Primary Care and Direct Primary Care
Family medicine for adults and children at Hill Country Endocrinology and Primary Care
Your primary care and family medicine physician
Dr. Oommen
Dr. Shibu Oommen was born and raised in Sugarland, Texas, where his passion for healthcare began at an early age. Watching his mother serve as a nurse for the Veterans Affairs health system had a lasting impact on him. Seeing the difference she made in the lives of veterans sparked his curiosity about medicine and inspired a deep respect for the role healthcare professionals play in their communities. Following that example, Dr. Oommen and his siblings all pursued careers in healthcare across various specialties.
Driven by a desire to care for people across all stages of life, Dr. Oommen chose family medicine as his specialty. He believes that true healthcare goes beyond treating illness—it involves understanding the whole person, including their physical health, lifestyle, and long-term wellness goals.
Dr. Oommen completed his Family Medicine residency at Nebraska Medicine, where he gained broad clinical experience caring for patients in diverse settings. After residency, he served as a Clinical Assistant Professor of Medicine at Creighton University School of Medicine. During this time, he cared for patients in the hospital, urgent care, and outpatient clinic while also helping train the next generation of physicians.
In 2021, Dr. Oommen returned to Texas to be closer to family and began practicing outpatient family medicine in Georgetown, TX.
While he valued the opportunity to serve his patients there, he increasingly felt that the traditional healthcare model limited the time and personal connection that patients deserve from their physician.
This led Dr. Oommen to transition to the Direct Primary Care (DPC) model. Through DPC, he is able to focus fully on building meaningful relationships with his patients, spending more time during visits, and addressing health from a comprehensive perspective. Without the constraints of insurance-driven medicine, Dr. Oommen can concentrate on what matters most—helping patients achieve better health in every aspect of their lives.
Dr. Oommen’s mission is simple: provide thoughtful, personalized medical care that prioritizes prevention, accessibility, and long-term wellness. He believes that when patients and physicians work together with time, trust, and transparency, better health outcomes naturally follow.
Family Medicine Services
Well-child checks, sick visits, routine gynecological care, annual exams, physicals for school, sports and camp.
Cardiometabolic conditions
- Hypertension
- Type 2 diabetes and prediabetes
- Hyperlipidemia
- Obesity and metabolic syndrome
Respiratory
- Asthma
- COPD
Endocrine
- Hypothyroidism
- Thyroid nodules
Mental health
- Anxiety disorders
- Depression
- Insomnia
Musculoskeletal / pain
- Osteoarthritis of the knees, hips and spine
- Chronic low back pain
- Fibromyalgia
Cardiovascular / vascular risk
- Coronary artery disease
- Peripheral artery disease
Other common chronic conditions
- GERD
- Chronic kidney disease
- Fatty liver disease (NAFLD/MASLD)
- BPH/ED/Premature Ejaculation
- Migraines/headache disorders
EKGs, rapid strep, blood glucose, pulse oximetry, urinalysis [dipstick], fecal occult blood, urine pregnancy tests
by phone, e-mail, portal messages.
Tissue adhesive or stitches
Skin Procedures
- Skin biopsies (shave, punch, and excisional)
- Cryotherapy for warts, actinic keratoses, and benign skin lesions
- Skin tag removal
- Simple cyst removal and drainage
- Incision and drainage of abscesses
- Laceration repair (stitches)
Joint & Musculoskeletal Care
- Joint injections (knee, shoulder, and other joints)
- Trigger point injections for muscle pain
- Joint aspiration for swelling or effusions
- Basic splinting for sprains and minor injuries
Women’s Health Services
- Pap smears and cervical cancer screening
- STD Testing
Minor Office Procedures & Diagnostics
- Ear wax removal (ear lavage)
- Foreign body removal (skin or superficial locations)
- Simple wound care and dressing changes
- EKG testing and interpretation
- Nebulizer breathing treatments
Men’s Health Services
- Erectile dysfunction evaluation and treatment
- Hormonal health assessment (when appropriate)
Services NOT covered
- X-rays, CT scans, ultrasounds, and medical imaging. We have access to very reduced prices for these studies.
- Outside office blood/other tests, even if samples are drawn in the office. We have very reduced prices for these tests.
- Any surgery or procedure not performed in this office (e.g. in a hospital, or another physician’s office). We have access to Free Market Surgery Centers where prices are bundled and much cheaper.
