Personalized Headache and Adult Direct Primary Care in Spokane—No Insurance Needed
At Northwest Direct Primary Care & Headache in Spokane, we offer adult primary care and advanced migraine & headache care. 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.
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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 clinic and migraine clinic in Spokane. You can see us for ongoing primary care, headache care only, or both together.
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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.
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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.
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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
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.
| 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.
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.