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Spokane Valley, Washington
Spokane Valley, Washington · Photo T85cr1ft19m1n, CC0
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HybridConcierge

ShillMed Direct

Concierge Medicine in Spokane Valley, WA

  • Facts checked October 27, 2026
  • Telehealth

Membership

Direct Primary Care membership

$150 per month

Unlimited InBody scans

$50 per month

Other published prices

Primary care office visit

$150 per visit

InBody scan

$50 per scan

Insurance

DPC does not bill insurance, except Medicare; DPC membership is unavailable to Medicare- or Medicaid-eligible patients.

Employer plans

Customized Direct Primary Care plans and billing are available for local and remote workforces.

Enroll on the practice’s site

Services

  • Direct Primary Care
  • Same-day or next-day appointments
  • Unlimited office visits
  • Chronic disease management
  • Minor skin procedures
  • Joint injections
  • Care coordination and advocacy
  • Medical weight loss
  • Meal replacement plans
  • Personalized nutrition plans
  • Weight loss medication
  • Personal training and lifestyle care
  • InBody body-composition scans
  • Hormone replacement therapy
  • FibroScan
  • Preventive care
  • Nutrition counseling
  • Health screening

In-office labs

Deeply discounted lab pricing is available; insurance may also be used for labs.

Imaging

Deeply discounted imaging pricing, including X-rays and MRIs, is available.

Dispensary

Deeply discounted medication pricing is available through a ManifestRx membership.

House calls

In-home options are available throughout Spokane County and surrounding areas; a travel fee applies.

Telehealth, text and phone

Unlimited telehealth for Washington and Idaho residents, plus telephone or video primary care visits.

Hours

Monday8:30 AM - 5 PM
Tuesday8:30 AM - 5 PM
Wednesday8:30 AM - 5 PM
Thursday7:30 AM - 5 PM
FridayBy Appointment Only
SaturdayBy Appointment Only
SundayClosed Sunday
Monday to Thursday8:00am – 5pm
Fridays & SaturdaysBy Appointment Only
SundaysClosed Sundays

Providers

  • Otto Shill, DO, FACP

    Dual Board Certified Internal Medicine & Obesity Medicine Co-Founder; Chief Medical Officer · Internal Medicine Physician

    NPI 1225480411

About ShillMed Direct

ShillMed Direct is a hybrid practice in Spokane Valley, Washington. The practice is located at 12810 E Nora Ave Ste F, Spokane Valley, WA 99216. Services include Direct Primary Care, same-day or next-day appointments, unlimited office visits, and chronic disease management. Other services include minor skin procedures, joint injections, preventive care, and health screening. Unlimited telehealth is available to Washington and Idaho residents, with telephone or video primary care visits. In-home options are available throughout Spokane County and surrounding areas. Insurance may be used for labs at the practice. The practice does not bill insurance for DPC, except Medicare. Customized Direct Primary Care plans and billing are available for local and remote workforces. Otto Shill, DO, FACP, is listed as a provider and an Internal Medicine Physician.

Area

Spokane County, Washington

The practice’s location is in a federally designated primary care Health Professional Shortage Area: NE Spokane County (HRSA score 15 of 25, designated March 4, 2026).

Sources

Each fact is shown only while it is recent: prices and hours for 180 days after the check, new-patient status for 60, everything else for a year.

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