Crome Medicine Overview

What Membership Includes

Crome Medicine is a direct primary care (DPC) physician-owned practice. It is designed to accept direct payment from each member to provide primary care as described below.

Membership Options

  • Tier 1 - Core Care: $200/month

  • Tier 2 - Core Care Plus: $350/month

Core Care for All Members (Tier 1 and Tier 2)

  • Annual comprehensive evaluation

  • 6-month follow-up visit

  • Quarterly check-ins (in person or virtual)

  • Routine, problem-focused, as-needed acute, telemedicine, and phone visits

  • Secure messaging through EHR portal

  • Medication management and coordination of care

  • EKG, body composition analysis, selected in-office procedures, and rapid testing

Core Care Plus (Tier 2)

  • Planned monthly physician check-ins (in person or virtual)

  • early and late priority scheduling

  • coordination with a personal trainer

  • direct text communication

  • advanced care coordination

  • advisory hospital visits

  • home visits

  • annual and 6-month laboratory evaluations

  • coronary artery calcium screening

Important Consideration

Membership covers the primary care services described by Crome Medicine. It does not replace health insurance and does not cover hospitalizations, emergency care, specialists, imaging, medications, or external services not included in the membership. Maintaining major medical insurance is strongly recommended.

The 6 Domain Framework

The six domains are the proprietary operating structure of Crome Medicine. They help translate health from a general aspiration into a practical system: define the behaviors, understand the person, improve and stabilize cognition and mood, build the body, measure the results, and support it all through nutrition.

I. Daily Discipline - Physiologic order as the foundation of preventive medicine.

  • Optimize sleep, circadian rhythm, exercise, nutrition, alcohol regulation, cognitive load, and self-monitoring.

The aim is rhythm, not perfection. Stable daily signals reduce physiologic strain and make progress repeatable.

II. Personal Growth & Life Direction - Directed identity as a physiologic regulator.

  • Connects discipline and goals to purpose, responsibility, relationships, work, and aging.

When a person knows what he is building, health behaviors become less dependent on motivation and more connected to identity.

III. Mental Health & Cognitive Performance - Cognitive performance as the aim; emotional stability as the foundation.

  • Protects the brain systems that regulate attention, motivation, judgment, emotional control, and disciplined action.

The focus is not only illness treatment, but preservation of clarity, steadiness, and long-term cognitive durability.

IV. Physical Health & Performance - Physiologic capacity as the aim; durability as the standard.

  • Builds and preserves muscle, strength, aerobic capacity, mobility, metabolic function, recovery, and independence.

The goal is a body capable of doing what life requires - now and decades from now.

V. Measurement & Physiologic Feedback - Objective data as the foundation of precision health.

  • Makes health visible through the right data, interpreted over time: body composition, labs, cardiovascular risk, VO2 max, sleep, HRV, recovery, exercise, nutrition, sleep adherence, and preventive screening.

Objective data as the foundation of precision health.

VI. Nutrition as Fuel for Life - Fueling the body and shaping the experience of living.

  • Creates nutritional structure that supports body composition, metabolic health, training, energy, relationships, and real life.

The goal is not dietary ideology; it is awareness, consistency, flexibility, and measurable results.

The domains are not six separate programs. They are one integrated clinical model. When one area weakens, the others become harder to sustain. When the system strengthens, behavior becomes more reliable, physiology becomes more stable, and health becomes more actionable.

How Care is Delivered

Crome Medicine uses a structured annual schedule while preserving flexibility for acute concerns, unexpected problems, and individual needs. The model is intentionally longitudinal: the physician and member review where things stand, identify what matters most, execute a practical plan, and recalibrate based on results

The Member Journey

1. Establish Baseline

Clarify history, goals, medications, risk, current behaviors, sleep, nutrition, exercise, stress, cognition, relationships, labs, and function.

2. Build the plan

Identify the highest-yield priorities across the six domains. Translate goals into a small number of behaviors, visits, testing decisions, and follow-up intervals.

3. Execute and monitor

Use planned visits, communication, acute access, and selected data to keep the plan visible. Prevent drift before it becomes relapse or disease progression.

4. Recalibrate

Review trends, interpret results, adjust medications or lifestyle prescriptions, and update the plan as goals, physiology, life demands, and risk change.

Request to become a member

Would you like to become a member of Crome Medicine? Please fill out this form and we will contact you.

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