PURSUE HEALTH OPTIMIZATION & LONGEVITY WITH DR. DEMARCO
Comprehensive Longevity-based Primary Care with Dr. DeMarco
Join Dr. DeMarco at his new practice, OptimizeMD in DexaFit Cincinnati, to continue your doctor–patient relationship and experience a reimagined vision for personalized, proactive, next-gen primary care.
Why Personalized Care
with Dr. DeMarco
Experience & Expertise
With 23+ years in medicine, Dr. DeMarco is a trusted longevity and lifestyle expert focused on prevention and long-term health.
Access
Access when you need it - to care, treatment, medical advice, and tools that keep you one step ahead.
Time Efficiency
Save time on quick needs, and have unhurried comprehensive visits when appropriate.
Continuity
No more getting lost in the system, repeating yourself, or relying on urgent care for what could be handled sooner by your doctor, who knows you well.
Longevity
Proactive care that helps prevent illness and supports long-term vitality.
Who is this membership for?
Desire Direct Access
Individuals and couples who value direct access to their physician—without gatekeepers, long waits, or the inefficiencies of traditional primary care.
Appreciate Time Efficiency
Those who value longer, thoughtful wellness visits focused on prevention, performance, and longevity as well as quick, efficient acute care visits focused on saving time while restoring health
Want a Medical Advisor
Patients who want a trusted medical advisor to coordinate care, interpret advanced labs and imaging, and refer to the best specialists — all through the lens of longevity medicine.
High Performers
High-performing professionals, executives, and entrepreneurs who value saving time while entering into a physician relationship that supports sustained energy, productivity, and long-term resilience.
The Health Conscious
Health-conscious adults and aging athletes who want to maintain strength, body composition, and vitality as they age.
Desire Collaboration
Those who've outgrown "transactional" medicine and want a collaborative, ongoing relationship with a physician who knows them personally, responds quickly, and helps them make sense of complex data.
Ready to take Control
Anyone ready to take control of their health trajectory - not just avoid disease, but actively build a longer, stronger, and more vital life.
Reimagined Primary Care—Centered on You.
MORE ABOUT OPTIMIZE MD & DR. DEMARCO
After more than two decades in traditional primary care, Dr. David DeMarco experienced both the rewards of long-term patient relationships and the challenges of practicing medicine in a system that often made it difficult to give each person the time and presence they deserved.
He created OptimizeMD Direct Primary Care to change that dynamic. Just as individuals seek trusted financial or legal advisors to plan for the future, Dr. DeMarco serves as a physician-advisor — addressing immediate health needs while also focusing on proactive, preventive, and personalized care. The approach emphasizes planning ahead, measuring what matters, and making intentional choices to optimize performance, prevent disease, and extend healthy years.
At OptimizeMD, patients have a physician who knows their story, understands their goals, and has the time to go deeper — combining clinical expertise with forward-looking guidance to help them stay healthy, capable, and engaged in life for as long as possible.
What’s Included?
Full-service Primary Care is the backbone of an OptimizeMD Concierge Primary Care membership.
Annual Longevity
Physical
A 60–90 minute comprehensive exam with Dr. DeMarco—focused entirely on you. We’ll review your data, address your concerns, and set meaningful goals for the year ahead. This is a wellness visit the way it was meant to be: strategic, personalized, and designed to optimize your health—not just “check the boxes.”
Unlimited Primary
Care Visits
In-person or virtual visits for preventive care, chronic conditions, and urgent needs—whenever you need them, all included. Whether it’s a complex issue or something that requires regular follow-ups, we’ll take the time to make sure you fully understand your health concerns and treatment plan—even if that means weekly visits for a period of time.
Chronic Disease
Management
Ongoing care based on the best evidence, focused on finding and addressing the root cause of your health issues. We help with conditions like high blood pressure, prediabetes and diabetes, high cholesterol, thyroid problems, anxiety, depression, ADHD, asthma, COPD, and autoimmune diseases—whether your condition is stable or you’re still in the process of getting it under control. Our goal is not just to manage symptoms, but to help you improve—and when possible, reverse—the condition.
