Direct Primary Care in Mount Airy and Frederick, Maryland.

Private, Home-Based Internal Medicine for the Sovereign Patient

Direct Physician Access, Unhurried Home Visits, and Privacy-forward Membership Medicine in Mount Airy and Central Maryland.

Membership Begins at $395 per Month. Enrollment Limited to 100 members.

  • Your Doctor. Your Privacy. Your Money.

    Internal Medicine without the system.

    I'm Dr. Christian Smith, Board-certified Internal Medicine physician, U.S. Army Veteran, and Walter Reed Army Medical Center trained. For 20 years I've practiced medicine and watched the healthcare system drift further from the patient. I started Premier Direct Primary Care to reverse that.

    Here, you don't battle insurance portals or wonder who read your chart. You pay me directly. You reach me directly. And if you want to pay in Bitcoin or keep our conversations off commercial servers, we can do that too.

    Membership is built around access, continuity, and time—not rushed, transaction-based appointments.

    Same-day visits when you're sick. Proton-secured messaging when you have questions. Time to actually investigate root causes instead of writing prescriptions to manage symptoms.

    I cap membership to keep the care personal. If you're looking for a traditional clinic with a waiting room full of strangers, this isn't it.

“My experience with Dr. Smith has been great. From our first meeting he has made me feel comfortable and at ease. He's incredibly easy to talk to and takes the time to listen and discuss without making me feel rushed. Scheduling appointments has been a breeze and he's always accessible via text as well. Highly recommend!” - Testimonial from “S”