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Direct Primary Care
Internal Medicine

Bridge Primary Care

Quick Facts

Membership Price Range14-29: $210/month | 30-39: $245/month | 40-49: $280/month | 50-59: $325/month | 60-69: $365/month | 70-79: $410/month | 80-89: $430/month | 90 and Up: $450/month
Practice TypeDirect Primary Care
LocationBainbridge Island, Kitsap County, North Kitsap County
DoctorsPayton Skawinski MD, Internal Medicine
Year Founded2022
Telehealth TypeVideo visits, phone consultations
HousecallsYes
Telehealth AvailableYes

About

At Bridge Primary Care, Dr. Payton Skawinski delivers direct primary care from a converted historic house on Madison Street in Bainbridge Island, WA. He founded the practice in 2022 with a clear goal: provide every patient the level of care he would give his own family. His mentorship under Dr. Jared Hendler, who has served Bainbridge Island for over two decades, helped shape the practice's roots in the community.

Bridge Primary Care emphasizes prevention, lifestyle medicine, and root-cause thinking. Dr. Skawinski focuses on nutrition, exercise, mindfulness, and sustainable habits that support long-term health. Appointments run 30 minutes to an hour. Members also reach Dr. Skawinski by phone, video, or home visit. He actively serves as a liaison and second opinion when patients navigate specialists or hospital stays. The practice welcomes patients of all backgrounds and proudly displays the Safe Space Alliance logo.

Details

Address

231 Madison Ave South, Bainbridge Island, WA 98110

Membership Details

Age-based monthly membership pricing ranging from $210/month (ages 14-29) to $450/month (ages 90+). No insurance accepted. No copays. All visits included in membership.

Typical Appointment

30 minutes

Telemedicine
House Calls
Same-Day Appointments

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Frequently Asked Questions

Bridge Primary Care uses age-based monthly pricing. Memberships start at $210 per month for members ages 14-29 and scale to $450 per month for members 90 and older. The monthly fee covers all visits with no copays.

Bridge Primary Care does not accept insurance. Most members pair a high-deductible insurance plan with their DPC membership. This combination typically costs less than a traditional low-deductible plan while adding direct access to a personal physician.

Yes. Bridge Primary Care offers same-day and next-day appointments. Dr. Skawinski schedules visits to meet patient needs promptly, and members always see the same doctor.

Membership covers all in-person visits, telehealth appointments, phone consultations, and home visits with no copays. Members also access Dr. Skawinski's negotiated cash-pay lab prices through Labcorp or Quest, which are often less expensive than insurance rates.

Dr. Skawinski draws labs in the clinic or sends members to Labcorp or Quest locations nationwide. The nearest Labcorp is in Poulsbo. The practice uses negotiated cash-pay pricing, which is typically cheaper than billing through insurance.

Yes. Members can schedule video visits, phone consultations, and home visits. All of these options are included in the monthly membership fee.

No. Bridge Primary Care operates on a membership-only model. The practice does not offer one-time or episodic visits outside of a membership.

Bridge Primary Care accepts members starting at age 14. Membership pricing adjusts by age group, with tiers running from 14-29 all the way through 90 and older.

Dr. Skawinski builds individualized care plans around nutrition, exercise, mindfulness, social connection, and brain stimulation. He prioritizes lifestyle counseling and education over reflexive prescribing. His goal is to help members build sustainable habits that extend both longevity and quality of life.

Yes. Bridge Primary Care welcomes people of all races, religions, abilities, sexual orientations, gender identities, and socioeconomic backgrounds. The practice displays the Safe Space Alliance logo and actively works to create a comfortable, judgment-free environment for every member.

Practice last updated April 10, 2026