Big Tree Medical logo
Direct Primary Care
Primary Care

Big Tree Medical

Quick Facts

Membership Price RangeUnlimited: $80/mo (individual), $150/mo (member + children), $150/mo (member + spouse), $225/mo (member + family) | Virtual-Only: $62/mo (individual), $110/mo (member + children), $110/mo (member + spouse), $160/mo (member + family) | Access (MO only): $40/mo (individual), $77/mo (member + children), $77/mo (member + spouse), $110/mo (member + family) | 3-month minimum commitment required
Practice TypeDirect Primary Care
LocationColumbia, MO, Boonville, MO, Sedalia, MO, Jefferson City, MO
DoctorsAdam Wheeler MD, MBA, Primary Care
Year Founded2017
Telehealth TypeSecure text messaging and video consultations via Spruce app
Insurance AcceptedInsurance billed for Access membership services (copays and deductibles apply)
Telehealth AvailableYes

About

At Big Tree Medical, Dr. Adam Wheeler, MD, MBA built a direct primary care practice designed to make healthcare genuinely accessible. He founded the Columbia, Missouri practice in 2017 with a clear mission: deliver affordable, relationship-driven care to patients across a state where 110 of 114 counties face primary care shortages.

The practice operates multiple physical locations in Columbia, Boonville, Sedalia, and Jefferson City. Little Tree Pediatrics and Big Tree Pharmacy share the Columbia campus, giving members access to specialty pediatric care and over 180 generic medications at $1 each. A collaborative team of physicians, nurse practitioners, and dietitians serves members across three membership tiers starting at $40 per month. The Unlimited plan at $80 per month covers unlimited in-person and virtual visits, same-day appointments, 24/7 messaging, and wholesale lab pricing through Quest. Beyond primary care, Big Tree Medical offers hormone replacement therapy, medical weight loss with GLP-1 medications, a longevity program with advanced biomarker testing and IV therapy, and aesthetics services at the Columbia clinic. S. states through the Spruce app.

Details

Address

200 Corporate Lake Dr, Columbia, MO 65203

Membership

$80/monthly

Membership Details

Three membership tiers: Unlimited ($80/mo individual) includes unlimited in-person and virtual visits, 24/7 messaging, same-day appointments, $1 generic medications (180+), wholesale labs via Quest; Virtual-Only ($62/mo individual) includes virtual care only, 24/7 messaging, acute/chronic/mental health/weight loss care; Access ($40/mo individual, MO only) includes 24/7 messaging, $1 generic medications, appointments billed to insurance with copays/deductibles. Family rates available for all tiers.

Telemedicine
Same-Day Appointments

Our Doctors

Similar Practices Nearby

Explore More

Frequently Asked Questions

Big Tree Medical offers three membership tiers. The Access plan starts at $40 per month and includes 24/7 messaging and discounted medications, with appointments billed to insurance. The Virtual-Only plan is $62 per month and covers virtual care for acute, chronic, mental health, and weight loss needs. The Unlimited plan is $80 per month and includes unlimited in-person and virtual visits, same-day appointments, and wholesale lab pricing. Family rates are available for all tiers.

No. Big Tree Medical operates independently of insurance billing for membership services. Members pay a flat monthly fee regardless of their insurance status. The practice recommends pairing your membership with a high-deductible plan or a health-sharing plan like Sedera to cover specialist visits, imaging, and hospital stays.

Yes. The Unlimited membership includes same-day appointment availability. Members can also reach their care team 24/7 through the Spruce app via text or video. This makes it easy to get care quickly without waiting days or weeks for an opening.

Big Tree Medical operates physical clinics in Columbia, Boonville, Sedalia, and Jefferson City, Missouri. Little Tree Pediatrics and Big Tree Pharmacy share the Columbia campus. S. states through the Spruce app.

Big Tree Medical maintains an in-house pharmacy at its Columbia location stocked with over 180 generic medications priced at $1 each. This benefit applies to Missouri members. Providers also prescribe brand-name medications to outside pharmacies. The practice does not carry or prescribe opioids or narcotics.

Yes. Big Tree Medical provides wholesale lab pricing through a partnership with Quest Diagnostics. Members typically pay up to 90% less for labs than they would through traditional insurance billing. Lab services are included in the Unlimited and Access membership tiers.

Yes. Big Tree Medical offers family rates across all three membership tiers. An Unlimited family plan runs $225 per month. A Virtual family plan is $160 per month. For enrolling children specifically through Little Tree Pediatrics, the practice asks families to call or text 573-814-1170 for assisted enrollment.

Yes. The practice provides mental health medication management as part of its primary care services. Both the Unlimited and Virtual-Only memberships include mental health care. Big Tree Medical does not replace specialty psychiatric care but manages medication needs within the scope of primary care.

The longevity program offers advanced biomarker testing, IV therapy including Myers cocktails and NAD+, VO2 performance and metabolic testing, and whole genome testing through Biography Health. These services suit members focused on optimizing long-term health and preventing disease before symptoms appear.

Yes. Big Tree Medical works with self-funded employer groups to provide membership-based primary care benefits. The practice has served groups including Chick-fil-A and Shakespeare's Pizza. Employer groups using Big Tree report reductions in total healthcare spending of 20 to 40 percent.

Practice last updated April 11, 2026