Newton: 316.283.6655
Andover: 316.202.9990
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Newton: 316.283.6655
Andover: 316.202.9990
By Robert Roeser, DO, board-certified Internal Medicine physician
Direct Primary Care, or DPC, charges a monthly membership and does not bill insurance for primary care. Concierge medicine usually adds a high retainer on top of insurance billing, and hybrid practices keep both. Kansas physicians at Integrity Medicine can join the Newton or Andover clinics or partner to own an Integrity Medicine location in South-Central Kansas.
I am Dr. Robert Roeser. I founded Integrity Medicine in 2004 and converted the practice to pure Direct Primary Care in 2017. The clinics sit in Newton, next to Newton Medical Center, and in Andover.
Physicians leaving employed or insurance-based primary care usually ask me the same things: which membership model works, how revenue is made, and what patient load is sustainable. They also want to know whether hybrid is safer, which towns can support the work, and whether they should buy a launch kit and start alone.
Integrity Medicine has run pure Direct Primary Care since 2017. Revenue comes from membership, including families and employer contracts, not from coding volume.
Location, for us, means Harvey County, Butler County, and the Wichita-metro draw around Newton and Andover. There is no Wichita clinic... yet.
National guides now treat starting a Direct Primary Care practice right after residency as a real option, and those guides also list employed Direct Primary Care as a separate path. The version Integrity Medicine actually runs is more specific than a generic startup checklist.
Joining Newton or Andover, or partner-owning a location, are the Direct Primary Care jobs inside Integrity Medicine. Those two paths are the physician opportunities in Kansas the practice actually offers.
The join path is the Newton or Andover clinics, and the partner path is owning an Integrity Medicine location in your area. If the reason for leaving employed practice is already clear, read why Kansas physicians are choosing Direct Primary Care. This article is the how of joining or opening with Integrity Medicine.
Most physician searches that reach Integrity Medicine on join versus open still land on the patient article about Direct Primary Care vs concierge medicine. Physicians need a different cut of the same facts, because the business question is not the same as the patient question.
Direct Primary Care is a monthly membership paid to the practice. Primary care visits, access, and much of the in-office work sit inside that fee, and the practice does not file insurance claims for those primary care services.
Patients often keep insurance for hospitals, specialists, and imaging. Over 85% of Integrity Medicine patients still carry coverage for hospital, specialist, and imaging care.
Concierge medicine usually charges a large annual retainer and still bills insurance or Medicare for covered visits. Hybrid practices bill insurance for part of the panel or part of the visit and collect a membership fee for the rest.
Hybrid looks safer on paper, but is much more complicated. It also keeps the billing staff, prior authorizations, and coding pressure inside the building.
| Factor | Concierge | Hybrid | Pure Direct Primary Care |
|---|---|---|---|
| How primary care is paid | High retainer plus insurance billing | Membership plus some insurance claims | Monthly membership only |
| Insurance claims for primary care | Usually yes | Yes for part of the panel or visit | No |
| Typical patient price | Often thousands of dollars a year | Mixed | Tens of dollars per month by age |
| Revenue driver | Retainer plus collections | Split | Membership panel, including employers |
| Administrative load | Still includes billing | Highest of the three | Lowest of the three |
| Patient load | Very small panels | Mixed | Smaller than employed primary care |
| Who the model tends to fit | Smaller, higher-fee panels | Physicians unwilling to leave insurance | Physicians who want to simply practice medicine well and get paid for it |
The American Academy of Family Physicians reported an average full-time income of $288,779 for family physicians in Direct Primary Care settings in 2024. That AAFP figure is a national benchmark, not an Integrity Medicine salary, and Integrity Medicine does not publish individual physician pay.
The AAFP 2024 Direct Primary Care data brief found 94% of Direct Primary Care physicians satisfied with their practice versus 57% outside the model. 49% reported no burnout, versus 14% of physicians not in Direct Primary Care.
The AAFP figures describe practice satisfaction in Direct Primary Care, not a paycheck at Integrity Medicine. The broader pay picture sits in our comparison of DPC vs employed physician pay in Kansas.
Integrity Medicine already contracts with companies from five-person shops to 150-employee teams. The employer rate is $60 per adult per month, with children at $30, on the same membership pricing schedule published for families.
Construction crews, honey producers, churches, and manufacturing operations around Newton and Hesston are in that Integrity Medicine employer mix.
