Adult Primary Care & Specialized Headache Care in Spokane
Northwest DPC & Headache offers adult primary care in Spokane with longer visits, direct physician messaging, transparent $110/month pricing, advanced primary care, and same-day or next-day access for many concerns.
Dr Stewart offers specialized migraine and headache care, Botox, nerve blocks, CGRP treatment planning, neuromodulation, in-office migraine attack rescue for established patients, and second opinions.
Looking for headache or migraine care?
Looking for a primary care doctor?
Meet Your Doctor
Dr. Stewart is a board-certified Internal Medicine physician. He provides specialized care for migraine and headache disorders and holds an Advanced Qualification in Headache Medicine from the National Headache Foundation.
He believes the best care happens when medical expertise is paired with kindness, honesty, and real human connection. At Northwest DPC & Headache, our goal is to provide care that is thoughtful, personalized, and worthy of our patients’ trust.
Choose the Care Path that Fits You
For patients who do not live in Spokane or want the convenience of not needing to be seen in person. Virtual visits allow patients anywhere in Washington to see us for headache and/or direct primary care.
For individuals with L&I workers’ comp-related headache. We see worsening migraines, concussive headaches, and other work-related headache claims.
For migraine, chronic migraine, post-traumatic headache, second opinions, Botox, nerve blocks, and treatment planning. We offer straightforward visit or membership pricing*.
For adults who want a primary care doctor with longer visits, direct access, and simple cash pricing or Traditional Medicare billing*.
*At this time, we only accept payment directly by HSA, Traditional Medicare, Washington L&I, or directly by patients. We offer ‘superbills’ to patients who pay directly to submit to their insurance for reimbursement.
Care that gives you more time, more clarity, and more options.
At Northwest DPC & Headache, you can come to us for ongoing primary care, headache care only, or both. We offer longer visits, transparent pricing, and a more direct relationship with your physician.
For many patients, care is HSA or self-pay. With limitations, we also accept and bill Traditional Medicare. We also accept and bill Washington L&I/workers’ comp headache care through a separate pathway.
Whether you need a long-term primary care doctor, focused migraine treatment, a second opinion, or follow-up after a workplace injury, we help you get to the right care without the usual runaround.
Common Reasons Patients Come to Northwest DPC & Headache
Migraines and Complex Headaches
We can help you with migraines, chronic headaches, post-traumatic headaches, perimenopausal or menstrual migraines, and more. We can help you understand your headache process, provide a thorough evaluation, develop rescue plans, and offer prevention, including medication management, non-medication management, occipital nerve blocks, and Botox for Chronic Migraine prevention.
Comprehensive & Holistic Primary Care
Whether you see the doctor once a year or multiple times per year, we can help you with disease prevention, health goals, and the treatment of acute issues. We frequently have same-day appointments available for our Primary care patients to help you avoid going to urgent care. We also frequently see patients for perimenopausal symptoms, menopausal hormone replacement, advanced lipid management, diabetes, fatigue or sleep disorders, and weight loss.
In-person and Telehealth Options
Our office is conveniently located on the South Hill in Spokane, WA at 1403 S Grand Blvd, STE 201S, Spokane, Washington.
We proudly serve patients from Eastern Washington, including Spokane Valley, Cheney, Liberty Lake, and other rural areas. We also have patients from Northern Idaho. With Telehealth, we can see patients from anywhere in Washington state.
Simple Options, Clear Pricing
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Best for: Adults who want ongoing primary care with longer visits, easier access, and simple monthly pricing.
Unlimited medically necessary visits per month
Longer visits, often 30–60 minutes
Preventive care and chronic disease management
Discounted labs, procedures, and imaging
Good fit for patients who want a more direct doctor-patient relationship, accessibility, and communication
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Best for: Patients who already have a primary care doctor but want ongoing migraine and headache care without paying per visit each time and direct access & communication with your physician.
Covers headache visits through the membership
Reduces costs of procedures and special visits
Good for recurring or more complex headache care
Does not require DPC membership
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Best for: Patients who want focused headache care without joining a membership.
Initial visit: $350
Follow-up visit: $240
Procedure-only visit: $120
Additional procedure pricing:
Occipital nerve block: $75 + visit cost
Trigger point injection: $50 + visit cost
Botox procedure fee: $160 + visit cost
»Learn more about Headaches & Migraine care
‘Superbill’ is provided to patients for possible reimbursement from their insurance under their out-of-network benefits.
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Best for: Select adults with traditional Medicare Part B who want primary care or headache care.
Traditional Medicare Part B accepted
Medigap accepted
Medicare Advantage plans are unfortunately not accepted
Visits billed to Traditional Medicare rather than either DPC or headache membership
Limited availability
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Best for: Work-related headache, post-traumatic headache, concussion-related headache, or migraine worsened by a workplace event.
Separate claim-based pathway
For Washington L&I and self-insured claims
Headache-focused consultation and follow-up
May include telehealth when appropriate
Designed for headache-focused care, not broad occupational medicine
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Best for: Patients in Washington who want certain primary care or headache visits done virtually when clinically appropriate - whether in the Spokane area or elsewhere in the state.
Telehealth is available for selected primary care and headache visits
Pricing follows the same structure as the above care pathways
If you are on a membership, telehealth is included the same way your membership visits are
If you are using cash pay / pay per visit, telehealth is priced the same as the corresponding visit type
For Telehealth only care - please call the clinic to schedule and ensure we are able to accommodate your needs as not every concern is able to be addressed with telehealth. Some concerns do require in-person physical examinations.
Pricing:
DPC Membership: Included as part of membership when appropriate
Headache Membership: Included as part of membership when appropriate
Cash Pay / Pay Per Visit: Same as standard visit pricing
Ready to get started?
Brief FAQ
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Yes. We are accepting new adult patients for both primary care and specialized headache care. We also are accepting both L&I and Traditional Medicare patients.
You can see us for ongoing primary care, headache care only, or both.
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Most patients use direct-pay options.
We offer:
Direct Primary Care membership
Headache membership
Headache direct-pay / pay-per-visit care
We also offer select Traditional Medicare primary care and Washington L&I / workers’ comp headache care through separate pathways.
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We accept Traditional Medicare Part B and Medigap for select adults and currently with limited availability.
We do not accept Medicare Advantage plans at this time.
If you have Traditional Medicare and want to become a patient, call or schedule to confirm fit and current availability.
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No. You can come to us for headache care only.
Some patients choose a headache membership for ongoing care, while others prefer direct-pay / pay-per-visit visits.
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No. You do not need insurance to become a member. However, 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 funds for membership & any procedures.
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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 - such as for medications, imaging, or referrals. Many headache and migraine treatments are not well covered or are hard to access, like Botox, nerve blocks, and trigger point injections, so we also sometimes utilize insurance to pay for the medication. 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.
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.
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.