Primary Care That Puts You First
Unlimited visits. Transparent pricing. A provider who knows you.
At Gem State Direct Primary Care, you get unlimited visits, direct access to your provider, and care that feels personal, unrushed, and rooted in trust.​
We are proud to offer:
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Same & next-day appointments
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Direct access to your doctor (text, call, or video access)
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Comprehensive Internal Medicine services
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Chronic Condition Management
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Hormone Therapy (for men and women)
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Peptide Therapy
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Sports and Dot Physicals
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Mental Health Support
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Personalized Weight Management Plans
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GLP-1 Therapy
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In-House Pharmacy with at-cost pricing
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Transparent & discounted pricing on labs
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Xeomin Tox Injections at-cost
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Styku 3-D Body Composition Machine
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Thorough, unhurried visits
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...and more.
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All for an affordable monthly membership fee.
What is Direct Primary Care?
A Better Way to Do Primary Care
Direct Primary Care (DPC) is healthcare without the hassle. No insurance barriers. No surprise bills. Just a monthly membership that gives you unlimited access to your provider whenever you need care.
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Unlimited visits &
Unrushed appointments
Longer, unhurried appointments with a provider who knows your history and has time to discuss your health concerns in detail
Transparent monthly pricing
Our practice is a cash-based, membership model, with a low monthly fee as our only charge. We also offer up to 90% savings on lab testing and pharmaceuticals.
Direct access to your provider
Schedule same-day or next-day appointments, with expanded telemedicine options
Meet Your Team
Because we believe healthcare should feel personal, unrushed, and rooted in trust.
At Gem State Direct Primary Care, our team is united by a simple mission: to provide exceptional, relationship‑centered healthcare that feels personal, accessible, and grounded in Idaho values. We’re a small but dedicated group of staff who believe patients deserve time, attention, and genuine partnership in their care.
From the moment you walk through our doors, you’ll meet people (and our furry team member) who love what they do — listening deeply, communicating clearly, and creating a welcoming space where you feel known, not rushed. Together, we’re committed to delivering high‑quality medical care with warmth, integrity, and the kind of community‑minded spirit that makes North Idaho home.
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Kind Words
real stories, real gratitude
"Valerie is like no medical provider I have ever had, but I always wished I did. She is kind, caring, RESPONSIVE, she listens and understands and doesn't make me feel like a crazy person when I come to her with a problem. I tell every person that ever asks about a good doctor's office, about her. How many providers allow you to text them, and offer same/next day appointments? I am so thankful for Valerie and her amazing team!"
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THE PROCESS
MEET AND GREET
We invite prospective patients to begin their journey with a complimentary Meet & Greet appointment, available in person or virtually by phone or video chat. Schedule here.
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This informal visit is an opportunity to get acquainted, explore how our practice works, and ask any questions you may have about joining Gem State Direct Primary Care.
Please note: While Valerie Rounds will be happy to connect with you during your Meet & Greet, she will not provide medical evaluations or recommendations during this initial conversation.
from meet and greet to Membership
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