Impact Health Direct Primary Care, PLLC logo
Direct Primary Care
Family Medicine

Impact Health Direct Primary Care, PLLC

Quick Facts

Membership Price RangeWeight Management Telehealth: $75/month + $50 one-time enrollment fee (first month $125); Weight Management In-Clinic: $95/month + $50 one-time enrollment fee (first month $145); Menopause Care Only: $75/month + $75 one-time enrollment fee; DPC (historical): $85/patient/month
Practice TypeDirect Primary Care
LocationEnnis, Ellis County, Waxahachie
DoctorsKara Sjogren DO, Family Medicine
Telehealth TypeVirtual visits by phone, email, or video chat
Insurance AcceptedTraditional Medicare, Medicare Supplement Plans
Telehealth AvailableYes

About

At Impact Health Direct Primary Care, PLLC, Dr. Kara Sjogren delivers weight management, metabolic health, and menopause care to patients in Ennis, Texas. She founded the practice to deliver patient-centered medicine the way she envisioned it during her medical training. The practice operates on a direct-care model, contracting directly with patients and forgoing insurance billing to keep care transparent and affordable.

Dr. Sjogren currently offers two weight management programs: a telehealth option at $75 per month and an in-clinic option at $95 per month, both available to Texas residents. She also offers a dedicated Menopause Care membership at $75 per month for patients navigating perimenopause or menopause. Initial menopause visits run a full hour, giving patients time to share their full history and symptoms. Members receive direct access to Dr. Sjogren, same-day appointments, and discounted lab services.

Details

Address

711 W. Lampasas, Ennis, TX 75119

Membership

$75/monthly

Membership Details

Weight Management Telehealth Program: $75/month with one-time $50 enrollment fee (first month $125, then $75/month thereafter). Weight Management In-Clinic: $95/month with one-time $50 enrollment fee (first month $145, then $75/month thereafter). Menopause Care Only: $75/month + $75 one-time enrollment fee. Former DPC membership was $85/patient/month with discounts for multiple immediate family members and small businesses with 5+ employees enrolled. Practice no longer provides primary care or aesthetics as of November 21st, 2025; now weight management-only programs.

Typical Appointment

60 minutes

Telemedicine
Same-Day Appointments

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Frequently Asked Questions

Impact Health Direct Primary Care now focuses exclusively on weight management and menopause care. Dr. Sjogren offers a Weight Management Telehealth Program, a Weight Management In-Clinic Program, and a Menopause Care membership. The practice no longer provides general primary care or aesthetics services as of November 21, 2025.

The Weight Management Telehealth Program costs $75 per month with a one-time $50 enrollment fee, making the first month $125. The Weight Management In-Clinic Program costs $95 per month with the same $50 enrollment fee. Both programs include once-monthly visits with Dr. Sjogren and access to discounted lab services.

The Menopause Care membership is $75 per month with a one-time $75 enrollment fee. The initial visit runs a full hour and covers your health history, symptoms, and treatment options. Dr. Sjogren offers both hormonal and non-hormonal care paths.

The practice does not bill health insurance for its membership programs. Patients pay a flat monthly fee directly to the practice. The practice does bill traditional Medicare and most Medicare Supplement Plans under HHS and CMS guidelines, but does not see Medicare Advantage patients.

Yes. The Weight Management Telehealth Program lets patients complete monthly visits virtually by phone, email, or video chat. This program is available to patients located anywhere in Texas. Dr. Sjogren provides guidance, accountability, and lab orders through the virtual format.

New patients should call the practice at 972-846-4800 to schedule an initial appointment. The practice uses the Akute Health patient portal for scheduling and forms. Online scheduling through the portal is available to established patients only.

Yes. Impact Health Direct Primary Care offers same-day appointments for members. The direct-care model and small patient panel allow Dr. Sjogren to keep her schedule accessible for urgent needs.

The practice provides access to discounted lab services for members. Lab orders go to an external lab draw center rather than an in-office draw. Members in both the telehealth and in-clinic programs receive discounted pricing on lab work.

Yes. Impact Health Direct Primary Care offers weight management care options for employer groups. The direct-care model pairs well with existing health insurance or medical cost-sharing plans. Employers interested in covering their workforce should contact the practice directly to discuss options.

Initial menopause care visits run a full 60 minutes. Dr. Sjogren uses that time to learn each patient's full story and symptoms before developing a treatment plan. Weight management visits follow a monthly schedule designed for consistent follow-up and accountability.

Practice last updated April 10, 2026