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Present Future Health | Out-of-Network/Cash Pay

3 specialties

5.00

Patient reviews

All reviews have been submitted by patients after interacting with the practice.

Overall rating

5.00

Wait time

5.00

Bedside manner

5.00

Insurances accepted

This office is not in-network with any insurances

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Today, May 13 – Tue, May 26

Insurances accepted

This office is not in-network with any insurances

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Present Future Health | Out-of-Network/Cash Pay

🛑 PLEASE READ BEFORE BOOKING: OUT-OF-NETWORK & CASH-PAY ONLY Present Future Health is a premium, 100% virtual medical practice. We are entirely out-of-network and do not bill insurance. Our Comprehensive Initial Consultation is $350. Because we operate outside the traditional insurance system, we can provide what standard clinics cannot: unhurried, 60-minute deep dives into your health, root-cause investigations, and highly personalized care. (Note: We are happy to provide a superbill for you to submit to your insurance for out-of-network reimbursement, and we proudly accept HSA/FSA cards). 🔹 OUR EXPERTISE & FOCUS Traditional medicine gives you 10 minutes to mask your symptoms. We give you an hour to optimize your life. Led by a physician with a proactive, preventative philosophy, we specialize in: Medical Weight Management: Sustainable, science-backed strategies (including GLP-1s when appropriate) focused on preserving muscle mass and metabolic health. Metabolic Health & Reversal: Managing insulin resistance, pre-diabetes, and optimizing your lab markers. Preventative Care & Longevity: Proactive strategies to prevent frailty and cardiovascular disease.' Complex Chronic Care: Taking the time to connect the dots on complex symptoms. 🔹 CLINIC POLICIES & EXCLUSIONS To ensure we can dedicate our full time and attention to complex metabolic and preventative care, please note that Present Future Health does not provide the following: - Controlled Substances: We do not prescribe controlled medications (such as Norco, Xanax, Adderall, Vyvanse, Phentermine, etc). Note: We do prescribe non-controlled GLP1 agonist medications for weight management when clinically appropriate. - Disability Paperwork: We do not complete FMLA, worker's compensation, or short/long-term disability paperwork. Medical Emergencies: We are a consultative practice and do not treat acute medical emergencies. 🔹 WHAT HAPPENS AFTER YOU BOOK - Because your time is valuable, we want to maximize every minute of our 60-minute consultation. - Your Zocdoc booking acts as an initial time request. - Shortly after selecting your time, our office will send you a secure link to briefly share your health goals and place your payment method on file. - Once that quick step is complete, your time slot is officially locked in! We can't wait to partner with you. 🔹 WHY CHOOSE US? You don't need to replace your in-network primary care doctor for basic needs like a cold or the flu. Instead, hire Present Future Health as your dedicated expert consultant. Get the time, attention, and high-level medical strategy you deserve from the comfort of your own home. To learn more about our philosophy, transparent pricing, and membership options, please visit our website!

Patient reviews

All reviews have been submitted by patients after interacting with the practice.

Overall rating

5.00

Wait time

5.00

Bedside manner

5.00

Your trust is our top concern, so providers can't pay to alter or remove reviews. We also don't publish reviews that contain any private patient health information. Learn more here

10 reviews

Most relevant

I was told I had some abnormalities in my thyroid and bone density for years and have seen multiple doctors who just refill my prescriptions at our 8-minute appointments. Dr. Shiari spent a full hour actually reviewing my history, explaining my risk in a way no one ever had, and adjusted my medications based on how they were interacting — something I didn’t even know was happening. She caught things my endocrinologist and PCP had each missed because neither was looking at the full picture. The telemedicine format was seamless and frankly better than any in-person visit I’ve had. Yes, it’s cash pay, but one visit with her was worth more than years of the fragmented care I’d been getting. Already booked my follow-up.”

FKVerified patient

I came to Dr. Shiari for having insulin resistance and borderline high blood pressure, and struggling with my weight for years. She actually listened — not just to my symptoms but to my frustrations — and built a real plan that addressed everything together instead of treating each problem separately. She explained the science behind what was happening in my body in a way that finally made sense and didn’t make me feel like a failure. Three months later my A1c and blood pressure are both down. I drive — well, log in — from across the state because I haven’t found anyone else who practices medicine like this.

