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Direct Primary Care
Family Medicine

Fort Worth Direct Care

Quick Facts

Membership Price Range$1,200/yr (Ages 12-26) | $1,500/yr (Ages 27-59) | $1,800/yr (Ages 60-69) | $2,100/yr (Ages 70+)
Practice TypeDirect Primary Care
LocationFort Worth
DoctorsMelissa McFadden D.O., Family Medicine
Telehealth TypeVideo visits, phone consultation, text messaging, email
Telehealth AvailableYes

About

Dr. McFadden delivers family medicine to patients ages 12 and up on a direct, insurance-free basis. She has practiced medicine in Fort Worth since 2014. com.

She keeps her panel intentionally small. That choice lets her spend real time with each patient at every visit. Annual physicals get a full hour. Same-day and next-day appointments are available. Patients reach her by phone, text, email, or telehealth. She also picks up after-hours calls for urgent concerns. Her scope covers preventive care, chronic disease management, urgent visits, prescriptions, lab and imaging orders, specialist referrals, and active coordination with each patient's broader medical team.

Details

Address

5701 Bryant Irvin Rd., Suite 203, Fort Worth, TX 76123

Membership

$1,200/annual

Membership Details

Annual membership fee. Payments can be made quarterly, every six months or annually. 10% discount for family group payments. No additional fees for office visits. HSA/FSA accepted. No insurance accepted. Medicare opted-out.

Typical Appointment

60 minutes

Telemedicine
Same-Day Appointments

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Frequently Asked Questions

Membership pricing at Fort Worth Direct Care scales by age. Patients ages 12 to 26 pay $1,200 per year. Patients ages 27 to 59 pay $1,500 annually. Rates continue to increase in two more tiers for patients in their 60s and 70s. Families who pay together receive a 10% discount on their memberships.

Yes. Fort Worth Direct Care accepts payment quarterly, every six months, or annually. You choose the schedule that works best for you. The practice does not charge additional fees for office visits on top of the membership cost.

Yes. Fort Worth Direct Care qualifies as a medical clinic with a licensed physician, so the practice accepts HSA and FSA funds for the membership cost. If you itemize medical expenses on your tax return, the membership fee may also be tax deductible. Consult your tax advisor for guidance specific to your situation.

Fort Worth Direct Care does not accept insurance for membership fees or office visits. You remain responsible for the membership cost regardless of your insurance coverage. The practice has opted out of the Medicare system, so Medicare does not cover services here. Medicare recipients must sign a contract with the office acknowledging Dr. McFadden's opted-out status. You can still use insurance or Medicare for outside services like labs, imaging, medications, and specialist visits.

No. Fort Worth Direct Care places no cap on the number of visits per year. Members can come in as often as their health needs require without incurring additional fees for those visits.

Appointment length depends on the visit. Annual physicals receive a full one-hour time slot to cover all your questions thoroughly. A quick concern like a rash may take only ten minutes. Dr. McFadden also offers same-day and next-day appointments, and patients can reach her by phone, text, email, or telehealth.

Dr. McFadden provides family medicine for patients ages 12 and up. Services include physicals and preventive exams, urgent care visits, chronic disease management for conditions like asthma, hypertension, diabetes, and high cholesterol, prescription management, lab and imaging orders, and specialist referrals. She also coordinates actively with each patient's other providers. The practice does not provide inpatient hospital or rehabilitation facility care, and Dr. McFadden does not make home visits.

Yes. Dr. McFadden actively communicates with each patient's broader medical team. She keeps other providers informed and requests their notes and results to stay current on your care. When a specialist referral is needed, she helps identify in-network options for patients who carry insurance.

If Dr. McFadden cannot be reached, she arranges coverage and provides patients with the covering physician's contact information. She also remains available after hours by phone for urgent needs when she is available.

Call the Fort Worth Direct Care office at (817) 292-3035 during business hours. Dr. McFadden prefers to meet prospective patients before they sign up for membership. m. m. to noon.

Practice last updated March 21, 2026