Direct Specialty Care (DSC) is a healthcare model that provides patients with direct access to a specialist—without insurance referrals, copays, or third-party billing. By eliminating these barriers, DSC allows for longer visits, open communication, and a stronger physician-patient relationship. It prioritizes prevention, giving your specialist the time to focus on keeping you healthy rather than just treating illness. With transparent, predictable pricing and personalized care, DSC empowers you to take control of your health with your physician.

We offer clear, upfront pricing for your visits. You pay a fixed amount for each consultation or a monthly membership fee, depending on your preferences. For Medicare Part B patients, Medicare will cover most of your visit costs after your deductible.

While we do not contract with insurance, we can provide you with a superbill to submit to your insurance if you have out-of-network coverage. You can use Reimbursify, where you can check your out-of-network coverage and submit your bill to be directly reimbursed by your insurance. Please note that we are not responsible for payments from your insurance or determining how much will be covered. You will need to pay us in full prior to the visit, unless you have Medicare Part B, in which case we will bill accordingly.

Even if you have insurance, using Direct Specialty Care offers several advantages. You get rapid access (often within days, not months), longer and more personalized visits, and direct communication with your specialist—without the delays and restrictions that come with insurance-based systems. Many patients also use their insurance for tests, imaging, or medications while paying for direct visits out of pocket, giving them the best of both worlds: convenience and quality time with their doctor.

A superbill is an itemized receipt that outlines the services you received during your visit, along with corresponding medical codes. Although we do not bill insurance directly, you can submit the superbill to your insurance provider for potential reimbursement, depending on your out-of-network benefits. It includes all the information your insurance company needs to process your claim. Please note that reimbursement is not guaranteed and varies by plan. You can click here to start the reimbursement process.

This model is well-suited for patients with chronic or complex conditions who prioritize consistent and accessible care. It accommodates frequent appointments and ongoing support, including communication via phone or patient portal messaging as needed. Please note that this option is not applicable for individuals with Medicare Part B as their primary insurance.

You do not need insurance to be seen by us. Our practice operates on a direct care model, which means you pay us directly for services. This allows us to offer more personalized, transparent care without the limitations of insurance networks. That said, having coverage for major health emergencies is important. Many patients choose to pair our services with a High Deductible Health Plan (HDHP) or a Health Sharing program to help cover large or unexpected medical expenses like hospitalizations, surgeries, or emergency care. You can still use your insurance for labs, imaging, or prescriptions, and we’ll help coordinate those as needed.

We accept Medicare Part B and will bill according to CMS guidelines. You'll only need to pay your deductible and any applicable co-insurance, which will be outlined in your billing.

Your care will be provided directly by Dr. Vyas, a board-certified nephrologist. Dr. Vyas will take the time to understand your health concerns, create a personalized care plan, and be your consistent point of contact throughout your care. You’ll receive attentive, one-on-one care without being passed between multiple providers—ensuring continuity and trust.

One of the key benefits of our practice is timely access to care. Most new and follow-up appointments are available within a week, and we strive to minimize wait times in the office so you're seen promptly. Because we limit the number of patients we see, you get more dedicated time with the doctor—without the typical delays of traditional healthcare settings. Check availability here.

You can book as many visits as needed to manage your health. We offer flexible scheduling with options for frequent or extended appointments. Memberships are encouraged for patients who need frequent visits.

Yes! We offer both in-person and telehealth visits (licensed only in Maryland) so you can get the care you need from the comfort of your home.