Coming to Wyoming — August 2026
Your provider.
Your health.
Your health.
finally on your terms.
A new kind of primary care is coming to Wyoming. Membership-based. Virtual-first. No insurance runaround — just you and your provider, direct.
⭐
Founding membership — limited to 100 patients
Be first to know when we open.
By joining you agree to receive updates from PG Direct Care LLC. Unsubscribe anytime.
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What is Direct Primary Care?
Healthcare the way it should work.
Direct Primary Care is a straightforward model: you pay a flat monthly membership fee, and in return you get comprehensive primary care from a provider who actually knows you — no copays, no claim forms, no surprise bills.
Your provider keeps a small, intentionally limited patient panel so visits are genuinely unhurried, availability is same-day/next-day, and you can reach them directly when you need to.
You may still want a high-deductible plan for emergencies — but for the everyday care that makes up most patients' needs, DPC covers it transparently, affordably, and on your schedule.
Emergency Room
Urgent Care
Traditional Primary
PG Direct Care
Costs
Monthly Cost
what you pay regularly
$0 (until you go)
$0 (until you go)
Insurance premium
$89–$129/mo
Per Visit Cost
copay or out-of-pocket
$500–$3,000+
$75–$280
$20–$50 copay
$0
No Surprise Bills
transparent pricing
✗
✗
✗
✓
After Hours Visits
evenings & weekends
✓ ($500–3k)
Sometimes
✗
✓ Free
Access
Same-Day/Next-Day Access
✓
✓
✗
✓
Direct Provider Access
call, text, message
✗
✗
✗
✓
Virtual Visits
from home
✗
Sometimes
Sometimes
✓
Care Quality
Personalized Care
✗
✗
Limited
✓
Typical Wait Time
2–8 hrs
1–3 hrs
Varies
Same/Next Day
ER & Trauma Experience
provider background
✓
Varies
Rarely
✓
Your Estimated Value
Adjust the sliders to match your current Wyoming healthcare spending.
Monthly Insurance Premium
What you pay monthly for health insurance (Wyoming avg: $500–$888/mo)
Primary Care Copay
$40/visit
Primary Care Visits Per Year
4 visits
Urgent Care / ER Visits Per Year
2 visits
Average Urgent / ER Cost Per Visit
$150/visit
🌙 PG After Hours — Free for Members
After-Hours Visits Per Year
3 visits
What You'd Pay Elsewhere
$150/visit
Non-members pay $65/visit at PG After Hours — or far more at urgent care / ER
Without PG
$7,500
per year
PG Direct Care
$1,068
per year
💡 Just one avoided after-hours or urgent care visit this year covers 4 months of your PG Direct Care membership.
Cost Breakdown Without PG
Insurance Premium (12 mo)
Primary Care Copays (4 visits)
$160
Urgent / ER Visits (2 visits)
$300
After-Hours Visits (3 visits)
$450
Total Without PG
$6,910/yr
PG After Hours — Included Free
Sick visits and acute care during evenings and weekends — from a provider with hands-on emergency and trauma experience who already knows your history, your medications, and your baseline. That's not urgent care. That's something entirely different.
Without membership: $65–$3,000+ per visit
As a PG member: Included Free
As a PG member: Included Free
Annual Wellness Visit
Full physical, labs review, preventive screenings — all personally coordinated by your provider.
Traditional: $150–$300 with insurance
PG Direct Care: Included
PG Direct Care: Included
Direct Provider Access
Text, call, or message your provider directly. No hold music. No nurse triage. Just answers.
Traditional: Not available
PG Direct Care: Included
PG Direct Care: Included
Prescription Management
Refills and adjustments handled quickly — no unnecessary office visit required.
Traditional: $35–$60 copay per visit
PG Direct Care: Included
PG Direct Care: Included
Preventive Screenings
Mammograms, colonoscopies, labs — coordinated for you and personally reviewed with you.
