We are no longer accepting new patients, but you can certainly call our office and request to be added on our waitlist.




What is Coho Medical Group?

It’s a Direct Primary Care Practice. Our doctors are Diplomats of the American Board of Internal Medicine. The difference between traditional primary care offices or concierge practices and our direct primary care practice is that you have the option to use your insurance…or not! Without the expense of multiple staff members to comply with large volumes of patients, we can devote all of our time and attention to what really matters – your health.  


Wait, you do both? I can choose to use insurance or not? 

Yes! This is an important point. Our model of care focuses on a direct, personal relationship between you and your doctor. It should be your choice. For those who need to visit the doctor once per year, a well-check with insurance may make sense. For those who want to be able to reach their doctor 24/7/365 via cell phone or text, a flat monthly subscription may make sense. Another thing to keep in mind, is that we offer deeply reduced prices on laboratory tests, radiological imaging, certain medications, and other services resulting in huge savings for our membership patients. 


Will I still need Health Insurance if I opt for the Membership Model?

Yes. We recommend that at a minimum, patients should have at least a catastrophic health plan to cover hospitalizations and Emergency Room visits.  Another highly recommended option is to carry  a major high-deductible medical plan with a health savings account, thereby ensuring financial stability should hospitalization or referral to a specialist be necessary. We’re happy to help you navigate the insurance market. While we recommend one of the above insurance options, we realize it is not financially feasible for some patients and the membership plan may be their best option. 


Enough already, if I opt for a Membership Model, how much will it cost?


Age 18-64:Age 65 & up:
3 months trial $3003 months trial $450.00


No sign up fee, cancellation fee, or fees of any kind. No Copays or EOBs. We require an initial 3-month trial and need 30 days written notice to cancel the membership.  


No fees at all? And what about contract terms? 

You may cancel once and sign up again but if this happens repeatedly we’ll need to talk. 

There are no cancellation fees. We require 30 days written notice to cancel the membership and if this overlaps with your billing date you will be prorated for the additional days. You may cancel once and sign up again but if this happens repeatedly we’ll need to talk.  


Well, if I want to use insurance will you accept my plan? 

Please call our office to be sure or check on your insurance website to see if we’re in network providers for you. Currently, we accept most major medical plans in the state of Washington. We accept Premera Blue Cross, Regence Blue Shield, Aetna, Health Net, Cigna and First Choice of Washington. 


What happens if I need to go to a hospital or specialist? 

Thanks to 24/7 access to us, we truly believe we can reduce the likelihood of you having to go to the emergency room or be hospitalized. However, in instances where hospitalization is required, we will certainly continue to serve you by communicating with you and your hospital physicians and working closely with any specialist you need to see. Previously, we managed an entire group of inpatient hospitalists and we’re very familiar with the inpatient environment. In some cases, depending on the level of care and the sorts of expertise required, we may rely on those specialized caregivers to manage your treatment. But we’ll be in close contact.


Can I contact my physician after hours? Weekends? 

Yes. If absolutely necessary please do! Because illness and injury do not respect regular office hours, you may call your physician any day, any time. Membership patients will have their doctor’s cell phone for text/email cell access. Traditional medical insurance users will be able to call the office after hours to get in touch with the physician via the answering service.


Can you explain the discounted Medicine and Labs?

Surprise, surprise – In most states, including Washington, it’s completely legal for a licensed physician to dispense medicine directly to his/her patients. Since we’re allowed to purchase medications wholesale for pennies on the dollar. We can supply many common medications for hypertension, diabetes, high cholesterol and others, at a low cost. For example, a month’s supply of some blood pressure medications can be supplied for less than $1. A similar situation exists for most of the common laboratory tests we advise getting. We have negotiated the discount for you. You will know the cost of all medications and all labs up front. We have zero incentive to steer you toward using us. If you prefer your local pharmacy or mail order service, no problem, we can fax/e-prescribe/call in/or hand write you a script. If you’re spending even $20 a month on generic medications, and we can get you the same medications for $3, it’s your call who you want to use. We’re just trying to pass our benefits directly to you.


Will you share any of my information? 

No, we can keep a secret! We maintain your health record in compliance with HIPAA. In other words, no one sees it unless you ok it.


Does Coho Medical Group see children?

Not yet. Being board certified in Internal Medicine, we’re trained to see adults. However, we’re actively talking with a few stellar pediatricians to offer Direct Care to your entire family. 


Do you accept Medicare or Medicaid? 

Our practice currently accepts all insurance out of network, but specialized in Direct Primary Care. 


What is the bottom line?

