Dr. Hilts Featured on Genova Diagnostics Podcast - The Lab Report!

Fixing the broken healthcare system… one patient at a time.

Freedom to pursue optimal health.

Family Medicine, Functional Medicine, Sports Medicine

We have a passion for doing what is best and right for our patients, and we're committed to helping them achieve and maintain optimal health. In order to accomplish this, we strive to truly get to know our patients. Knowing them well makes it easier to get to the root cause of health problems rather than just treating the symptoms. Our health system is broken.  What is the biggest problem? TIME! There's just not enough of it!  The current model of health care in this country results in rushed, high-volume, fast-paced clinic schedules for doctors.  But we believe that we have found the answer to the problem: Direct Primary Care!

Hilts Direct Primary Care is old fashioned medicine with a modern approach. We bypass the "middle man" (insurance) and instead use a membership model, similar to services like Netflix. Hilts DPC patients pay a monthly membership fee and receive all the primary care and sports medicine they need, with a functional medicine perspective. Our patients enjoy office visits with no co-pays (including annual wellness visits); prescription medications at wholesale cost; significant discounts on labs and imaging studies; and direct communication with their doctor via phone, e-mail, and text. They also get improved ACCESS to their doctor, generally with same-day or next-day appointments.  Perhaps most importantly, our patients get plenty of TIME with their doctor with appointment times of 30 - 60 minutes or more, allowing Dr. Hilts to truly get to know his patients. 

We're thrilled to help bring the Direct Primary Care movement to Greensboro! We love DPC, and we think you'll love it too.

Here's a great video to learn more about direct primary care!

Are you a small business owner? Watch this video!

How Are We Different?

Direct Primary Care (DPC) is a unique approach to healthcare, with many benefits for the patient.


Fewer patients, with better access and no third party interference!

Did you know that most Primary Care Providers have between 2,500-3,500 patients in their practice? DPC physicians generally have patients numbering in the hundreds rather than the thousands. That means your doctor spends more time with you when you need him. Plus, when he is not actively seeing a patient, he is able to help coordinate your care and research your treatments. Hilts Direct Primary Care does not contract with any insurance plans, so you won’t have a middleman meddling in your primary care. Decisions about your healthcare will be made by you and your doctor without the impersonal encroachment that comes from third-party payers. At Hilts DPC, it's just you and your doctor working together as a team. And your data is no longer shared with 3rd party entities, unless you request it.


Primary Care with a Functional Medicine approach, and Sports Medicine expertise!

We provide the full spectrum of primary care. Whether it's wellness visits and sports physicals, acute illness and injuries, or management of chronic disease, we have you covered. All of this is done with a functional medicine mindset, aiming to get to the root cause of problems whenever possible, rather than just treating symptoms. We strive to help patients achieve optimal health through diet and lifestyle changes when able. We have access to specialized functional medicine testing when needed. From a non-surgical orthopedic standpoint, we can handle most of your needs, including management of simple fractures, in-house musculoskeletal ultrasound for diagnosing injury and guiding injections such as cortisone and hyaluronic acid ("gel injections"), and regenerative therapies such as prolotherapy and platelet-rich plasma (PRP).

Benefits of Membership


Same or next-day appointments are the norm, with extended office visits.

Direct access to your doctor via phone, text, or video chats.

In-office labs, in-house prescription medications, in-house ultrasound for musculoskeletal problems.


Low monthly fee.

No copays.


Discounted rates on medication and lab tests.

Discounts on musculoskeletal procedures and diagnostics.

Overall savings on out-of-pocket health care costs.

See more benefits

Meet the Doctor

Michael Hilts, M.D.

Family, Sports, and Functional Medicine

I have been in practice since 1999. For most of my career I have been in Greensboro with Piedmont Orthopedics (now Cone OrthoCare), doing non-surgical sports medicine and family medicine. But in 2014 God called me and my family to Texas, where we lived for five years. While in Texas, some personal family health problems led me to discover the field of functional medicine, which aims to find the root cause of an illness rather than just treating symptoms. I took courses in functional medicine every chance I had, with the intention of applying my knowledge to the benefit of as many patients as possible. My dilemma was that traditional functional medicine practitioners offer visits which are very in-depth and take much more time than a traditional practice can accommodate, and are also expensive since they typically don't contract with insurance companies. So for several years I tried to incorporate aspects of functional medicine into a busy insurance-based practice, but with variable success due to time constraints. Becoming more and more frustrated with the broken health care system and its many inefficiencies, I was thrilled to learn about the movement called direct primary care (DPC). The DPC model allows the doctor to maintain a much smaller panel of patients while providing substantial benefits to those patients. Not only will DPC free my patients from poor care, limited time with the doctor, limited access to care, inflated costs, and lack of privacy, but it will also free me from a rushed schedule, meaningless data entry, and dictates from insurance companies.

While praying for guidance regarding my career in 2021, I was led to read Bible passages in Jeremiah and Nehemiah. It became very clear to me that God is leading me out of captivity (insurance-based corporate medicine) and into freedom (cash-based membership model of private practice), and is doing it through the vehicle of DPC. Health care is broken and needs repair, as were the temple and city wall of Jerusalem in the time of Ezra and Nehemiah. I firmly believe that God is calling me to do my small part in rebuilding the broken health care system by starting a DPC practice. Although it will be a challenge, I take comfort knowing that "I can do everything through Him who gives me strength." (Philippians 4:13)

I am board-certified in both family medicine and primary care sports medicine, and have extensive training in functional medicine through the Institute for Functional Medicine. I was the first person in North Carolina to be credentialed by the ARDMS in musculoskeletal ultrasound in 2012, and have done thousands of diagnostic ultrasounds and ultrasound-guided injections. I have an interest in regenerative musculoskeletal medicine including prolotherapy and platelet-rich plasma (PRP) injections. In my free time I enjoy spending time with my beautiful wife and daughters; hiking and other outdoor activities; coffee roasting; and Bible study.


Our fees are simple and transparent, as they should be. No hidden fees or complex invoicing. You'll know exactly what you're paying and exactly what you're getting.


For those who cancel and then re-join, a $450 re-enrollment fee will be charged.

$30 per month

Age 2-19 (Dependents, with adult member)

$70 per month

Age 2-19 without adult member

$70 per month

Age 20-44

$85 per month

Age 45-64

$100 per month

Age 65+

Additional expense may also be incurred if supplies such as splints, cast shoes or crutches are needed. There may be pathology costs associated with sending skin biopsies to the laboratory for further testing. There may also be a small charge for supplies related to injection procedures. Blood draw fee of $7 with all in-house lab testing. Any added costs are always discussed with patients prior to ordering any tests or treatments.

See full pricing

Hilts Direct Primary Care

Contact us

email us



or we can call you

Message us

Get Started

Sign up

Are you ready to become a member? Great! We’re excited to have you on board. Just fill out the form to get the ball rolling and we’ll be in touch.

Learn more

Still want to learn more about direct primary care or our practice? Check out our FAQ page for answers to many common questions.

See FAQs

Get in touch

Get in touch! We’re happy to chat and answer questions, at no obligation to you.

Contact us