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Direct Primary Care
Internal Medicine

Pinnacle Internal Medicine

Quick Facts

Practice TypeDirect Primary Care
LocationLittle Rock
DoctorsSiobahn Hruby MD, Internal Medicine

About

At Pinnacle Internal Medicine, the focus is on building a close, personal relationship between doctor and patient. Dr. Siobahn Hruby leads this Little Rock, Arkansas practice under a direct primary care model. She keeps her patient panel small to give each member individualized attention.

The practice covers internal medicine, preventive care, acute illness treatment, and chronic disease management. Members reach Dr. Hruby directly by phone, text, or email. She offers same-day and next-day appointments with minimal wait times. Visits run longer than typical office appointments. The practice provides discounted labs and imaging, and can also bill insurance for those services. Dr. Hruby coordinates specialist referrals and helps patients navigate urgent or emergency care when needed.

Details

Address

1400 Kirk Rd. #210, Little Rock, AR

Membership Details

A reasonable monthly fee for direct primary care services. Annual fee option also available.

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Frequently Asked Questions

Pinnacle Internal Medicine charges a reasonable flat monthly fee. Members can also choose a discounted annual rate. A one-time registration fee applies when joining.

The membership covers a wide range of services including annual wellness visits with routine labs, chronic disease management, acute and urgent care visits, and coordination of specialty, emergency, and hospital care. Office-based procedures such as joint injections are included as well.

The practice does not bill or file insurance claims for membership services. However, Dr. Hruby can bill insurance for labs and imaging if you prefer. She also works with your insurance to obtain referrals to specialists and to coordinate emergency or hospital care.

Yes. The practice recommends that members carry health insurance for hospitalizations, emergencies, and severe illnesses. Many Pinnacle patients carry high-deductible or catastrophic plans alongside their DPC membership.

The State of Arkansas recognizes direct primary care as an eligible medical expense. If you have an HSA, the practice recommends contacting your health plan administrator or accountant to confirm whether your HSA funds apply to the monthly or annual fee.

Pinnacle Internal Medicine offers same-day and next-day appointments. The practice keeps its patient panel small so Dr. Hruby can provide timely access with minimal wait times.

Yes. Dr. Hruby is available by phone, text, and email. Members can reach her after hours and on weekends for urgent concerns. She also helps patients decide whether emergency room care is necessary.

Yes. Pinnacle Internal Medicine provides access to discounted labs and imaging. The practice can also bill your insurance for these services if you prefer. Dr. Hruby can arrange x-rays, ultrasounds, CT scans, and MRIs through your insurance when needed.

You can sign up online through the practice website. Once enrolled, you pay the monthly or annual membership fee and gain direct access to Dr. Hruby and all covered services.

Pinnacle Internal Medicine focuses on adult medicine. Dr. Hruby specializes in internal medicine and sees adult patients exclusively.

Practice last updated April 11, 2026