Kansas has recognized Direct Primary Care in statute since 2015. Starting January 1, 2026, many high-deductible plans also allow Health Savings Account (HSA) funds to pay a qualifying Direct Primary Care membership, within published monthly caps.
That HSA eligibility change is in IRS guidance under Notice 2026-05. The Kansas statute and the HSA rule help demand, but they leave the practice structure up to you.
Software startup kits can be useful, and I have no quarrel with the software itself. A kit does not give you a culture or a hospital relationship, and it also does not give you a panel.
Integrity Medicine is a practice you join or partner into. For a plain definition of Direct Primary Care itself, start with what Direct Primary Care is.
Leaving employed primary care still leaves a second decision: build the company yourself, or step into a Direct Primary Care system that already exists.
National writing usually lists three moves: convert an existing insurance panel, start a practice from zero, or join an established clinic as an employed Direct Primary Care physician. AAFP writing in 2026 treats both starting after residency and employed Direct Primary Care as real options.
I founded Integrity Medicine in 2004 and converted the practice to pure Direct Primary Care in 2017. The conversion followed denials for radiology and specialist referrals, prior authorizations, step edits on medications, and lab waiting periods that delayed care.
The Integrity Medicine founding story lives on the About page. The day-to-day shift after the 2017 conversion lives on the comparison of Direct Primary Care vs traditional practice for the doctor.
Building from zero means carrying the entity, the lease, the staff, the hospital file, and every empty slot until the membership base exists. Stepping into Integrity Medicine means practicing as a physician without inventing membership rules, communication, pricing, or employer conversations from scratch.
A partner-owned Integrity Medicine location sits between a solo launch and an existing clinic. You are an owner of the Integrity Medicine site in your area, and the systems already exist behind that location.
If the reason for leaving employed practice still needs work, start with why Kansas physicians are choosing Direct Primary Care.
Integrity Medicine treats join and open as two ways to practice inside the same Direct Primary Care culture.
Direct Primary Care in Newton sits at 715 Medical Center Drive, Suite 200, next to Newton Medical Center. Direct Primary Care in Andover serves Butler County and eastern Wichita, and there is no Wichita office.
I am a board-certified Internal Medicine physician. Physicians who join work inside a pure Direct Primary Care model that already has members, staff, pricing, and employer relationships.
You book your own appointments, and you practice Internal Medicine or Family Medicine as diagnostic work rather than as a referral mill. Ongoing chronic disease management sits inside the monthly membership.
The Newton physicians, including me, Dr. Rob Dillard, and Dr. Leah Inman, see their own patients at Newton Medical Center. In our experience no other practice in Newton does that hospital rounding.
Hospital rounding at Newton Medical Center is why the Newton physicians still round at Newton Medical Center. I precept medical students at the Newton clinic, and mentoring is already part of the work.
Joining Newton or Andover fits if you want to practice Direct Primary Care without spending the next year building a company around yourself. If that is the conversation you want, contact us about physician opportunities.
The Integrity Medicine partner path is for physicians who already want to open a Direct Primary Care practice. Integrity Medicine offers a partner-owned location in your area that stays pure Direct Primary Care.
What is already fixed is simple enough to say in a letter. The partner-owned location is still pure Direct Primary Care, physicians book their own patients, the practice does not bill insurance for primary care, and the Integrity Medicine name and standards travel with the location.
Ownership split, buy-in, exact towns, how a new site builds its first panel, and hospital staff membership in that community belong in a direct conversation. Those answers depend on the physician, the town, and the hospital, and I will not invent them here.
If you have been searching for how to start a Direct Primary Care practice in Kansas, the Integrity Medicine partner path is the version the practice actually runs.
At Integrity Medicine the useful comparison is a short list of loads you either carry alone or share.
| Load | Build a practice from zero | Join Newton or Andover | Partner-own an Integrity Medicine location |
|---|---|---|---|
| Panel and patient load | You build every membership yourself | You step into an existing clinic | You are an owner of the site and grow it with the model already defined |
| Insurance billing for primary care | You decide whether to keep it | Already gone | Already gone |
| Administrative design | You invent it | Already running | Shared standards, local ownership |
| Hospital staff work | You open that file in a new town | Already in place at Newton Medical Center for Newton physicians | Depends on the local hospital |
| Colleagues | You are the only doctor until you hire | Team already includes Internal Medicine and Family Medicine | You are an owner of the site and stay connected to the larger practice |
| First-year risk | Highest | Lowest | Shared |
Building a Direct Primary Care practice from zero is a legitimate path, and a solo launch is also the slowest way to get back to medicine. Joining Newton or Andover trades some ownership for speed.