Under the current health care climate, most people will never meet their deductible. It is to your benefit to keep your medical costs as low as possible. We believe in almost all cases, use of our services will reduce your out of pocket expenses compared with other traditional practice models. That stated, if you want to use your traditional medical insurance, we completely understand that. Think of us as your regular primary care office. We’re Board Certified Internal Medicine physicians with years of experience. One difference, though, our office is probably nicer!


Coho Medical Group is a primary care practice located in Bellevue, WA and run by Dr. Scott Greenspahn. We provide a wide range of medical care, including treatment for High Blood Pressure, High Cholesterol, Diabetes, Heart Disease and Narcotics Addiction. We also offer in-office laboratory testing, general medicine questions, and Direct Primary Care/Concierge Medicine. Coho Medical Group was established with the mission of making the primary care experience better for patients by offering simple, easy, and cost-effective access to our services. To this end, we have two models of Primary Care available. The first is Direct Primary Care, a membership service that offers unlimited access to your doctor via cell/text or email 24/7/365 days a year. Additionally, there are no copays for office visits, and we offer discounted medications, low-cost laboratory testing and cash radiology pricing. This model helps people with and without traditional insurance. The second model is the traditional health insurance model where we serve as your primary care providers and accept multiple different insurance carriers.

Coho Medical Group is also a barrier-free office.

Meet Dr. Greenspahn

Board Certified in Internal Medicine

Scott Greenspahn, MD is a Diplomate of the American Board of Internal Medicine. He graduated from the University of Pennsylvania with a degree in biomedical engineering and received his doctorate in medicine from the University of Chicago Pritzker school of Medicine. He completed his residency in internal medicine at the Hofstra University North Shore – Long Island Jewish Hospital program New York.

Dr Greenspahn has been working for years as a hospitalist, specializing in inpatient medicine in the treatment of complex disorders. He has treated many patients who have been addicted to narcotics, alcohol, and other illicit drugs with inpatient withdrawal protocols. He is here to help with the pandemic of opiod addiction sweeping across the country. He has embraced his change to primary care because of his interest in prevention of disease and his belief that medical costs can be reduced with careful attention to patient’s health care needs.

What we do

  • We’re primary care doctors

    Diplomates of the American Board of Internal Medicine. All of those fancy words merely mean – we’re a group of board certified doctors trying to better the way medicine is practiced. We’ve eliminated long wait times & reduced costs. We treat people with or without insurance and we know our patients on a personal level.

  • Use Traditional Insurance or Not - It's Your Choice

    We realize that everyone is different and quality primary care should be flexible enough to accommodate those differences. With our practice, you can think of our office as your traditional primary care practice, and use insurance, or you can opt for our membership model. If you choose the membership, for a flat monthly fee you get transparent pricing, 24/7/365 access to us, discounted labs and radiological studies. We even dispense certain common medications on site.

  • We have no hidden fees

    Just affordable, top quality medical care! We also know illnesses & injuries don’t respect business hours. Questions arise at any time of the day and from anywhere in the world, which is why we make ourselves available to our Direct Primary Care (membership) patients via Cell/text/email/video. Your doctor, direct.

Direct Primary Care (DPC)  is an innovative alternative payment in primary care model embraced by patients, physicians, employers, payers, and policymakers across the United States. The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider. In DPC, unwanted fee-for-service incentives are replaced with a simple flat monthly fee. This empowers the doctor-patient relationship and is the key to achieving superior health outcomes, lower costs, and an enhanced patient experience.


  • photo of Coho Medical Group

✓ 24/7/365 Access
✓ Cell/text/email/video
✓ Discounts on meds & labs
✓ Unlimited Visits
✓ No copays
✓ Cost transparency

Your primary care doctor on your terms.

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At Coho Medical Group, we accept Premera Blue Cross, Regence Blue Shield, Aetna, Cigna, First Choice and Health Net. For any patient that is seeking more hands on, long term access to a doctor, we also offer a membership service called Direct Primary Care. If you have any questions about our insurance or our pricing, please call our office at 425-458-7352 to see how we can best serve you.

  Regence Blue Cross Blue Shield
Coho Membership
First Choice Health
Kaiser Access PPO
Premera Blue Cross
United Health Care

Words from our patients

  • facebook

    "This model of health care is phenomenal. If you like being treated with respect and compassion, this is a good place for you."

  • facebook

    "Just left there, awesome care personalized to my needs, helpful staff, comfortable environment! All tests and labs done there so no need to wait!"

    Cheryle B.
  • facebook

    "Both MDs are excellent! I have worked with both of them and would trust any member of my family to their care! I can see that they are truly passionate..."

    Valarie D.
  • Yelp

    "This is an incredible service, I cannot believe how inexpensive it was to run tests and how long the doctors were willing to sit and talk with me."

    TJ G.
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Coho Medical Group
1515 116th Avenue NE
Suite 201
Bellevue, WA 98004