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ConciergeInternal Medicine

VIP Medical Access

Quick Facts

Practice TypeConcierge
LocationCarson City
DoctorsRobert Fliegler MD, Internal Medicine
Year Founded2006
Panel Size400 patients per doctor
Telehealth TypeEmail correspondence
HousecallsYes
Insurance AcceptedBlue Cross, Blue Shield, Health Care Network, Nevada Health Plan, Medicare

About

At VIP Medical Access, Dr. Robert Fliegler delivers concierge internal medicine to adults in Carson City, Nevada. He founded the practice after originating Carson City Hospitalists, making VIP Medical Access the first concierge practice in the city. The Nevada Appeal covered his model as early as January 2006, recognizing its departure from the standard internal medicine approach. Dr. Fliegler caps his panel at 400 patients, far fewer than the 3,000 to 5,000 typical of most internal medicine practices. That limit gives him the availability to offer same-day appointments seven days a week, no-wait visits, house calls, and 24/7 direct cell phone access. He carries a medical bag and crash cart on patient visits. The monthly membership covers all services with no additional costs or office visit charges. Dr. Fliegler works within Medicare and major insurance networks so that labs, x-rays, hospitalizations, and specialist services remain covered by insurance.

Details

Address

206 North Curry Street, Carson City, NV 89703

Membership Details

Monthly membership fee covers all services including unlimited access to Dr. Fliegler with no hidden fees, no additional costs, and no charge for office visits. Fee may qualify for reimbursement through FSAs, HRAs, and HSAs.

House Calls Same-Day Appointments Max 400 patients per doctor

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Frequently Asked Questions

The monthly membership covers all services with no hidden fees and no separate charge for office visits. Members receive unlimited access to Dr. Fliegler, same-day appointments seven days a week, house calls, free flu and pneumonia vaccines, and fast prescription renewals. The membership gives patients a single, predictable cost for direct physician access.

VIP Medical Access works within Medicare and major insurance networks, including Blue Cross, Blue Shield, Health Care Network, and Nevada Health Plan. Insurance covers labs, x-rays, diagnostic studies, hospitalizations, emergency room visits, and specialist services. The monthly membership fee itself is not covered by insurance but may qualify for reimbursement through FSAs, HRAs, or HSAs.

The monthly membership fee at VIP Medical Access may qualify for reimbursement through flexible spending accounts, health reimbursement accounts, or health savings accounts. Using pre-tax dollars through one of these accounts can reduce the effective cost of membership. A tax advisor can clarify which accounts apply to your specific situation.

Dr. Fliegler gives members direct access to his personal cell phone 24 hours a day, seven days a week. Patients can also reach him by email. This means urgent questions and after-hours concerns go straight to the physician, not an answering service.

VIP Medical Access offers same-day appointments every day of the week with no waiting. Because Dr. Fliegler limits his panel to 400 patients, he has the availability to see members promptly whenever they need care.

Yes. Dr. Fliegler makes house calls and arrives with a medical bag and crash cart. He can administer shots, check blood pressure, conduct allergy tests, and handle a range of clinical needs in the home setting.

VIP Medical Access caps its panel at 400 patients. Most internal medicine practices carry 3,000 to 5,000 patients. Dr. Fliegler deliberately limits his panel to give each member the time and access they need.

VIP Medical Access focuses on adolescent and adult patients. Dr. Fliegler holds board certification in internal medicine and is qualified to treat approximately 90% of illnesses affecting these age groups.

Yes. Dr. Fliegler coordinates specialist referrals and will accompany patients to specialist appointments on request. He also coordinates laboratory tests, diagnostic studies, and x-rays through insurance, so those services remain covered under a patient's health plan.

Practice last updated June 11, 2026