Personalized Headache and Adult Direct Primary Care in Spokane—Self-Pay Clinic, No Insurance Needed

Location: 1403 S Grand Blvd, STE 201S, Spokane, WA

Hours:
Mon-Thu: 9am-5pm
Fri: 9am-12pm

By appointment only

Northwest DPC & Headache is a clinic in the pacific Northwest in South Hill Spokane, Washington
Schedule Online
Call to Schedule (509) 903-5061

At Northwest Direct Primary Care & Headache in Spokane, we offer adult primary care and advanced migraine & headache care as an affordable self-pay clinic. This means we don’t bill insurance, although we order medications or imaging that may still use insurance. For those in our direct care memberships, it gives you unlimited visits & longer appointments.

54 MILLION

Number of patients who live with headaches in the US. That means there is only 1 headache specialist for every 100,000 people actively living with migraine or severe headache in the US.

49 PERCENT

Of people are happy with their current headache treatment.
We work with you to find the best option that fits you.

18 MINUTES

Average time patients get with a primary care doctor.
Ours is 30-40 minutes.

26 DAYS

Average wait time for a primary care appointment in Spokane, WA.
Ours will frequently be within a few business days.

Let’s do better than average. Much better.

  • Yes. We are now accepting new adult patients for both primary care and specialized care for Migraines and Headaches.

    As Northwest Direct Primary Care & Headache is an adult primary care clinic and migraine clinic in Spokane. You can see us for ongoing primary care, headache care only, or both together.

  • Intake Visit | 60 minutes | $350

    Follow-up Visit | 40 Minutes | $240

    Procedure Only Visit | 20 Minutes | $120

    Botox for Migraine | $160 + Visit Fee
    Requires Intake visit first [May be as low as $0 with Botox savings program for visit, medication and procedure]

    Occipital Nerve Block | $75 + Visit Fee

    Trigger Point Injection | $50 + Visit Fee

  • Direct primary care (DPC) is a simpler way to get primary care in Spokane, where you have a direct agreement with your physician, rather than going through insurance.

    Instead of billing insurance each time you come in, you pay a flat monthly fee. That covers your primary care visits, longer appointments, and most day-to-day care. There are no copays or surprise bills, and you can be seen as often as needed.

  • No. You do not need insurance to become a member. Also, we are not a form of insurance.

    We do not bill commercial insurance. Many patients keep a high-deductible or catastrophic insurance plan for hospital care, surgery, and specialists, and use our direct primary care membership for everyday medical needs. You can also use HSA/FSA funds for eligible expenses.

  • Many people with insurance still feel frustrated with their care. Premiums keep going up, deductibles are high, copays add up, networks are narrow, referrals are required, and coverage is often denied for the care you actually want.

    Our clinic works differently.

    At Northwest DPC & Headache, you pay us directly instead of going through your insurance for primary and headache care. That allows us to:

    • Offer simple, flat pricing instead of surprise bills

    • Take more time with you at each visit

    • Give you shorter wait times and more flexible scheduling

    We also have time to help you use your insurance when it makes sense. Many headache and migraine treatments are not well covered or are hard to access, like Botox, nerve blocks, and trigger point injections. We don’t get paid by your insurance, but we can still work with you to try to get coverage when possible and help you navigate those hoops.

    Because we are a small, private practice that doesn’t contract with insurance companies, we can keep our prices more transparent and often lower than typical insurance-based clinics for the services we provide.

    Most of all, we focus on you—listening carefully, doing a thoughtful exam, and using up-to-date, evidence-based care to build a plan that fits your life. Your visits aren’t rushed, and you’re treated like a person, not a number.

Accepting New Patients with Minimal Wait Time!

Are you looking for

Direct Primary Care
Headache Care

What patients are saying

Excerpts from public reviews on trusted platforms

    Which Care Option Fits You Best?

    We offer a pay-as-you-need model for advanced headache care, a monthly subscription-type model named direct primary care, and an add on for DPC members who also want to include their focused headache care.

    Which Care Option Fits You Best?

    Direct Primary Care (DPC) Membership

    Flat-fee adult primary care in Spokane

    $110 per month

    Best if you want ongoing direct primary care in Spokane with longer visits, easy access, and simple, predictable costs.

    • Unlimited medically necessary visits (in-person or virtual) with your primary care doctor
    • Longer appointments (often 30–60 minutes)
    • Chronic disease management and preventive care
    • Same-week appointments whenever possible
    • Transparent, flat monthly pricing with no copays or surprise bills
    • Big discounts on labs and imaging, often 70–90% less than standard rates
    • Learn more about our Direct Primary Care membership

    Headache Care Only

    (Cash-for-service, as-needed care)

    Initial visit: $350 • Follow-up: $240 • Procedure Only: $120 • Botox: As little as $0

    Ideal if you already have a primary care doctor but want focused, expert headache and migraine care in Spokane.

    • Comprehensive headache and migraine evaluation
    • Botox for chronic migraine
    • Trigger point injections and occipital nerve blocks
    • Medication and non-medication treatment plans
    • Second-opinion consultations
    • Pay at the time of your visit; we can provide a detailed receipt to submit to your insurance for possible reimbursement
    • Read more about our headache clinic services

    DPC + Advanced Headache Care

    Primary care + specialty headache support

    $110 + $65 per month

    Best if you have frequent or complex headaches and want both full primary care and advanced headache treatment in Spokane under one roof.

    • Everything in the DPC membership
    • Included or discounted headache visits
    • Discounted Botox, trigger point injections, and nerve blocks
    • Coordinated care for headaches, chronic conditions, and general health
    • Simple, combined monthly pricing and direct access to your physician
    • See how our DPC membership and headache clinic work together
    Feature Traditional Insurance Direct Primary Care (DPC) Headache Care (Cash Visit) DPC + Advanced Headache Care
    Predictable, Transparent, flat pricing ❌ ✅ ✅ ✅
    No copays or deductibles ❌ ✅ ✅ ✅
    Longer visits (30–60 min) ❌ ✅ ✅ ✅
    Same week appointments ❌ ✅ ✅ ✅
    Headache primary care services ❌ ✅ ✅ ✅
    Advanced Headache services ❌ ❌ ✅ ✅
    Botox, injections, second opinions ❌ ❌ ✅ ✅
    Discounted labs & imaging ❌ ✅ ❌ ✅
    Option to submit receipts to insurance ➖ ❌ ✅ ➖
    Privacy from insurance databases ❌ ✅ ✅ ✅
    Cancel anytime ❌ ✅ ✅ ✅

    Meet Dr. Michael Stewart

    Dr. Stewart is a board-certified Internal Medicine physician and has a clinical focus on migraine and headache disorders. He holds an Advanced Qualification in Headache Medicine from the National Headache Foundation.
    Dr. Stewart believes that to be a good doctor, you have to be a good human first. That, with good medicine, is the kind of care patients deserve and we offer at Northwest DPC & Headache.

    Read More About Your Doctor

    Still Have Questions?


    We’re building a clinic that’s different—for a reason. You don’t need insurance to get great care. Just start with one simple step.

    See Our FAQ
    Contact us
    Schedule Online
    Call to Schedule (509) 903-5061