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Concierge Medicine

Concierge Medicine

Concierge Medicine services offered in Sioux Falls, SD

If you want exceptional medical care without feeling rushed or overlooked, Peakform Wellness in Sioux Falls, South Dakota, offers concierge primary care designed to be your medical home. Joshua Hughes, PA-C provides relationship-based care with longer visits, direct access, and proactive prevention—grounded in the most up-to-date medical evidence and tailored to you as an individual. Schedule an in-office visit, telehealth appointment, or home visit (when appropriate) by calling the office or booking online.

Concierge Medicine Q&A

What is concierge medicine?

Concierge medicine at Peakform Wellness is a membership-based model designed to give you direct access to your clinician, longer visits, and care that’s proactive—not rushed. It is intended to replace the traditional primary care experience—meaning Joshua Hughes, PA-C serves as your primary care provider (PCP) and your main point of contact for ongoing medical care, prevention, and coordination.

At Peakform, our standard of care is simple: we use the most up-to-date medical evidence and apply it to you as an individual—not a template. The goal isn’t just to help you feel better; it’s to help you function better, perform better, and stay better.

Peakform is built around three pillars:

  • Restore — relationship-based primary care and urgent needs
  • Renew — metabolic health, weight management, and hormone optimization
  • Refine — aesthetic and regenerative services that complement your health plan

You pay a monthly membership fee for enhanced access and ongoing care coordination, with additional services available based on your goals and plan.

What are the benefits of concierge medicine?

The benefits of concierge medicine at Peakform Wellness include:

  • Minimal wait times and easier scheduling
  • More time with your provider (not a rushed 10-minute visit)
  • Direct access for questions, follow-ups, and guidance
  • Privacy and a more personalized experience
  • Top-quality care without insurance restrictions dictating your visit
  • A preventive, whole-person approach (sleep, stress, training, nutrition, and labs when appropriate)
  • Evidence-based, personalized optimization (current medical guidance tailored to your physiology and goals)

Many people underestimate the true cost of “traditional” healthcare. Even with insurance, monthly premiums are only part of the picture—co-pays, co-insurance, deductibles, surprise bills, and repeat visit charges add up quickly. For many patients, the membership fee can be comparable to—or even less than—what they would spend over time on frequent office visits and out-of-pocket costs, while receiving substantially more access and time with their provider.

Joshua Hughes, PA-C takes a practical, evidence-based approach—prioritizing lifestyle and root-cause strategy when possible, and using medications when they’re truly the best tool.

Which concierge medicine services are available?

Concierge care at Peakform typically includes primary care–style services such as:

  • Urgent care for acute illnesses and common conditions
  • Chronic disease management (blood pressure, cholesterol, diabetes, etc.)
  • Annual physicals and preventive planning
  • Men’s and women’s health
  • Medication management and follow-up care

Members can also add services from Renew and Refine based on goals, including:

  • Medically supervised weight loss programs
  • Clinical-grade SECA mBCA Ultra body composition scanning
  • Hormone therapy and performance optimization
  • Peptide therapy
  • IV therapy
  • Regenerative services (e.g., PRP, exosomes)
  • Aesthetic services (e.g., neuromodulators/Botox®, fillers, microneedling)
  • Hair loss treatments

Joshua takes as much time as you need to ensure your concerns and questions are fully addressed during in-office visits, telemedicine, or home visits (when appropriate). He tailors your plan to support both immediate needs and long-term well-being.

Note: Concierge medicine is designed to serve as your primary care home. Insurance may still be useful for services outside the clinic such as imaging, labs, prescriptions, specialist care, and hospital services.

How often should I schedule concierge medicine appointments?

Schedule an in-person or virtual concierge medicine appointment anytime you feel ill, develop new or unusual symptoms, need help managing a chronic condition, or have questions or concerns. Many members also schedule visits proactively to work on weight, energy, sleep, performance, and prevention strategies over time.

To get started, call the office or book online today. Virtual visits and home visits are available when appropriate.