Integra Direct Primary Care

Membership fees vary by age. Adults ages 18 to 39 pay $100 per month. Adults 40 and older pay $125 per month. College students pay $300 per semester. A one-time registration fee of $100 applies per individual, or $150 per household. Family discounts are available by contacting the office directly.

Membership covers standard primary care services, including comprehensive wellness exams, preventive care, chronic disease management, acute illness visits, telehealth appointments, and care coordination with specialists. Dr. Castor also provides limited gynecology care, travel medicine consultations, and hospital discharge follow-ups. Some services, including point-of-care testing, PAP smear cytology, skin lesion treatment, and basic wound care, carry additional fees listed transparently in the patient portal.

Yes. Integra Direct Primary Care offers same-day appointments for members. Acute visits run up to 30 minutes. Comprehensive wellness exams extend up to 60 minutes. Every visit is private, and Dr. Castor guarantees each member sees only her.

Yes. Dr. Castor offers telehealth visits and home visits to members. Home visits during regular office hours cost $100 for a 30-minute visit. After-hours home visits cost $150 for 30 minutes. The practice also offers worksite visits.

No. Integra Direct Primary Care operates on a direct membership model and does not bill insurance for primary care services. Members pay monthly fees directly to the practice. Many members pair their membership with a high-deductible health plan or a health share plan for coverage of hospitalizations and specialty care.

Members receive heavily discounted pricing on lab testing and imaging through the practice's wholesale contracts. This direct pricing is typically far lower than standard insurance-billed rates. Transparent pricing details are available in the patient portal.

Integra Direct Primary Care serves adults 18 and older. The practice offers specialized membership pricing for college students. Dr. Castor also performs college physicals and sports physicals.

Yes. In addition to in-office care, Integra provides telehealth, home visits, and worksite visits. Dr. Castor incorporates Lifestyle Medicine into treatment plans, helping members make sustainable changes to improve long-term health. The practice also hosts regular free educational programs on integrative health topics, open to the community.

Prospective members can contact the practice directly by phone at 603-716-5533 or visit the office at 103 Liberty Street in Manchester, NH. Office hours run Monday through Thursday, 8:30 am to 5:00 pm. The practice can also arrange appointments outside of standard hours based on physician availability.