Manchester Direct Family Practice

One monthly fee covers all visits and other contacts with Dr. LoPresti, 50-plus free medications, and 15 common lab tests. The practice stocks 66 prescription medications on-site, and 49 of those are free to members. Those 49 medications cover an estimated 94% of all prescriptions Dr. LoPresti writes.

No. The practice does not accept insurance payments and does not take Medicare. Members pay a flat monthly fee directly to the practice. You may still carry insurance and use it for hospitalizations, specialist referrals, or other services outside the practice.

Manchester Direct Family Practice is currently accepting new patients. You can sign up directly through the practice's online enrollment portal using the Atlas MD platform. com with any questions before enrolling.

Yes. Every office day includes at least two open appointment slots reserved for urgent needs. Dr. LoPresti holds one slot in the morning and one in the afternoon. The practice does not accept walk-ins, so call ahead to claim one of those slots.

Members can reach the practice by phone, email, text, or video. During office hours, calling is the fastest option. For routine requests like prescription refills, email works well with a 24-to-48-hour response time. After hours, members can text Dr. LoPresti directly on weekdays from 7 AM to 9 PM and on weekends from 7 to 10 AM and 4 to 9 PM.

Yes. Dr. LoPresti offers video visits as one of several ways members can connect with him. Members choose from text, call, email, video, or in-person visits depending on their needs.

Yes. Manchester Direct Family Practice offers business memberships for employers. Businesses covering 15 or more employees receive a 20% discount. Published data from DPC business membership programs show a 54% reduction in ER claims, a 25% reduction in hospitalizations, and $313 per month in savings per member. As of January 1, 2026, DPC services qualify for payment from a Health Savings Account.

If you cancel your membership for more than three months and wish to return, the practice charges a re-enrollment fee of $200 for the first person and $100 for each additional person. If you travel seasonally or go away to college, you can suspend your membership instead of canceling. Suspension costs $25 per month and requires at least one month of advance notice, with the full suspension period paid upfront.

Yes. Manchester Direct Family Practice offers EmSculpt Neo for body sculpting and core strengthening, Emsella for pelvic floor and urinary incontinence treatment, and 24-hour ambulatory blood pressure monitoring for a flat fee of $80. These services are open to the general public and do not require a membership.

Manchester Direct Family Practice caps its panel at 600 patients. The average family physician in the United States carries a panel of more than 1,800 patients.