, email, and video (Skype or FaceTime)
HousecallsYes
Insurance AcceptedMedicare, Medicare Supplements, Medicare Advantage Plans
Telehealth AvailableYes

About

At Avalon Primary Care, Dr. Louise R. Butler, DO, brings over two decades of Lancaster-area family medicine experience to a Direct Primary Care practice she founded in 2019. She trained in Maine, completed her Family Practice residency in Lancaster in 1994, and spent years practicing in North Carolina and Western Maryland before returning to Lancaster in 2001. Her core belief is simple: listen carefully, and the patient will guide you to the right diagnosis and treatment.

The practice covers a wide range of family medicine services under a straightforward monthly membership. Appointments run 30 to 60 minutes, and Dr. Butler offers same-day visits, telemedicine, and home visits for established patients. Members reach her by phone, text, email, or video call. The membership covers physicals, sick visits, procedures such as skin lesion removals and joint injections, Osteopathic Manipulative Therapy, and paperwork visits. Members also receive significant discounts on medications and lab testing. Medicare recipients pay no monthly fee. The practice name draws from the city of Avalon on Santa Catalina Island, Avalon, New Jersey, and the mythical healing island from the Legend of King Arthur.

Details

Address

2160 Lincoln Hwy East, Unit 1-4A, Lancaster, PA 17602

Membership

$70/monthly

Membership Details

Monthly fee covers all office visits including physicals, sick visits, paperwork visits and most procedures. Medicare recipients pay no monthly fee. Does not accept insurance other than Medicare and its supplements. One-time consultation: $30 for children to 25yrs, $70 for all others. Weekend care: $50 for all ages. Home visits (established patients only): $75. CDL and Professional SCUBA Diving Physicals: $85 for members, $110 for non-members. OMT: included in membership, $75 for non-members.

Typical Appointment

45 minutes

Telemedicine
House Calls
Same-Day Appointments

Our Doctors

Similar Practices Nearby

Explore More

Frequently Asked Questions

Monthly membership at Avalon Primary Care costs $70 per person for adults ages 26 to 64. Children and young adults up to age 25 pay $40 per month, or $20 with a parent or sibling member. Family rates are also available. Medicare recipients pay no monthly fee. Fees are payable by cash, check, credit or debit card, and HSA accounts.

The membership fee covers all office visits, including physicals, well child exams, sick visits, counseling visits, and paperwork visits such as FMLA or disability forms. It also includes most procedures, such as skin lesion removals, joint injections, allergy shots, sutures, and splinting. Osteopathic Manipulative Therapy is included for members. Members also receive significant discounts on medications and lab testing.

Avalon Primary Care does not accept insurance other than Medicare and its supplements. Dr. Butler bills Medicare and most Medicare supplemental and advantage plans directly. For all other patients, the practice operates on a direct-pay membership model. Dr. Butler strongly encourages all patients to maintain their own health insurance for services outside the practice.

Appointments at Avalon Primary Care run 30 to 60 minutes. That time allows Dr. Butler to listen thoroughly, review your history, and work through your concerns without rushing. Same-day appointments are available, and Dr. Butler offers telemedicine visits by phone, email, text, or video call.

Yes, Dr. Butler offers both telemedicine and home visits. Patients can reach her by phone, text, email, Skype, or FaceTime. Home visits are available for established patients at a fee of $75 and take place during daylight hours. Weekend care is also available if Dr. Butler comes into the office, at a fee of $50 for all ages.

Avalon Primary Care performs CDL physicals and Professional SCUBA Diving physicals. Members pay $85 for these, and non-members pay $110. The practice also performs sports physicals and driver's physicals as part of the standard membership services.

New patients can sign up directly through the Avalon Primary Care enrollment portal online. A one-time consultation fee applies before the monthly membership begins. That fee is $30 for patients up to age 25 and $70 for all others. The practice currently accepts new patients.

Yes. Members receive significant discounts on common medications and lab testing, including blood work. Dr. Butler also helps patients find the best available rates for x-rays and other imaging studies. If the practice cannot provide a particular service, Dr. Butler works to find the most cost-effective outside option.

Dr. Butler chose the name Avalon from three sources meaningful to her. She grew up near Santa Catalina Island in Southern California, where the city of Avalon holds cherished memories. She also spent time near Avalon, New Jersey. The name connects to the mythical island of Avalon from the Legend of King Arthur, described as a healing island filled with fruit trees. The practice logo represents those trees, the chalice, and the sword of Excalibur.

Practice last updated April 10, 2026