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Direct Primary Care
Internal Medicine

Vital Edge Health

Quick Facts

Practice TypeDirect Primary Care
LocationSouthern Oregon, Rogue Valley, Eugene, Klamath Falls, Medford, Rogue River
DoctorsKimani Borland N.D., Primary Care, Andrew Gilchrist M.D., Internal Medicine
Telehealth TypeTelemedicine and direct messaging
Telehealth AvailableYes

About

At Vital Edge Health, Sandra Duncan and Dr. McClane Duncan lead a growing Direct Primary Care network rooted in naturopathic and functional medicine. The network spans clinics in Medford, Eugene, Klamath Falls, and Rogue River, Oregon. Its flagship clinic, Siskiyou Vital Medicine, holds a notable distinction as the nation's first naturopathic DPC clinic. Sandra and McClane built this network with a clear vision: affordable, relationship-based care where patients address health concerns the moment they arise.

The practice serves both employers and individual members through a flat monthly membership that covers 80 to 90 percent of healthcare needs with no copays and no deductibles. Members get same-day appointments, telemedicine access, and a clinical team trained in naturopathic and functional medicine. Services range from preventive care and chronic condition management to minor surgical procedures and naturopathic medicine. The network pairs members with cost-sharing options like Sedera and Zion Healthshare for major medical events. Employers who adopt the model report average healthcare savings of 20 to 40 percent.

Details

Address

940 Ellendale Dr., Suite 102, Medford, OR 97504

Membership Details

Membership-based flat monthly fee covering 80-90% of healthcare needs; no copays, no deductibles. Exact pricing not listed on website.

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Frequently Asked Questions

Members pay a flat monthly fee that covers 80 to 90 percent of their healthcare needs with no copays and no deductibles. Employers enroll their teams through the Vital Edge Health network, and each employee chooses their preferred clinic. Hint manages automatic monthly payments, and employers can manage their team online. Members may cancel with 30 days notice.

The membership covers a broad range of primary care services. These include acute care visits, annual wellness exams, preventive care, well child exams, sports physicals, telemedicine, ear irrigation, rapid strep testing, urine pregnancy testing, minor surgical procedures, smoking cessation support, alcohol and substance abuse screening, chronic condition management, naturopathic medicine, and functional medicine.

The network covers 80 to 90 percent of everyday healthcare needs, but the practice recommends pairing membership with a high-deductible health plan or a medical cost-sharing program for major events like hospitalizations or surgeries. Vital Edge Health offers two cost-sharing partners: Sedera and Zion Healthshare. Zion Healthshare works within the Cigna PPO network and accepts HSA contributions.

Yes. Vital Edge Health clinics offer same-day appointments for members. The membership model keeps patient panels sized to support fast access and longer visits.

Yes. Members have access to telemedicine visits. This allows members to connect with their care team without coming into the clinic for routine concerns or follow-ups.

Most businesses save 20 to 40 percent on healthcare costs after switching to the DPC model. Employer data from the network shows a 30 percent reduction in overall healthcare spending, 51 percent fewer hospital outpatient submissions, and 25 percent fewer emergency room visits.

The network includes clinics in Medford, Eugene, Klamath Falls, and Rogue River, Oregon. The flagship clinic, Siskiyou Vital Medicine in Medford, operates as the nation's first naturopathic DPC clinic and has served the Rogue Valley for over a decade.

Yes. Oregon HB 2540 takes effect January 1, 2026. Under that law, DPC membership fees may count toward insurance deductibles for most Oregon insurers. This makes it easier to integrate a Vital Edge Health membership with existing insurance coverage.

R. 1026) would allow DPC fees to be paid using health savings accounts. That legislation is currently pending at the federal level. In the meantime, Zion Healthshare, one of the network's cost-sharing partners, is HSA-compatible.

Clinics interested in joining the network can contact Vital Edge Health directly. Dr. McClane Duncan leads a mentorship program for clinics launching or transitioning to DPC. Options include a one-hour consultation at $250, a three-month mentorship at $5,000, and a six-month mentorship at $9,500.

Practice last updated April 11, 2026