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Direct Primary Care
Family Medicine

Real Health Direct Primary Care

Quick Facts

Membership Price Range$50/mo Kids 0-17 (or $50/mo if parent has adult membership) | $100/mo Adults 18-54 | $115/mo Adults 55-65
Practice TypeDirect Primary Care
LocationFredericksburg, Spotsylvania, Stafford
DoctorsSpencer Dean DO, Family Medicine
Telehealth TypeTelemedicine, virtual visits, phone calls, video chats, text, email
HousecallsYes
Telehealth AvailableYes

About

At Real Health Direct Primary Care, Dr. Spencer Dean delivers family medicine to patients in Fredericksburg, Spotsylvania, and Stafford, Virginia. He built the practice around one core belief: patients should reach their doctor the moment they need help. Members contact Dr. Dean directly by text, phone, or email around the clock.

The practice covers a broad range of services under one monthly membership fee. Dr. Dean handles everything from acute sick visits and wound care to chronic disease management, women's health, mental health support, and vasectomies. He brings specialized expertise in point-of-care ultrasound, using it for musculoskeletal diagnostics and joint therapies. Membership also unlocks wholesale pricing on bloodwork, medications, and imaging. Real Health DPC extends virtual care to patients anywhere in Virginia.

Details

Address

910 Littlepage Street, Fredericksburg, VA 22401

Membership

$100/monthly

Membership Details

Monthly membership fee covers all services with no co-pays or hidden fees. Kids membership is $50/month; $50/month if a parent or guardian has an adult membership. Adults 18-54 pay $100/month. Adults 55-65 pay $115/month. Bloodwork, medications, and imaging have additional costs but are offered at wholesale/cash prices.

Telemedicine
House Calls
Same-Day Appointments

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Frequently Asked Questions

Real Health Direct Primary Care charges $100 per month for adults ages 18 to 54 and $115 per month for adults ages 55 to 65. Children ages 0 to 17 pay $50 per month. That rate drops to $50 per month when a parent or guardian already holds an adult membership. The monthly fee covers all services with no co-pays or hidden fees.

Bloodwork, medications, and imaging carry additional costs beyond the monthly membership fee. However, Real Health DPC passes wholesale and cash pricing directly to members. Bloodwork starts as low as $1, ultrasounds are free, and the practice secures cash prices for X-rays, CTs, and MRIs. Medications are also available at wholesale costs.

Yes. Members contact Dr. Dean directly by text, phone, or email 24 hours a day, 7 days a week. Office hours run Monday through Friday from 12 PM to 6 PM, but the practice schedules appointments at any hour. That access extends to telehealth visits and house calls when needed.

Real Health DPC does not accept insurance, Medicare, or Medicaid. Members pay Dr. Dean directly through a flat monthly fee, which eliminates co-pays and insurance billing entirely. The practice also cannot treat active duty military members covered under TRICARE.

Yes. Real Health DPC asks for one month of notice before cancellation. The practice prorates any payment if a cancellation falls mid-cycle within a 30-day billing period. Members can rejoin at any time if their needs change.

Yes, the practice offers both. Members can connect with Dr. Dean via phone, video call, or text for virtual visits. Dr. Dean also makes house calls, including home visits for newborns. Patients located anywhere in Virginia can access a large portion of care virtually.

Dr. Dean provides ongoing management for a wide range of chronic conditions. Those include diabetes, hypertension, high cholesterol, thyroid issues, anemia, iron deficiency, polycystic ovarian syndrome, and menstrual complications. The practice also offers long-term management and counseling for anxiety and depression.

Real Health DPC handles a broad set of in-office procedures. Dr. Dean performs wound care, cryotherapy, abscess drainage, cyst removal, skin biopsies, trigger point injections, IV therapy, osteopathic manual therapy, Botox for chronic migraines or TMJ dysfunction, IUD and Nexplanon placements, casting for fractures, and vasectomies. He also uses point-of-care ultrasound for musculoskeletal diagnostics and joint therapies.

Yes. Real Health DPC offers memberships for children, adults, and seniors, so entire families can join. Children of adult members pay $50 per month. Dr. Dean sees patients from newborns through age 65 and makes home visits for newborns as part of the membership.

Prospective patients choose a membership tier, complete a secure signup online in under ten minutes, and then contact Dr. Dean directly to schedule an appointment. The practice accepts new patients on a rolling basis and can typically schedule same-day visits once membership is active.

Practice last updated March 21, 2026