Answers worth your time

Prevent & Sustain Medicine is an independently owned, cash-based practice in Richmond, Kentucky. We were founded on a simple belief: too many people are living exhausted, dismissed, and without real answers — while being told everything is "fine."

We offer longer appointments, deeper lab testing, and individualized plans built around the root cause of how you feel — not just the symptom in front of us.

Our providers bring years of clinical experience across some of the most demanding environments in medicine — including ICU and critical care, nephrology, urology, emergency medicine, and urgent care. That depth of multi-specialty training is what allows us to see connections that routine primary care often misses.

We believe healthcare should be personal, not rushed. Unlike traditional high-volume practices, we dedicate a full 60 minutes to your initial consultation, allowing us to truly listen, understand your concerns, and look at the bigger picture.

Our approach combines conventional medicine with integrative care, focusing on identifying underlying contributors to your symptoms rather than simply managing them. With specialized experience in urology, kidney health, hormones, and preventative medicine, we provide individualized care tailored to your needs.

Our unique hybrid model allows us to protect that valuable one-on-one time while accepting participating commercial insurance plans for eligible follow-up care. We also offer affordable options for uninsured patients.

More time. A deeper understanding. Healthcare centered around you.

We are located at 2150 Lexington Road, Suite F, Richmond, KY 40475. We are right off of I-75 at exit 90B in Richmond, KY, in the large gray building known as Harper Square. We are on the second floor, closest to White Hall Elementary School.

Our hours are Monday – Thursday, 9:00 AM – 4:00 PM and Friday, 9:00 AM – 12:00 PM. Extended hours are available for established patients, urgent visits, and upon request. We are closed on major holidays.

We are available via call or text at 859-712-0955.

Direct Primary Care is a model in which you pay your providers directly — through a membership or visit fee — rather than routing everything through insurance. Removing the insurance middleman frees us from billing constraints, prior authorization delays, and time limits that compromise care.

The result is a fundamentally different relationship: more time with your providers, more responsive access, and care that's truly built around you.

Membership at Prevent & Sustain provides ongoing access to your providers, priority scheduling, and continuity of care at a predictable monthly cost. Specific membership tiers and inclusions are outlined on our Memberships page.

Some services — such as IV therapy, injections, advanced labs, and certain procedures — are available à la carte with member discounts applied.

No. We offer individual visit-based appointments for patients who prefer not to commit to a monthly membership. Payment plans are also available. We believe access to thoughtful, personalized care shouldn't require a long-term contract if that's not the right fit for you.

Your initial consultation is scheduled for a full 60 minutes — enough time to take a thorough history, review your labs and concerns, and start building a real picture of your health. Follow-up visits are tailored in length to what you need; we don't rush you out the door to stay on schedule.

No. Direct Primary Care is not health insurance and does not replace it. You still need insurance (or another coverage option) for hospitalizations, specialist visits, imaging, and emergency care. DPC works alongside your insurance by handling a broad range of primary, preventive, and chronic care needs directly — often more affordably and with far greater access.

Absolutely. We regularly coordinate with specialists and other providers. We can facilitate referrals, review specialist notes with you, and help you navigate complex diagnoses — functioning as your medical home base and advocate across your entire care picture.

Yes — for labs, follow-up visits, sick visits, and medications prescribed through your pharmacy. Your first visit is cash-pay at $250.

For follow-up and sick visits, we are in network with commercial Anthem Blue Cross and Blue Shield, Aetna Commercial, and United Commercial.

Office visits will be cash-pay. You are still able to use your insurance for labs and for medications through the pharmacy of your choice.

No. We are currently in negotiation with Medicare. Unfortunately, we are unable to accept Medicaid at this time.

Yes. Many patients use their Health Savings Account (HSA) or Flexible Spending Account (FSA) to cover visit fees, membership costs, and other eligible services. We recommend confirming with your plan administrator which services qualify under your specific account.

We accept major credit and debit cards, HSA/FSA cards, and cash. Payment plans are also available — visit our Payment Plans page for details, or ask us at your first appointment.

Our areas of focus include hormone optimization (men & women), perimenopause & menopause care, peptide therapy, weight loss & management, sexual dysfunction, pelvic floor dysfunction, interstitial cystitis & bladder pain, recurrent UTIs, urinary incontinence, prostate health, metabolic health, thyroid health, metabolic kidney stone prevention, and advanced lab testing — plus IV therapy and injections.

Our providers' backgrounds across nephrology, urology, emergency medicine, and critical care give us a rare ability to approach complex, overlapping conditions with both depth and perspective.

Yes. We provide comprehensive hormone optimization for both men and women, including bioidentical hormone replacement therapy (BHRT), pellet therapy, and testosterone optimization. Treatment is guided by advanced lab panels and ongoing monitoring — not a one-size protocol.

Peptides are short chains of amino acids that signal specific biological processes — tissue repair, immune modulation, metabolism, cognitive function, and more. We use targeted peptide protocols as part of individualized treatment plans. Options may include growth hormone-releasing peptides, immune-modulating peptides, gut healing peptides, and others depending on your goals and evaluation.

We go well beyond standard panels. Our advanced testing capabilities include comprehensive metabolic and hormone panels, thyroid deep-dives (TSH, Free T3, Free T4, antibodies), inflammatory and autoimmune markers, micronutrient and vitamin analysis, insulin resistance and metabolic syndrome screening, renal and cardiovascular risk panels, salivary cortisol testing (which captures 24-hour patterns far better than a single blood draw), and gut microbiome testing.

Yes. Our IV therapy menu includes Myers' Cocktail, Tri-Immune Boost, Glutathione, NAD+, and Circulate (a blood flow and microcirculation blend) — all with 1 liter of fluids. Our injection menu includes Vitamin B12, Vitamin D3, Biotin Glow, Performance Recovery, and a Super B Solution. Both are available as standalone services or as part of your care plan. View the full menus on our IV Therapy and Injections pages.

The easiest way to get started is to schedule an initial consultation online through our scheduling portal. You can also call or text us at 859-712-0955 or email office@preventsustainky.com. We'll help you determine the right appointment type before your first visit.

Your initial consultation is 60 minutes. We'll take a thorough history — your symptoms, your story, your goals — and review any prior labs or records you bring. We may order advanced testing at or after this visit. By the end, you'll have a clear picture of next steps and a plan that actually addresses what's going on.

Expect to feel heard. That's the whole point.

Please bring any recent lab work or records from other providers, a current list of medications and supplements, your insurance card (even if we aren't billing it yet, it's helpful for labs and referrals), and any notes about symptoms or concerns you've been wanting to address. The more context you bring, the more productive we can make your time.

Yes! Initial consults must be in person. Most follow-ups and sick visits may be conducted via telehealth when clinically appropriate. Feel free to call or text prior to scheduling at 859-712-0955.

Yes — and this is exactly the kind of patient we were created for. "Normal" on a standard panel doesn't always mean optimal. We dig deeper: advanced thyroid panels, hormone levels, cortisol patterns, inflammatory markers, micronutrients, and more. There is almost always something to find when you look hard enough. We look hard enough.