Sick Visits & Same-Day Messaging
When you’re sick, pressed for time, or need care urgently, you’ll see Dr. DeMarco—same day or next day. Many issues can be handled quickly through virtual visits, getting you what you need so you can keep moving when it matters. No urgent care waiting rooms, no impersonal telehealth with a hurried provider who doesn’t know you—just fast, personal care from your own physician, who knows your history and goals.
Clinical Secure Messaging
Convenient, HIPAA-compliant messaging that gives you direct access to Dr. DeMarco for non-urgent questions, follow-ups, plan clarifications, or quick updates on your progress. Like being able to text your doctor—securely and promptly—so you can get the support you need without unnecessary delays.
Advanced Care Coordination
When a serious illness or urgent health issue arises, patients shouldn’t have to navigate it alone. Care is coordinated from start to finish—referrals arranged when possible, communication maintained with specialists, and oversight provided before, during, and after treatment. With limited time to speak with most specialists, an experienced physician advocate ensures the right questions are asked, recommendations are interpreted, and next steps are clear. The result: less stress, less confusion, and more peace of mind when it matters most.
Additional Benefits:
The Longevity⁺ Pathway
The Longevity⁺ Pathway is a structured, yearlong strategy for optimizing health and extending vitality. It combines precision testing, advanced lab analysis, and physician-guided follow-up at key points throughout the year to identify changes early and guide targeted interventions. Review the Longevity⁺ Pathway annual timeline.
The Longevity⁺ Pathway includes:
Vitality Blueprint Lab Analysis
Most lab reports are filled with numbers and ranges that don’t mean much unless you’re a doctor. The Vitality Blueprint takes that same raw data and transforms it into something clear, practical, and personal — so you actually understand what’s going on in your body and what to do about it.
Instead of looking at each lab result in isolation, the Vitality Blueprint organizes them into 13 interconnected Functional Areas that shape how you feel, how you age, and how you perform, including:
Energy & resilience
Sleep & stress response
Cardiovascular & brain health
Gut health & hormone balance
Inflammation, cell repair & detoxification
Micronutrient status & hydration
By seeing the patterns across these systems, you get insights that are far more actionable than numbers alone — showing what needs attention and how to target real improvements.
(Value: $250 — Lab costs billed through insurance. One Vitality Blueprint report included annually with membership.)
DexaFit Core Testing
Your annual membership includes 5 total tests per year (DEXA, VO₂ Max, and RMR month 1, and DEXA, VO₂ Max 6 months later) — a value of $1,125.
Members also receive 35% off any additional testing if desired and clinically appropriate.
DEXA Body Scan — A scale only shows total weight, without revealing what’s changing inside your body. DEXA is a gold-standard, 3-compartment model that separates bone, fat, and muscle. It shows whether weight loss (or gain) is coming from the safest place — helping you track progress with precision and uncover hidden risks like visceral fat around vital organs.
RMR Test — Ideal for those on a fat loss journey. Accurately calculates caloric needs, fat-to-carb burn ratio, and metabolic flexibility to make weight loss safe, sustainable, and personalized.
VO₂ Max Test — More than a fitness test, VO₂ Max is the single best measure of how long and how well you’ll live. It reveals how your body uses oxygen, your activity capacity, and your heart-rate zones for training. Think of it as your “independence score” — the ability to stay active and capable well into later years.
HealthBook+ Personal Health Hub
An AI-enhanced health hub that brings all your data under one roof — hospital, emergency and primary care medical records, labs, imaging, medications, as well as wearable device data (Apple Health, Google Fit, Apple Watch, Oura, FitBit, CGM, sleep trackers, etc.) — securely in one place you control. With HB+, you own the data, not the hospital system or Dr. DeMarco.
At the heart of HB+ is PaiGE, your personal AI health assistant. PaiGE organizes and interprets your information, creating clear summaries, spotting important trends, and helping you understand what matters most. For you, PaiGE functions like a trusted, always-available guide — taking the best of health information and applying it to your personalized needs.
