
By Robert Roeser, D.O., founder of Integrity Medicine, Newton and Andover, Kansas
Last updated: June 2026
Robert Roeser, D.O., opened Integrity Medicine in Newton in 2004. He wanted medicine to feel less transactional. The Andover clinic opened in 2022. Patients often face the same decisions when they look to establish care with a primary care physician.
Access creates the first barrier. A 2025 AMN Healthcare survey of large metro areas found new patients waited an average of 23.5 days to see a family medicine physician. Waits often run longer in smaller Kansas towns. Doctors there serve wider areas with fewer colleagues nearby.
You gain ground when you establish care before you feel sick. A fever on a Tuesday does not force a scramble that lasts weeks.
Establishing care means you register as a patient with a primary care physician before an urgent problem appears. At the first visit the doctor reviews your history, medications, and current health. They record a baseline.
You then book future visits and reach the practice as their patient. The relationship follows your health over years. It catches blood pressure trends or thyroid shifts early. You also have a place to send the small questions that never needed their own appointment.
Patients often compare it to having a doctor in the family.
Your payment choice determines which doctors you can see. Decide this first. Kansas offers three main paths.
Patients sometimes think choosing Direct Primary Care means dropping insurance. That is not true. More than 90 percent of patients at Integrity Medicine keep their insurance. They use it for hospital stays, imaging, specialists, and prescriptions. They handle primary care through the membership. Most pair a membership with a high-deductible plan so the big events stay covered.

Health Savings Account rules changed in 2026. You can now use HSA funds to pay Direct Primary Care fees. The limit is $150 a month for an individual and $300 for a family. You must keep a qualifying high-deductible plan. Confirm your situation with your benefits administrator or accountant.
Direct Primary Care is not concierge medicine. Concierge plans often cost far more and serve a narrow group. This model offers direct access at a price most families can carry.
A doctor closed to new patients does you no good. Confirm availability early. Primary care covers four main areas: family practice, internal medicine, pediatrics, and OB/GYN. Most people do not know which one fits. The right choice depends on your age and health.
If you have insurance, your plan's find-a-doctor tool filters for in-network physicians by location. Online directories like Healthgrades and Zocdoc add reviews and let you sort by who accepts new patients. A recommendation from a friend, pharmacist, or specialist you already trust narrows the list faster than a cold search.
In rural and small-town Kansas the supply stays tight. A practice you like may keep a short wait list. Direct Primary Care clinics often state on their websites whether they're open to new members.
Confirm the doctor holds a license and stands in good standing before you book. You can look up any Kansas physician on the Kansas State Board of Healing Arts licensee search. The board keeps records for over 34,000 licensed professionals. It shows license status and any disciplinary actions.
Two quick checks help.
Ask who you will see. Many walk-in and urgent care clinics use nurse practitioners and physician assistants rather than physicians. That works for a sore throat. It matters more for a complex, ongoing condition.
Most Direct Primary Care clinics offer a free meet-and-greet before you commit. This removes the anxiety of committing before you meet the doctor. A short conversation reveals more about fit than any review. It's important that you like and trust the doctor in front of you.
Use that visit or your first call to ask the questions that will help decide whether the practice works for you:
I answer those questions myself. I schedule 95 percent of my own appointments. Every doctor here does the same. None of us did that in our old jobs. An automated booking screen cannot tell whether you need fifteen minutes or a full hour.
Walking in prepared turns a rushed intake into a useful first visit. Bring:
If the practice offers new-patient forms online, fill them out ahead of time. Check-in moves faster. At our offices most patients never sit down in the waiting room. We have even run staff contests to see how many patients we can room before anyone takes a seat.
Your first appointment sets the baseline every later visit builds on. Give your doctor the full history. Include family history and the thing you have put off mentioning. Name your top one or two priorities so the visit centers on what matters to you.
I ask new patients to describe what they feel rather than hand me a diagnosis. People are wrong about their own diagnoses more often than they expect. I would rather not treat the wrong thing well. A few minutes of listening and a real exam catch what a screen full of self-reported symptoms misses.
Before you leave, agree on a follow-up plan. Confirm how to reach the office later. In my practice that means email for routine things such as appointments, refills, and general questions. A call or text works for anything urgent like chest pain, stroke symptoms, or heavy bleeding. It comes to me, not a message tree.