Traditional: Often delayed or missed
PG Direct Care: Coordinated for you
PG Direct Care: Coordinated for you
Remote Monitoring
Track BP, weight, glucose, and more at home. Your provider trends your data and catches problems early.
Traditional: Not typically offered
PG Direct Care: Included
PG Direct Care: Included
Peace of Mind
Knowing you can message your provider at 10pm when something doesn't feel right — and get a real answer. You are never alone navigating your health.
Traditional: Not available
PG Direct Care: Always
PG Direct Care: Always
Common questions
"How do you examine me virtually?"
💬 Most clinical decisions come from your history, symptoms, and lifestyle — not just a stethoscope. Your provider will teach you to track vitals at home. If something truly needs hands-on care, you'll be referred to exactly the right place with full advocacy every step of the way.
"What about vaccinations?"
💬 Your provider coordinates those for you. Most flu shots and boosters are done at your pharmacy — they send the orders. For others, they'll connect you with your local health department. You won't fall through the cracks.
"I'm pretty healthy. Why would I need this?"
💬 That's actually the perfect time to join. DPC isn't just for sick visits — it's a relationship with a provider who knows you before something goes wrong. And with PG After Hours included free, you have evening coverage most healthy people never think about until they need it.
"Is this health insurance?"
💬 No — and that's the point. Insurance is for catastrophic events. PG Direct Care covers everything in between: your questions, your refills, your checkups, your peace of mind. Most members keep a high-deductible plan for major events and use PG for everything else.
PG After Hours
Because health doesn't follow business hours
Acute and sick visit care during evenings and weekends — from a provider with hands-on emergency and trauma experience who already knows your history, your medications, and your baseline.
Free for All Members
Founding members, standard members, and pediatric patients — PG After Hours is included at no extra cost. You've already paid for it.
Not Just Another Urgent Care
This isn't a walk-in clinic with a stranger. It's your own provider — available after hours, with your full history already in hand.
Emergency & Trauma Trained
17 years in healthcare, including hands-on emergency and trauma experience. When something urgent happens after hours, you have a provider who has seen it and knows how to act.
15-Minute Focused Visits
Structured for acute and sick visits. Quick, efficient, and thorough. Prescriptions sent to your pharmacy the same night when needed.
Just Here for After Hours? That's Fine.
Not looking for a primary care provider right now? You can join PG Direct Care and use your membership exclusively for PG After Hours coverage. Your care, your way.
Non-Members Welcome — $65/visit
Transparent flat rate. No surprise bills. Come experience the care — membership is always an option when you're ready.
⚖️
Provider-Guided Weight Loss
More than a prescription. A complete program.
Real clinical management — body composition tracking, mandatory labs, weekly check-ins, monthly follow-ups, nutritional guidance, and direct provider access. A personalized, medically supervised journey to lose the weight, protect your muscle, and actually stay there.
$149/mo — Non-Member
$89/mo — Member Add-On
What's Included
Initial consultation — full history, baseline labs, body composition assessment
Monthly follow-up visits — progress review, medication adjustments, goal-setting
Weekly check-ins — blood pressure, heart rate, and weight tracked and trended
Monthly body composition — lean mass, fat mass, waist, hip, and neck measurements reviewed before every visit
Lab work ordered and coordinated by your provider — labs billed separately through your preferred lab or facility
Nutritional education and dietary guidance included — patients with medical insurance may be eligible for referral to Nourish, a registered dietitian service covered by most major insurance plans
Direct messaging access — same-day/next-day responses between visits
Visit summaries after every appointment — progress, goals, and motivation in writing
Protecting Your Muscle — Not Just Losing Weight
Most weight loss programs never tell you this: GLP-1 medications can cause significant loss of lean muscle tissue alongside fat. Studies show up to 25–40% of total weight lost may come from muscle — not fat — without proper monitoring and intervention.