- The cost of Immunization drugs
- Obstetrical care and delivery
- Durable medical equipment and supplies (e.g. crutches, wheelchairs, walking boots, casts, etc.)
- Prescription medications
- Injectable medication
- Hospitalization or Emergency Room visits
Pricing
Dr. Oommen accepts Traditional Medicare insurance only. All other patients join through a monthly membership.
New to direct primary care? Read our guide: What is direct primary care? How it works, what it costs and who it’s for.
One Time Enrollment Fee
$125 per person.
$200 for a family.
Adult Membership
$125.00
Couple Membership
$225.00
Child Membership
$79.00
Family Membership
$399.00
2 adults and 2 children
Other Membership Options
| $239 for a single parent and 2 children. |
| $149 for adults 65 and older without Traditional Medicare. |
| $59 for each additional child beyond 2. |
| Already an endocrinology member with Dr. George? Add primary care for $99 a month. |
** Direct Primary Care (DPC) membership is not health insurance. DPC provides personalized primary care services for a flat monthly or annual fee, but it does not cover hospitalizations, specialty care, or other services typically covered by insurance.**
Dr. Oommen accepts Traditional Medicare insurance only. All other patients join through a monthly membership.
One Time Enrollment Fee $125 per person and $200 for a family
Monthly membership:
- $125/adult
- $225/couple or 2 adults
- $79/child without adults
- $399/2 adults and 2 children
- $239/single parent and 2 children
- $149/adults 65 and older without Traditional Medicare
- $59 for each additional child beyond 2
- $99/endocrinology members
Frequently Asked Questions
Your membership covers the everyday care you get in our office with Dr. Oommen:
- Office visits, including well-child checks, sick visits, routine gynecological care, annual exams, and school, sports and camp physicals
- Ongoing care for chronic conditions
- In-office tests such as EKGs, rapid strep, glucose and urinalysis
- Laceration repair and minor in-office procedures
- Direct contact with the practice by phone, email and patient portal messages
- Telehealth (virtual) visits with Dr. Oommen
No. A direct primary care membership is not health insurance. It pays for your primary care at our practice, but it does not cover hospital stays, emergency room visits, specialist care or other services usually covered by insurance. Most members keep a health plan for those.
Starting in 2026, federal rules allow people with an HSA to pay direct primary care fees from it, up to $150 a month for one person and $300 a month for a household. Some of our family plans may exceed that limit, so please check with your HSA administrator.
These cost extra and are paid separately:
- X-rays, CT scans, ultrasounds and other imaging (we have access to reduced prices)
- Lab tests sent to an outside lab (we have reduced prices)
- Surgery or procedures done outside our office
- Vaccine costs, prescriptions and injectable medications
- Obstetric care and delivery
- Medical equipment and supplies, such as crutches or walking boots
- Hospital stays and emergency room visits
Dr. Oommen accepts Traditional Medicare for primary care. Everyone else joins through a monthly membership instead of using insurance for visits. You can still use your insurance for outside labs, imaging and prescriptions if you prefer, or choose our reduced cash prices.
Monthly memberships are:
- $125 for an adult
- $225 for a couple or two adults
- $79 for a child
- $399 for a family of two adults and two children
- $239 for a single parent and two children
- $149 for adults 65 and older without Traditional Medicare
- $59 for each additional child beyond two
- $99 for patients who already have an endocrinology membership with Dr. George
There is a one-time enrollment fee of $125 per person or $200 per family.
Yes. The $79 child membership is for a child on their own. A parent does not need to join too.
Book a free 15-minute virtual meet and greet with Dr. Oommen to see if he’s the right fit for you and your family. To book, or to ask what’s included, call or text the practice at (512) 522-3009, or send us an inquiry online.
What Our Patients Say
Free 15-Minute Virtual Meet and Greet
Not sure if direct primary care is right for you? Book a free 15-minute virtual meet and greet with Dr. Oommen to see if he’s the right fit for you and your family. Call or text the practice at (512) 522-3009, or send us an inquiry online.
Direct Endocrine and Direct Primary Care are revolutionary health care services that focus on comprehensive, personalized expert care at affordable prices in a timely manner. At Hill Country Endocrinology & Primary Care, our GOAL is to provide quality care that prioritizes our PATIENTS.
MEDICAL EMERGENCIES
If you are experiencing a medical emergency—or worry that you might be—do not wait for office hours. Pick up your phone and please call 911 immediately!
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