Question 1

How do I find a primary care doctor accepting new patients in St. Augustine?

Accepted Answer

Start with your insurance company's online directory to get a list, then call each office directly, because directories are often months out of date. UF Health Flagler, Baptist Health, and Mayo all have new patient lines. Independent and direct primary care practices in St. Augustine, World Golf Village, and along CR 210 often have shorter waits. Ask to be put on a cancellation list if the first opening is far out.

Question 2

How much does a doctor visit cost without insurance in St. Johns County?

Accepted Answer

A new patient visit at a primary care office typically costs $150 to $300 self-pay, and an established patient visit $90 to $200. Many offices offer a discount if you pay at the time of service. Direct primary care clinics charge a monthly membership, usually $65 to $120 for an adult, that covers unlimited visits. Federally qualified health centers in the county charge on a sliding scale based on income.

Question 3

What is direct primary care and is it available near Nocatee or Ponte Vedra?

Accepted Answer

Direct primary care is a membership model where you pay the practice a flat monthly fee, typically $65 to $120 per adult, instead of billing insurance for visits. You usually get same-day or next-day appointments, longer visits, and direct messaging with the doctor. Several DPC practices operate in St. Johns County including the Ponte Vedra and CR 210 areas. You still want insurance for hospital care, specialists, and emergencies.

Question 4

What is the difference between an MD, a DO, a nurse practitioner, and a PA?

Accepted Answer

MDs and DOs are both fully licensed physicians who completed medical school and residency. DOs have additional training in musculoskeletal manipulation. Nurse practitioners and physician assistants have graduate degrees and can diagnose, treat, and prescribe. In Florida, nurse practitioners who meet certain requirements can practice independently in primary care. Many local offices use a team, so ask who you will usually see.

Question 5

Which hospitals serve St. Johns County?

Accepted Answer

UF Health Flagler Hospital in St. Augustine is the county's main full-service hospital. Baptist Medical Center South sits just across the Duval line near Julington Creek and is the closest hospital for many northern St. Johns residents. Mayo Clinic in Jacksonville, Ascension St. Vincent's, and UF Health Jacksonville are within about 30 to 45 minutes of most of the county. Freestanding emergency rooms also operate in Nocatee and along CR 210.

Question 6

Do I need a referral to see a specialist in Florida?

Accepted Answer

It depends on your insurance, not on Florida law. HMO plans almost always require a referral from your primary care doctor. PPO plans usually let you book a specialist directly, though the specialist may still want records from your primary doctor. Medicare Advantage plans vary. Check your plan documents or call the member services number on your card before booking.

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