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Direct Primary CareFamily Medicine

Lexington Integrative Sports Medicine

Quick Facts

Membership Price RangeAges 14–18: $55/mo | College Students (18–25): $65/mo | Young Adults (18–25): $85/mo | Adults (26–40): $100/mo | Adults (41–65): $125/mo | Adults (65+): $150/mo | $100 enrollment fee
Practice TypeDirect Primary Care
LocationLexington, Georgetown, Nicholasville, Central Kentucky
DoctorsSrikanth Nithyanandam MD, Family Medicine
Year Founded2026
Telehealth TypeVideo visits and telehealth triage; direct text and messaging via Spruce
Telehealth AvailableYes

About

At Lexington Integrative Sports Medicine, Dr. Srikanth Nithyanandam brings triple board certification in Family, Sports, and Integrative Medicine to a direct primary care practice in Lexington, KY. He opened LISM in August 2026 after nearly six years in Central Kentucky's academic healthcare systems. During that time, he served as a University of Kentucky faculty member and Team Physician for Georgetown College Athletics. He built LISM to deliver whole-person, root-cause care with full price transparency and no insurance intermediaries. The practice uses the LISM Whole Tree Framework, a four-layer clinical model addressing foundational habits, inner biology, the body's healing pathways, and acute structural care.

LISM offers two care tracks: a DPC membership for ongoing primary care and an à la carte option for specialty and sports medicine consultations. Members receive unlimited 30-60 minute visits, direct call and text access to Dr. Sri via Spruce, and same-day appointment availability. The same-day sports injury clinic runs Monday through Saturday, with telehealth triage available. On-site high-resolution musculoskeletal diagnostic ultrasound supports procedures including PRP therapy, prolotherapy, dry needling, and ultrasound-guided injections. The practice accepts patients aged 10 and older and accepts HSA and FSA payments across all services.

Details

Address

2285 Executive Dr, Suite 110, Lexington, KY 40505

Membership

$100/monthly

Membership Details

Flat monthly membership fee based on age tier. No long-term contracts, zero copays. $100 enrollment fee. Founding member discounts available for first 40 members. HSA/FSA accepted.

Typical Appointment

45 minutes

Telemedicine Same-Day Appointments

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Frequently Asked Questions

LISM structures membership fees by age tier, with a flat monthly rate and no long-term contracts. The one-time enrollment fee is $100. Members pay zero copays and receive unlimited primary care visits. HSA and FSA payments cover membership fees. The practice also offers founding member discounts for the first 40 members who enroll.

No. LISM offers both a DPC membership and an à la carte option for patients who prefer pay-as-you-go access. The à la carte path works well for sports medicine consultations, specialty visits, or one-time injury evaluations. Members receive additional benefits including discounted procedures, direct messaging access, and unlimited primary care visits.

LISM does not accept insurance. The practice operates as a direct cash-pay, out-of-network practice by design. This structure allows Dr. Sri to offer transparent, upfront pricing with no hidden fees and no billing surprises. Patients can request a superbill for potential out-of-network reimbursement from their own insurer.

Yes. LISM accepts HSA and FSA payments across all services, including DPC memberships. Under federal guidelines effective January 2026, DPC memberships qualify as an eligible HSA and FSA expense. The IRS sets monthly caps of $150 per individual and $300 per family toward DPC membership fees using these accounts.

LISM offers same-day availability for sports injuries through its Monday-through-Saturday injury clinic. Members also receive same-day appointment access for primary care needs. Telehealth triage is available for patients who need guidance before an in-person visit. Telehealth fees apply toward an in-person evaluation if the patient is seen within seven days.

A LISM membership includes unlimited primary care visits running 30 to 60 minutes each, both in-person and via telehealth. Members receive direct call and text access to Dr. Sri through the Spruce platform. The membership also includes exclusive discounts on procedures such as medical acupuncture, musculoskeletal ultrasound diagnostics, and sports medicine interventions.

LISM accepts patients aged 10 and older. The practice considers exceptions for established family members and specific athletic assessments. Dr. Sri has significant experience working with youth athletes, collegiate competitors, adult recreational athletes, and older adults managing chronic conditions.

Yes. LISM provides telehealth visits for primary care members and offers telehealth triage for sports injury patients. Members can also reach Dr. Sri directly via call or text through the Spruce platform for non-urgent questions. Telehealth triage for injury visits costs $75 and credits fully toward an in-person visit if the patient comes in within seven days.

LISM operates high-resolution musculoskeletal diagnostic ultrasound on-site. Dr. Sri uses this equipment for both diagnostic evaluation and procedure guidance. The practice does not have X-ray or MRI on-site. For those diagnostics, LISM works with imaging partners including Baptist Health Radiology, Lexington Diagnostic Center, and UK HealthCare.

LISM currently accepts new patients for DPC membership. The practice also accepts à la carte appointments for sports medicine and specialty consultations without a membership requirement.

Practice last updated October 31, 2026