Why muscle loss matters:
⚠Slows your metabolism long-term
⚠Causes fatigue, weakness, and loss of function
⚠Leads to weight regain when medication stops
⚠Increases risk of injury and reduced mobility
Your PG Direct Care weight loss program tracks lean mass and fat mass separately every month — so we know exactly what you're losing and can adjust your plan to protect your muscle while maximizing fat loss.
Medication Options
All medications are FDA-approved. No compounded formulations. Treatment plans are individualized — your provider makes no one-size-fits-all decisions. Nothing below constitutes medical advice.
TirzepatideMounjaro / Zepbound
GLP-1 / GIP Injectable
📈 Avg. 20–22% body weight loss over 72 weeks
Dual-action hormone medication. Preferred option for most patients due to strong efficacy and favorable side effect profile.
SemaglutideOzempic / Wegovy
GLP-1 Injectable
📈 Avg. 15% body weight loss over 68 weeks
Well-established GLP-1 medication. Offered for patients who prefer semaglutide or cannot tolerate tirzepatide.
RybelsusOral Semaglutide
GLP-1 Oral Tablet
📈 Avg. 10–15% body weight reduction
The oral alternative to injectable GLP-1s. Ideal for needle-averse patients who still want the benefits of semaglutide.
ContraveBupropion / Naltrexone
Oral Combination
📈 Avg. 5–8% body weight loss
Targets food cravings and emotional eating patterns. A strong option for patients where appetite and mood drive eating behaviors.
Metformin ERExtended Release
Oral / Insulin Sensitizer
📈 Modest weight reduction, metabolic benefits
Foundational option for insulin-resistant patients. Cost-effective and well-tolerated. Often used alongside other therapies.
OrlistatAlli / Xenical
Fat Absorption Blocker
📈 Avg. 5–7% body weight loss
Reduces dietary fat absorption. Available over the counter at lower dose or by prescription. Best paired with a low-fat diet.
Reaching Your Goal Is Only Half the Journey
Most programs celebrate when you hit your goal — and then leave you on your own. At PG Direct Care, reaching your target weight is where a new phase begins, not where the relationship ends.
The reality most programs don't talk about:
⚠Most patients who stop GLP-1s without a maintenance plan regain weight within 12 months
⚠Sustainable maintenance requires continued body composition monitoring — not just scale weight
⚠Medication needs change as your body changes — proper tapering matters
⚠Habits built during the program are what carry you forward long-term
Our maintenance phase is a structured, individualized program designed to keep you at the weight you've worked hard to reach. We'll transition your medication thoughtfully, continue monitoring your body composition, and build the habits and tools you need to sustain your results — for life.
Maintenance phase includes:
✓Continued body composition tracking — lean mass, fat mass, and measurements
✓Individualized medication management — right dose, right time, right plan for you
✓Ongoing monthly check-ins to catch trends before they become setbacks
✓Nutritional and lifestyle guidance to build sustainable long-term habits
✓Direct provider access — because questions don't stop when the scale does
Program enrollment opens August 3, 2026
Member Add-On: $89/mo · Non-Member: $149/mo
Join Waitlist
Includes initial consult · monthly visits · weekly check-ins · body composition tracking · lab orders coordinated by your provider (labs billed separately)
"I started PG Direct Care because I believe every patient deserves a provider who has the time to actually listen — and the access to actually help."
— Nicholas Green, FNP-C · Founder, PG Direct Care
About Your Provider
Board-certified. Wyoming-focused. Built for you.
Nicholas Green, FNP-C, is a board-certified Family Nurse Practitioner focused on primary care, preventive medicine, and chronic disease management. PG Direct Care was founded on a simple belief: great primary care should be accessible, personal, and free from the friction of insurance-based medicine.
Serving Wyoming patients virtually — wherever you are in the state — PG Direct Care brings relationship-based care back to the way it should be.
Waitlist
Reserve your spot before we open.
Founding Members receive a special rate locked in for life — and once 100 founding spots are filled, this tier closes permanently. Join the waitlist now to be notified first when we open.