ANVerified patient

I’ve been a patient of Dr. Shiari for about 4 years now, and I honestly can’t say enough good things about her. She’s caring, thoughtful, extremely knowledgeable, and really pays attention to details that other doctors sometimes miss. She’s especially great when it comes to managing chronic or more complicated health issues, and she also helped me better understand overall health and weight management in a realistic way. One thing I really appreciate is how she explains things clearly without making you feel overwhelmed or rushed. I also love the educational content she posts on social media. It’s refreshing to see reliable medical information explained in a way that actually makes sense. If you’re thinking about making an appointment, I highly recommend her. It’s rare to find a doctor who truly makes you feel like she’s in your corner and genuinely cares about your health long-term.

HNVerified patient

Dr. Shiari is the best internal medicine physician I’ve ever had—thorough, thoughtful, and truly patient-centered. From the start, she conducted the most comprehensive exam I’ve experienced and explained my hypertension in clear, actionable terms that were realistic to follow. She treats the whole person, not just symptoms, and when things didn’t improve, she dug deeper, kept me informed, and partnered with me every step of the way. Her persistence and thoroughness led to additional testing that uncovered a brain tumor —something that was missed by other doctors. That timely discovery allowed me to get the surgery I needed and ultimately saved my life!

LMVerified patient

She gave me my life back Before Dr. Shiari, I felt like doctors had given up on me. I was stuck in a wheelchair, on an oxygen tank, dealing with heart issues, and my legs were terribly swollen. My blood sugar was dangerously high, regularly spiking over 500. She spent real time with me, adjusted my medications to get the heavy fluid out of my legs, set me up with a blood sugar tracker, and helped me safely change my diet and start moving again. The results are a miracle. My blood sugar stays under 180 now, I’ve lost weight, and the leg swelling is much better. Best of all: I can walk again and I am totally off the oxygen tank. You just can't get this kind of life-changing care elsewhere.

BOVerified patient

Finally, a doctor who looks at the whole picture!" "I cannot recommend Dr. Shiari highly enough. I came to her for weight loss after struggling for years. Other doctors just wanted to hand me a prescription and rush me out the door, but Dr. Shiari spent a full hour with me. She prescribed Ozempic, but more importantly, she customized the dose to minimize my side effects and built a specific plan around a high-protein diet and strength training to make sure I was losing fat, not muscle. The telehealth format is so convenient, and having a doctor who actually explains the why behind the medicine has completely changed my life. Worth every single penny of the consultation fee.

SMVerified patient

"The most thorough doctor's visit I've ever had." "At my age, a lot of doctors start dismissing your fatigue or weight gain as just 'getting older.' Dr. Shiari did not dismiss me. Her background training at the Mayo Clinic really shows. She took the time to connect the dots on all my complex symptoms and spent time explaining how we are going to focus on preserving my muscle mass and metabolic health for the long term. I feel like I finally have a true partner in my healthcare. Moving to an out-of-network, cash-pay model made me nervous at first, but the level of unhurried, personalized care you get with Dr. Shiari is priceless.

LAVerified patient

"Concierge-level care without leaving my office." "I typically avoid doctors because I hate sitting in waiting rooms just to be seen for 10 minutes. Dr. Shiari is the exact opposite. She is like a highly specialized health consultant. We did a 60-minute virtual deep dive into my labs, and she caught early signs of insulin resistance and cardiovascular risk that my standard primary care doctor completely brushed off as 'normal for my age.' She put together an evidence-based, proactive game plan to get my health back on track. If you want a doctor who focuses on extending your healthspan and actually listens, book her immediately."

KDVerified patient

Dr. Shiari is so thoughtful, so thorough, so up to date, and meets you where you’re at. She takes the time to find out what your goals are and helps to formulate a treatment plan you can stick to. She truly wants you to be your healthiest self. This is how primary care really should be.

CSVerified patient

JHVerified patient