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ConciergeInternal Medicine

Desert Sage Internal Medicine

Quick Facts

Membership Price RangeIndividuals: $3,000/yr | Family: $2,800 per individual/yr
Practice TypeConcierge
LocationOro Valley
DoctorsPamela Dowell MD, Internal Medicine, Robert Irwin MD, Internal Medicine
Year Founded2001
Telehealth TypePhone, electronic communication, and videoconferencing
Insurance AcceptedMedicare, Medicare + Supplement (Gap Coverage), Private Insurer Policy PPO
Telehealth AvailableYes

About

At Desert Sage Internal Medicine in Oro Valley, Arizona, Dr. Pamela Dowell and Dr. Robert Irwin deliver concierge primary care rooted in a simple belief: serving the person means caring for the patient. Both physicians earned their medical degrees in 1997 from the University of Missouri School of Medicine. They trained together at St. Joseph's Hospital and Clinics in Phoenix, then settled in Oro Valley and opened their practice together in 2001.

The practice runs as an independently owned boutique, with two board-certified internists who each cap their patient panels. Members receive same-day and next-day appointments, longer comprehensive exams, and preventive care consultations. Each patient gets a membership card with their physician's mobile number and email address, enabling contact after hours. Dr. Dowell and Dr. Irwin hold courtesy privileges at Oro Valley Hospital for onsite or remote care coordination. The office itself is designed around calm: muted lighting, natural textures, and rarely crowded waiting areas. Prospective patients can schedule a free 15-minute meet-and-greet session before registering.

Details

Address

1834 E. Innovation Park Drive, Oro Valley, AZ 85755

Membership

$3,000/annual

Membership Details

Annual membership fee billed annually or semi-annually, payable by check or credit/debit card. Family rate is $2,800 per individual per year. Neither Medicare nor any other insurance will reimburse the annual membership fee.

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Frequently Asked Questions

Individual membership costs $3,000 per year. Families receive a reduced rate of $2,800 per individual per year. Patients choose between annual billing with one upfront payment or semi-annual billing with two payments per year. The practice accepts payment by check or credit and debit card.

No. Neither Medicare nor any other insurance provider reimburses the annual membership fee. Patients pay the membership fee directly to Desert Sage Internal Medicine. Standard health insurance still covers hospitalizations, specialist visits, medications, and diagnostic tests.

Yes. Membership covers primary care services but does not replace health insurance. You still need coverage for hospitalizations, specialist visits, medications, and diagnostic testing. The practice is happy to refer you to an insurance representative if needed.

The practice accepts Medicare and Medicare with Supplement coverage. It also accepts patients with private PPO insurance for individuals under 65, though it is not contracted with these payers and deductibles apply. The practice does not accept HMO plans or Medicare Advantage plans.

Membership includes same-day and next-day appointment availability, comprehensive annual wellness exams, preventive care consultations, and coordinated care with specialists and hospital personnel. Members also receive access to their physician via phone, email, and videoconferencing, including after business hours.

Desert Sage Internal Medicine gives each member a Patient Membership Card upon registration. The card contains your physician's mobile number for calls and texts, as well as their email address. This direct access extends beyond regular business hours.

Yes. Both physicians offer free 15-minute meet-and-greet sessions for prospective patients. These visits are non-medical and carry no obligation. They give you the opportunity to ask questions and decide whether the practice fits your needs.

Dr. Dowell and Dr. Irwin hold courtesy privileges at Oro Valley Hospital. They coordinate your care either onsite or remotely, advocating on your behalf throughout your stay. They do not hold authority to write direct orders but actively communicate with hospital personnel on your behalf.

Both physicians maintain a cap on their total patient panels. Prospective patients should contact the office directly by phone or through the online inquiry form to ask about current availability. Registration requires completing Patient Agreement Forms along with submitting payment.

Desert Sage Internal Medicine is well suited for people managing chronic conditions, those focused on maintaining or improving their wellness, and anyone who wants direct, consistent access to their physician. The practice also fits patients who want a closer, more continuous relationship with their doctor over time.

Practice last updated September 17, 2026