A partner-owned Integrity Medicine location keeps ownership without asking you to invent Direct Primary Care as a business.
Hospital privileges are a separate file from employment. Leaving a health system leaves medical staff work as its own file, and the practical version of that question is how to keep hospital work when you leave a health system.
One more tradeoff belongs in the letter because I say it in interviews. Newer physicians often function like a point guard who never shoots, and Integrity Medicine is a poor fit if you want a referral mill with a membership logo on the door.
Integrity Medicine ran the insurance version from 2004 to 2017 and left it after denials, prior authorizations, step edits, and lab waits delayed care. Membership replaced fee-for-service billing for primary care, and patients kept insurance for hospitals, major procedures, and specialists.
A hybrid model keeps the insurance payer in the room. Concierge medicine keeps insurance in the room and raises the price.
Over 85% of Integrity Medicine members already have insurance. Those members came because they wanted a doctor who could act without a claims department in the middle.
Doctors at Integrity Medicine book their own appointments, and notes are written for the physician and the specialist rather than for an algorithm. Schedule control is real, and personal appointment booking is the same culture behind the practice's same-day sick visits.
Work-life balance in Direct Primary Care still includes nights and weekends when patients get sick. True emergencies stay on the same line as hospital pages from Newton Medical Center.
Direct Primary Care cuts the insurance layer out of primary care. People still get sick after hours, and that part of the work does not go away when you change how the visit is paid.
National lists of best cities to open a concierge practice do not help a Kansas physician decide where to work. Demand around Integrity Medicine is local.
Integrity Medicine draws primarily from Harvey County, Reno County, and Marion County, with most patients inside a 30-to-60-minute drive. The Newton clinic sits next to Newton Medical Center, and the Andover clinic pulls Butler County and eastern Wichita.
Hesston patients come every day. McPherson, Hillsboro, and Marion are regular sources.
Local proof already lives on the ground in Harvey County and Butler County. Families, employers, and a hospital close enough to support full-spectrum primary care are the real test.
Integrity Medicine does not yet have a third clinic in Wichita. The join path is Newton or Andover, and the partner path is a site where you already have a reason to practice.
Integrity Medicine does not use a public application form for physician opportunities. Write and say whether you want to join the Newton or Andover clinics or own an Integrity Medicine location in your area.
Include a short note on training, whether you want hospital work at Newton Medical Center or in another town, and the community you have in mind. Use the contact page and say you are a physician exploring Direct Primary Care jobs or physician opportunities in Kansas.
No. Direct Primary Care replaces insurance billing for primary care with a monthly membership, and concierge medicine usually charges a high retainer and still bills insurance for visits.
Integrity Medicine prefers a pure Direct Primary Care model over a hybrid that still bills insurance for primary care. Hybrid keeps claims, coding, and prior authorizations inside the building, which is the work we left in 2017.
No. A physician who joins Integrity Medicine in Newton or Andover does not have to build a panel from zero. A partner-owned Integrity Medicine location still requires local growth under an already defined model.
Direct Primary Care panels at Integrity Medicine carry a lighter patient load than typical employed primary care books. Integrity Medicine does not publish a panel cap in this article, and panel size is covered separately in how many patients a Kansas Direct Primary Care doctor should see.
Direct Primary Care at Integrity Medicine improves schedule control. Work-life balance still includes nights and weekends when patients get sick, including hospital pages from Newton Medical Center.
Yes at Integrity Medicine in Newton. The Newton physicians see their own patients at Newton Medical Center.
That hospital continuity is part of the Direct Primary Care practice already running next to Newton Medical Center. Privileges at a future partner site depend on that local hospital.
Yes. Integrity Medicine employer membership is $60 per adult per month, with children at $30. Current groups range from five-person businesses to companies with about 150 employees.
Contact Integrity Medicine and say you want to talk about a partner location. The path Integrity Medicine offers is owning an Integrity Medicine site under the same Direct Primary Care model already practiced in Newton and Andover.
I run Integrity Medicine as a pure Direct Primary Care practice in Newton, next to Newton Medical Center, and in Andover. If you want to join those clinics or talk about owning a location, contact Integrity Medicine and say which conversation you want.
The longer why sits in why Kansas physicians are choosing Direct Primary Care.
