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Direct Primary Care
Primary Care

Gold Country Direct Primary Care

Quick Facts

Membership Price RangeIndividual: $65.00/mo | Two (2) Person Family: $115.00/mo | Family (up to 4 individuals): $200.00/mo | Each additional child/adult ages 5-25: $45.00/mo each | Home Visit Only Plan: $150.00/mo | Small Business Plan (5-20 employees): $55.00/mo each
Practice TypeDirect Primary Care
LocationAmador County, Calaveras County, Foothills, Sutter Creek, San Andreas
DoctorsShane Patterson MD, Primary Care
Panel Size500 patients per doctor
Telehealth TypePhone, secure text messaging, email
HousecallsYes
Telehealth AvailableYes

About

At Gold Country Direct Primary Care, Dr. Shane Patterson delivers family medicine to the rural communities of Amador and Calaveras counties. He has served this region since 2007, building deep roots through private practice and hospital-based clinics at Mark Twain Medical Center and Sutter Amador Hospital. San Andreas sits within a Federally designated Healthcare Physician Shortage Area, making accessible primary care a genuine community need. Dr. Patterson launched Gold Country Direct Primary Care to meet that need directly.

The practice caps its panel at 500 patients. Members pay $65 per month and receive unlimited office visits, same-day and next-day appointments, and direct access to Dr. Patterson by phone, text, and email. Visits run 30 minutes by default, with the option to book up to an hour for complex concerns. The membership covers a wide range of procedures, from joint injections and skin biopsies to pap smears and allergy shots. Dr. Patterson also offers facial aesthetics services, including Botox and Juvederm dermal fillers. Telemedicine and house calls round out the available access options.

Details

Address

593 West Saint Charles Street, San Andreas, CA 95249

Membership

$65/monthly

Membership Details

Monthly membership fee covers unlimited office visits, same/next day appointments, direct physician access by phone/text/email, and included procedures. No co-pays, no billing to insurance. ACH transactions have no service charge; credit/debit card transactions charged 2.5% service fee.

Typical Appointment

30 minutes

Telemedicine
House Calls
Same-Day Appointments
Max 500 patients per doctor

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Frequently Asked Questions

Individual membership at Gold Country Direct Primary Care costs $65 per month. A two-person family plan runs $115 per month, and a family of up to four pays $200 per month. Each additional child or adult between ages 5 and 25 adds $45 per month. Small businesses with 5 to 20 employees can enroll their team at $55 per person per month. A Home Visit Only Plan is also available at $150 per month.

The membership covers unlimited office visits, same-day and next-day appointment access, and direct contact with Dr. Patterson by phone, text, and email. It also includes a broad list of in-office procedures such as joint injections, sutures, skin biopsies, ear lavage, pap smears, and allergy shots. The practice charges no co-pays and does not bill insurance.

Gold Country Direct Primary Care does not bill insurance or Medicare. The monthly membership fee covers all included services directly. Members may still carry insurance for services outside the practice, such as specialist visits, hospitalizations, or imaging, but the membership itself operates outside of insurance entirely.

To join, download and complete the Membership Plan Application and Membership Agreement form from the Gold Country Direct Primary Care website. com or mail them to the practice at PO Box 1177, San Andreas, CA 95249. Dr. Patterson reviews applications and confirms availability within one to two days. You can also stop by the office in person to pick up the forms.

Standard visits run 15 to 30 minutes. Patients who need more time can request appointments of up to one hour. Dr. Patterson guarantees same-day and next-day availability Monday, Tuesday, Thursday, and Friday from 8am to 5pm.

Yes. Dr. Patterson offers telemedicine visits for appropriate concerns. Members can also reach him directly by phone or secure text messaging Monday through Friday from 8am to 5pm, making it easy to address questions without an in-office visit.

Yes. Gold Country Direct Primary Care offers a Home Visit Only Plan for patients who prefer care at home. This plan costs $150 per month and gives members access to Dr. Patterson's primary care services without coming into the office.

The practice automatically debits the monthly membership fee from a checking account or credit card. ACH transactions from a checking account carry no service charge. 5% service fee.

Yes. The practice offers a small business plan for employers with 5 to 20 employees. Each employee enrolls at $55 per month. This gives businesses a straightforward way to provide primary care access to their team.

The membership includes a wide range of in-office procedures at no additional charge. These include mole, skin tag, and cyst removal; ear lavage; dipstick urinalysis; pap smears and pelvic exams; joint injections; sutures; skin biopsies; destruction of pre-cancerous skin lesions; and B-12, testosterone, and allergy injections. Patients pay separately for any laboratory or pathology reading fees and for certain injectable medications beyond the included set.

Practice last updated April 11, 2026