This monthly membership fee gives you access to Dr. Mark Barreto, who is then choosing to not bill for your doctor visits. As access to a doctor is not a service for which insurance pays, you cannot submit your membership fees to insurance for reimbursement. This fee does NOT go toward your deductible either. Thus, the membership fee is going to be an out-of-pocket expense.

Membership Fees

Under 18 years old: $50/month
18 years old and up: $100/month

• There is a 3 month minimum obligation when you sign up.

• Veterans receive a 5% discount.

• Ask about family discounts for children of parent/guardian members.

*Note: The fee schedule is the cash price. There is an additional 2.1% + 30 cents per transaction charge for credit/debit card payments and 25 cents for bank transfer payments.

Start Membership Enrollment

Included Services

✓ 24/7 access to Dr. Barreto
✓ Unlimited visits
✓ Extended visits (30-60 min)
✓ Same/next business day acute care
✓ Telemedicine
✓ Home visits*

*Home Visits: If determined reasonably necessary, BFM will make effort to comply. There may be an additional fee (up to $300) if Dr. Barreto must travel a significant distance.

How to Pay:

Autopay (preferred): Avoid late fees. Set up with debit, credit, or checking withdrawal.
Check or Cash

When is payment due?

Your first month’s payment is due at your first visit, then billed monthly. Payment is due by the last day of the month (e.g., August’s payment is due by August 31st).

Late Fees

If your monthly fee is not received on time, a $20 late fee will be applied for each person on the account for each month in arrears.

Administrative Fee

Up to $200.00 per month, depending on administrative workload.

This is a variable fee charged if there is excessive administrative time spent dealing with administratively intensive health care facilities (nursing homes, insurance companies, hospital networks, pharmacies, etc.).

Why an Administrative Fee? (Dr. Barreto on his Soap-Box)

When I opened my DPC practice, my goal was to provide the best primary care without insurance interference. Sadly, my patients still rely on that broken system for diagnostics, medications, and facilities. Engaging with these entities requires hours of uncompensated administrative work.

Insurance companies purposely deny coverage to force doctors into hours of prior authorizations. They make billions while relying on private doctors to do their administrative work for free. To maintain a financially viable DPC practice, I must charge an administrative fee if I am forced to spend a significant amount of time and effort dealing with these administratively intensive organizations outside of direct patient care.

If you only need to see a doctor once or twice a year, there is an option to pay $250 per visit for non-members.

Communications after this visit are limited to issues regarding that specific visit.
Medication refills or forms require another visit/charge.
Not available for Medicaid (per NY State law).
Cannot be submitted to Medicare for reimbursement (Medicare Opt-Out agreement).

CDL & DOT Physical Exams

Dr. Barreto is an FMCSA-certified medical examiner offering comprehensive DOT physicals to both members and non-members. Avoid the chaotic urgent care waiting room and book a dedicated exam in Otego today.

$150 Learn More & Book

Simple Pricing, Direct Care