Cost depends on the path you chose in Step 1. With insurance, a visit costs a copay plus whatever counts toward your deductible. Without insurance, a single self-pay visit in Kansas often lands between $100 and $200 before labs.
Direct Primary Care replaces per-visit pricing with one predictable monthly fee. At Integrity Medicine the published membership pricing is:
That fee covers unlimited office visits, in-office procedures, and direct access to your physician. There is no enrollment fee and no long-term contract. You can cancel with 30 days' notice.
You'll notice savings beyond the co-pays. A complete blood count that a hospital might bill near $65 costs our patients a few dollars. An annual lab panel that runs in the hundreds elsewhere costs about $25 with us.
Members also pay wholesale prices on generic prescriptions, often a small fraction of retail. With the 2026 HSA change, those fees now qualify for tax-free HSA payment within the federal limits.
Most problems trace back to a few skipped steps.
We run on the Direct Primary Care model at two locations. Newton opened in 2004 and converted to Direct Primary Care in 2017. Andover opened in 2022.
Every patient, newborn to senior, sees a board-certified physician. Patients drive in from across Harvey County, Hesston, Hutchinson, and the smaller towns to the north and west for Newton. They come from Butler County and the east side of Wichita for Andover.
We move fast, though we are not instant medicine. The goal is a real relationship instead of a transaction.
Patients sometimes reach out directly between visits. One texted me one morning about a sore wrist before a baseball game. I had our front desk send a wrist X-ray order to Newton Medical Center. He received the result and made the game without booking an appointment.
Another morning a patient's wife called about sudden neurological symptoms he was having. I told her to call 911 and stayed on the line until paramedics arrived. I then asked her to hand the phone to the EMT so I could direct them to the hospital with the stronger neuro ICU. He had a brain tumor. That is what direct access to your doctor makes possible.
If you live near Newton or Andover, schedule a free meet-and-greet. Ask whatever you want. Enroll online when you are ready. If you want to weigh the model against traditional insurance first, read more about the tradeoffs for Kansas families in whether Direct Primary Care is worth it for Kansas families.
Establishing care means you register as a patient with a doctor before you have an urgent problem. At the first visit the physician reviews your history, medications, and current health. They record a baseline.
You book appointments and contact the practice as an established patient after that point. Every later visit builds on what the doctor already knows.
No. You can pay cash per visit or join a Direct Primary Care practice for a flat monthly fee with no insurance involved. More than 90 percent of our patients keep insurance for hospitals, imaging, and specialists. They run their primary care through a membership instead. A self-pay visit at a traditional clinic in Kansas often costs $100 to $200. Memberships run about $30 to $100 a month.
Start with your insurance plan's find-a-doctor tool if you are insured. Then cross-check Healthgrades and Zocdoc. Those sites show who is accepting patients. Ask a pharmacist, a specialist, or a neighbor for a name. For Direct Primary Care, most practice websites state whether they are open to new members.
It depends on the practice and the area. A 2025 survey of large metros found new patients waited an average of 23.5 days to see a family medicine physician. Smaller Kansas towns can run longer. Our members get same-day and next-day appointments. Most of them never sit down in the waiting room.
Use the Kansas State Board of Healing Arts licensee search. Enter the physician's name to see their license status and any disciplinary actions. The board keeps verified records for over 34,000 licensed professionals in the state.
Yes, as of January 1, 2026. Federal rules now let you use HSA funds for Direct Primary Care fees. The cap is $150 a month for an individual and $300 for a family. You must keep a qualifying high-deductible plan. Confirm your situation with your benefits administrator or accountant.
An automated screen cannot tell what you need. I schedule 95 percent of my own patients. That lets me set aside fifteen minutes for one person and an hour for another. It also means the first voice you deal with is the doctor you are considering, not a front desk.
Establishing care in Kansas rests on five decisions you control. You choose how to pay. You select the doctor. You verify the license. You decide when to book. You prepare what to bring.
Handle these steps while you stay healthy. You then have a physician who knows you before you need one.
If you live near Newton or Andover, schedule a free meet-and-greet. We would be glad to meet you and earn your trust.