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Direct Primary CareInternal Medicine

ShillMed Weight Loss & Lifestyle Medicine Center

Quick Facts

Membership Price RangeAdults (18-64): $150/month | Children (12-17): $79/month | Family Plan: $300/month (up to 2 adults and 3 children ages 12+) | Children (0-11): Coming Soon | Seniors (65+): DPC not available, Most Medicare Accepted
Practice TypeDirect Primary Care
LocationSpokane, Spokane Valley, Liberty Lake, Airway Heights, Deer Park, Coeur d'Alene, Hayden, Post Falls
DoctorsOtto Shill DO, FACP, DABOM, Internal Medicine
Telehealth TypePhone and video visits; telehealth available for Washington and Idaho residents
Insurance AcceptedMedicare (for seniors 65+)
Telehealth AvailableYes

About

At ShillMed Weight Loss & Lifestyle Medicine Center, Dr. Otto Shill and co-founder Emily Shill deliver medical weight loss, hormone replacement therapy, and direct primary care to the Inland Northwest. The practice serves Spokane Valley, WA, and extends telehealth access to patients in Idaho. Dr. Shill brings dual board certification in Internal Medicine and Obesity Medicine, grounding the clinical work in both metabolic science and whole-person care.

Members pay a flat $150 monthly fee with no copays or deductibles. That covers unlimited office visits, extended 30-to-60-minute appointments, and direct physician access by phone, text, or email. The practice uses on-site FibroScan technology to assess liver health and an InBody 570 analyzer for precise body composition data. Dr. Shill takes a full-picture approach to weight loss, pairing GLP-1 therapies and other medications with lifestyle medicine, nutrition counseling, and weekly patient education webinars. Group challenges, personal training, and an online meal replacement store round out the program.

Details

Address

12810 E Nora Ave, STE F, Spokane Valley, WA 99216

Membership

$150/monthly

Membership Details

Flat monthly DPC membership fee. Unlimited office visits, extended appointments (30-60 min), direct physician access via phone/text/email, preventive care, chronic disease management, and basic procedures included. Weight management specialty programs and medications are additional. A $150 comprehensive medical review may be required to be eligible for DPC contract.

Typical Appointment

30 minutes

Telemedicine Same-Day Appointments

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Frequently Asked Questions

ShillMed charges $150 per month for adults ages 18 to 64. A family plan covering up to two adults and three children ages 12 and older runs $300 per month. Teens ages 12 to 17 can join for $79 per month with an enrolled adult. A $150 comprehensive medical review may be required before starting a DPC contract.

The $150 monthly fee covers unlimited office visits, extended 30-to-60-minute appointments, preventive care, chronic disease management, and basic procedures. Members also get direct physician access by phone, text, and email. Weight management programs and medications are separate from the membership fee.

ShillMed operates as a Direct Primary Care practice with a flat monthly fee that does not run through insurance. The practice accepts most Medicare for seniors 65 and older. ShillMed plans to begin accepting insurance for additional services in 2026. CareCredit is available for flexible financing.

Yes. ShillMed offers same-day and next-day appointments. The practice keeps its patient panel small specifically to allow that level of access. Members can also reach Dr. Shill directly by phone, text, or email between visits.

Yes. ShillMed offers telehealth appointments for patients in Washington and Idaho. Patients can connect with Dr. Shill remotely for many primary care and weight management needs. In-person visits are available at the Spokane Valley clinic.

Yes. Medications such as semaglutide, tirzepatide, Qsymia, and phentermine are separate from the monthly membership fee. ShillMed provides upfront estimates so patients understand expected costs before starting. Meal replacements are also available separately through the practice's online store.

ShillMed offers a full range of FDA-supported weight loss medications. These include GLP-1 therapies such as semaglutide and tirzepatide, as well as Qsymia, phentermine, Contrave, Saxenda, Metformin, and Jardiance. Dr. Shill selects medications based on each patient's health history, goals, and metabolism.

Yes. Dr. Shill takes a full-picture approach to weight loss. Every patient program pairs medication with nutrition counseling, lifestyle coaching, body composition testing, and ongoing support. ShillMed also offers weekly online education webinars and group challenges to build skills and accountability over time.

ShillMed uses the InBody 570 analyzer to measure body composition, including muscle mass, fat, and metabolic data. The practice also has on-site FibroScan technology for non-invasive liver assessment. Non-members can book an InBody scan for $50 per session or $50 per month for unlimited scans.

ShillMed does not require a minimum membership term. The practice typically recommends a one-year commitment for weight loss patients to move through the active loss, transition, and long-term maintenance phases. That full timeline allows Dr. Shill to monitor progress and adjust plans as needed.

Practice last updated August 17, 2026