Custom Family Care
Quick Facts
| Membership Price Range | $100/month |
| Practice Type | Direct Primary Care |
| Location | Madison, Huntsville |
| Doctors | Ivan Pivovarov MD, Family Medicine |
| Insurance Accepted | Aetna, Blue Cross and Blue Shield, Cigna, Humana, Tricare East, Tricare For Life |
About
At Custom Family Care in Madison, Alabama, Dr. Ivan Pivovarov brings together primary and urgent care under one roof. The practice serves patients throughout the Madison and Huntsville area with transparent pricing and direct physician access.
The clinic handles everything from preventive visits and chronic disease management to minor procedures and same-day urgent concerns. On-site equipment includes hybrid X-ray, ultrasound, an ECG machine, pulmonary function testing, and an in-office lab. Members enrolled in the Direct Care Membership pay $100 per month and $25 per office visit. Dr. Pivovarov lives minutes from the office, allowing the practice to accommodate same-day and after-hours requests.
Details
Address
279 Hughes Road, Madison, AL 35758
Phone
(256) 325-0480Website
Visit websiteMembership
$100/monthly
Membership Details
Direct Care Membership: $100 per month, $25 office visits, priority scheduling, direct physician communication, same-day appointments when available, after-hours appointments when available, discounts on office procedures, testing, and imaging. Cash paying patients: $125 new patient, $100 established patient. Extra charges for tests and procedures apply.
Typical Appointment
30 minutes
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Frequently Asked Questions
The Direct Care Membership at Custom Family Care costs $100 per month. Members pay $25 per office visit and receive priority scheduling, direct physician communication, same-day appointments when available, after-hours appointments when available, and discounts on procedures, testing, and imaging.
Yes. Cash-paying patients are welcome without a membership. New patient visits cost $125 and established patient visits cost $100. Additional charges apply for tests and procedures.
Yes. Custom Family Care accepts Aetna, Blue Cross and Blue Shield, Cigna, and Humana. The practice also participates as an out-of-network provider for Tricare East and Tricare For Life, filing claims on your behalf. You pay your deductible and cost-share.
Standard appointments run 30 minutes. That allows enough time for thorough evaluations and direct conversation with Dr. Pivovarov. Members with priority scheduling can often access same-day or after-hours slots.
Custom Family Care opted out of Medicare beginning October 1, 2025. This includes Medicare Advantage plans. Medicare patients who wish to continue care with Dr. Pivovarov may enter into a Private Contract, available under the New Patient section of the website.
Custom Family Care maintains hybrid X-ray, an ultrasound machine, an ECG machine, a pulmonary function testing device, a nebulizer, and an in-office lab. This allows Dr. Pivovarov to complete imaging, cardiac screening, respiratory testing, and lab work during a single visit.
The in-office lab handles rapid metabolic and lipid panels, HbA1c, urinalysis, flu, COVID, and strep tests, mono, pregnancy, and bacterial vaginosis testing. Send-out blood tests go to Huntsville Hospital Lab, with most results returned by the next day.
Yes. Custom Family Care offers online scheduling through Calendly, Google Scheduling, Facebook Scheduling, the patient portal, telephone, and email. Established patients can also self-schedule directly through the patient portal.
The practice performs laceration repair, abscess incision and drainage, joint steroid injections, skin biopsies, wart and skin tag removal, cyst excision, ingrown nail resection, splinting, ear wax removal, and IV fluid therapy. Dr. Pivovarov handles all procedures on-site.
Yes. Custom Family Care maintains a transparent pricing list on its website covering tests, procedures, and imaging. The practice believes patients should know costs before making care decisions.
Practice last updated October 31, 2026