A new standard in medicine.
Ongoing relationships with our patients is at the center of what we do. Questions are answered quickly, concerns are addressed without delay, and both prevention and treatment are pursued without interruption. All of this care is delivered for a transparent fee.
While Enhanced Internal Medicine remains in-network with Medicare and many commercial insurances and may provide insurance-covered services when appropriate, the membership fee encompasses services well beyond what plans cover.
Why Membership Medicine ?
At Enhanced Internal Medicine, our membership is thoughtfully designed for optimal patient care.
Instead of brief visits and fragmented communication, this approach makes space for truly comprehensive annual exams and unlimited follow-up exams. Care doesn’t stop when the appointment ends. Membership is a year-round relationship with Dr. Paluga.
Our Comprehensive Primary Care includes everything you need to focus on your health, on your terms.
We provide thoughtful, evidence-based comprehensive evaluations that go beyond routine checklists, allowing for a deeper understanding of each patient’s health. By moving beyond the constraints of insurance-driven care, our focus shifts to prevention and meaningful continuity.
High-quality testing, thoughtfully integrated into your care.
Our CLIA-waived in-office lab allows us to process many routine tests within 15–20 minutes, so your blood can be drawn and your results reviewed and discussed before you leave the visit.
Examples of in office labs available include CBC (complete blood counts), comprehensive metabolic panel, lipid panel, hemoglobin A1c and more.
If additional labs are needed, we send your sample to the lab of your choice—no extra appointments.
Additionally, we offer molecular testing for flu, COVID, RSV, and strep—the most accurate rapid testing available.

