Baxter Family Medicine

The monthly membership covers most services the practice provides in the office. There are no co-pays and no surprise bills. Outside services such as labs, pathology, and imaging may carry additional costs, but Baxter Family Medicine negotiates steeply discounted rates with vendors and publishes a full price list so members always know what to expect.

Members can call, email, or text the practice to request a visit. Call before noon and the practice schedules a same-day appointment. Requests after noon receive a same-day slot when possible, or a next-day appointment. Standard appointments run 30 minutes; complex visits and annual wellness exams run 60 minutes.

No. Baxter Family Medicine does not bill any insurance company. The monthly membership fee covers in-office services directly. If members want to use insurance for outside labs or imaging, they may, though the practice already negotiates discounted cash prices with vendors.

Yes. Medicare patients can enroll at Baxter Family Medicine. They must sign a Medicare opt-out contract confirming that neither the practice nor the patient will bill Medicare for services provided in the clinic. Medicare benefits remain intact for all care received outside the practice, including specialist visits, pharmacy, imaging, and therapy.

No. Medicaid rules prohibit its clients from paying membership dues to a DPC practice, so Baxter Family Medicine cannot enroll Medicaid patients.

Yes. Baxter Family Medicine offers telephone and video visits in addition to in-office appointments. Members can reach their provider directly by phone, email, or text to determine the best visit format for their needs.

Yes. Baxter Family Medicine negotiates deeply discounted lab prices with outside vendors and provides members with a transparent price list. Most common lab tests cost a fraction of standard rates. Lab costs fall outside the membership fee but remain significantly below typical market prices.

Baxter Family Medicine coordinates referrals to outside specialists and hospitals when needed. The practice holds no affiliation with large health systems or insurers, so the doctor and patient decide together who best serves the patient's needs. The practice recommends members carry health insurance for situations requiring hospital or specialty care.

Members can cancel at any time by submitting written notice 30 days in advance. Written cancellation can go by mail to 10 Pier 1, Suite 301, Astoria, OR 97103, or by email. Patients who later wish to return pay a $200 re-enrollment fee and may join a waitlist if the practice is full.

Tricare Select and Tricare For Life work well with the DPC model at Baxter Family Medicine. The practice can prescribe and refer for these members as needed. Tricare Prime is not a good fit because it requires all referrals to route through specific Tricare physicians, which limits the practice's flexibility.