Fountain Direct Primary Care

Individual memberships run $100 per month for patients ages 5 to 64 and $130 per month for patients 65 and older. There is an initial enrollment fee of $150. The Family Plan covers parent(s) and dependent children ages 5 to 18 in the same household for $300 per month with a $400 enrollment fee. Businesses enrolling 10 or more employees pay $100 per month per employee with a discounted enrollment fee of $75 per employee.

Membership at Fountain Direct Primary Care includes annual comprehensive physical exams, preventive care, chronic disease management, acute care, and virtual visits. The practice also provides in-office testing including EKG, spirometry, point-of-care ultrasound, urinalysis, and rapid strep tests. Members access minor procedures such as cryotherapy, steroid injections, sutures, skin biopsies, incision and drainage, and pap smears. The practice also offers nutritional counseling, weight loss support, smoking cessation, allergy testing, sublingual immunotherapy, hormone replacement therapy, thyroid management, and after-hours and home visits.

No, insurance is not required. Fountain Direct Primary Care operates on a direct-pay membership model with no insurance billing. Dr. O'Rourke recommends pairing the membership with a high-deductible catastrophic insurance plan or a health sharing program like Sedera to cover major unexpected medical events.

The practice does not bill insurance for membership services. However, Dr. O'Rourke does accept Medicare patients. Medicare patients receive care without co-pays, though the practice does not submit claims to Medicare.

Fountain Direct Primary Care offers 30 to 60 minute visits. The typical appointment runs 45 minutes. That time allows Dr. O'Rourke to address concerns thoroughly without the time pressure common in volume-based practices.

Yes. Members contact Dr. O'Rourke directly by phone, text, or email between visits. The practice also offers same-day appointments, telemedicine visits, after-hours office visits, and home visits.

Yes, Dr. O'Rourke offers virtual visits by phone, email, and text. Telemedicine is available alongside in-person and home visit options, giving members flexible ways to access care.

Members at Fountain Direct Primary Care save up to 96% on laboratory services. The practice negotiates directly with labs on behalf of members, bypassing the inflated rates tied to insurance billing.

Fountain Direct Primary Care sees children ages 5 through 18 under the Individual or Family Plan. The practice does not treat children under 5, as vaccination requirements fall outside the membership scope. Dr. O'Rourke refers families with younger children to Dr. Dianne McNeill at Cornerstone Pediatrics, located next door.

Yes. The practice offers allergy testing and sublingual immunotherapy. Members receive 50% off allergy testing. Sublingual immunotherapy costs less than $800 per year for members. This is a meaningful clinical focus for the practice given that Hampton Roads ranks among the highest regions in the country for allergic rhinitis.