James Fierro, DO - SignatureMD

The annual membership fee is $1,950 per patient. Family plans are available, with discounts for additional members. The practice does not charge your payment method until the program commencement date of March 31, 2026.

Yes. Dr. Fierro continues to bill insurance for the delivery of medical services. The annual membership fee covers the enhanced access and personalized care services outside of standard insurance billing.

You can enroll online or contact patient liaison Elise Stewart by phone or email. Elise can walk you through the membership options, answer questions, and help you complete the enrollment forms. You can also pick up membership materials during a scheduled office visit.

The Personalized Care Program commences on March 31, 2026. You can enroll now and the practice will not charge your payment method until that date.

Membership includes 24/7 physician access by phone, email, or text, same-day appointments, longer office visits, and a personalized wellness plan. Dr. Fierro also sees friends and family of members who are visiting Wilmington.

Patients who choose not to enroll receive referrals to establish care with another physician. Dr. Fierro wants to ensure every patient has continuity of care, regardless of their membership decision.

Yes. The practice offers a family plan that lets you add and remove members as needed. Discounts apply for additional family members, and the total cost adjusts based on your group size.

SignatureMD is a national concierge medicine network that Dr. Fierro has partnered with to deliver his Personalized Care Program. The network supports physicians in building smaller, more attentive practices with enhanced patient access and prevention-focused care tools.