Have you been advised to eat a higher-protein, high-fiber diet? Ask PaiGE to build grocery lists, suggest recipes, and highlight protein sources you’ll actually enjoy.
Not sure if that Instagram trend or supplement is really healthy? PaiGE can review the product, scan the evidence, and help you make a more informed decision.
Have ideas or questions you want Dr. DeMarco to review? Journal in the HB+ app, and PaiGE flags them in your health data so they’re front and center at your next visit.
Wondering if something needs Dr. DeMarco’s attention now? PaiGE helps you decide when to reach out and when it’s safe to wait.
HB+ also enhances Dr. DeMarco’s ability to support your health journey by giving him a more complete picture between visits. Whether it’s summarizing recent specialist visits or monitoring your lifestyle with greater precision—nutrition, movement, sleep, stress—through Apple or Google Health data and wearable insights, Dr. DeMarco will already be up to speed on your progress before you even step into the office. This makes each appointment more personalized, more efficient, and more focused on what matters most to you.
Value: $300+ annually — included with membership.
(Exclusive to OptimizeMD members — not available for direct purchase. HIPAA-compliant, patient-owned data.)
Wearable & Technology Support
From smart rings and watches to continuous glucose monitors and sleep trackers, today’s health tech offers big potential — but many people never get past the basics.
OptimizeMD helps patients choose the right devices, set them up, and integrate them into a personalized health plan. Whenever possible, members are connected to preferred pricing or early access for vetted products.
Data from these devices is interpreted and translated into clear, actionable steps for better health, performance, and longevity. For certain devices, metrics can even be monitored through a secure physician dashboard.
Whether it’s an Apple Watch, sleep ring, CGM, Lumen, or nutrition app, Dr. DeMarco ensures patients get the most from their tech — and stays current with emerging tools.
Exclusive Member Discounts
35% off all additional DexaFit testing (DEXA, VO₂ Max, RMR)
Best available pricing for additional health products (typically 15-30% off):
The Longevity⁺ Pathway
Invest in your health and experience Longevity-based, Personalized Primary Care.
At OptimizeMD, you’ll have a physician who knows your story, understands your goals, and has the time to go deeper — combining clinical expertise with forward-looking guidance to help you stay healthy, capable, and engaged in life for as long as possible.
$350/month
HSA/FSA eligible*
*see FAQs below regarding FSA/HSA Eligibility
Ready to Enroll?
If you are ready to enroll in Concierge Primary Care with Dr. DeMarco, click here to complete your membership application.
You will be sent to a secure external website at Hint Health to complete your registration. Follow these steps to complete enrollment:
Provide Contact information: including name, phone number, email address, street address.
Confirm Enrollment : Confirm if you are enrolling yourself or a loved one
Note: Each membership request for Concierge Primary Care will be reviewed by Dr. DeMarco prior to commencement.
Review: Membership information and Pricing
Provide Payment Information: Enter your Credit Card or Bank Account Information
Select Payment Frequency: Choose monthly payments or take advantage of the first year special offer to prepay the annual membership (save 5%)
Select Membership Start Date: Select your membership start date.
For a tutorial of what the sign-up screens will look like, click here.
Once you have completed Enrollment, Dr. DeMarco will review your information and contact you with next steps.
Additional Notes
A one-time $99 administration fee will be collected with your first payment.
For monthly plans, payments will be automatically charged each month to the payment method on file, beginning on your membership start date.
For those choosing the annual payment option, the next payment will be due on the anniversary of your start date.
Memberships require a 6-month minimum commitment. After that period, cancellations may be made with 30 days’ written notice.
If you still have additional questions, click here.
Have More Questions?
If you have more questions before signing up for Direct Primary Care with Dr. DeMarco:
If you still have additional questions, please complete this form, or call DexaFit Cincinnati at 513-201-7889.
We will get back to you as soon as possible to address your questions and concerns.
We look forward to working with you!