
At Main Street Clinic DPC, we're creating space, time, and attention for you to be valued and truly cared for. No rushing. No insurance barriers to visits. Just medicine the way it should be.
Accompanying Sylvania—the City of Trees—with Direct Primary Care. We believe in care that's rooted in community, connected to your life, and focused on your whole wellbeing. Serving families in Sylvania, Toledo, and Northwest Ohio.
Reach your doctor when you need them—text, call, or video visit through our advanced app.
Your first visit is 90 minutes. We take the time to truly understand you and your health goals.
Wholesale medication costs and deeply discounted labs mean better care at lower prices.
Direct Primary Care is a refreshingly simple model: you pay a monthly membership fee to have direct care from your own physician. No insurance companies complicating the relationship. No surprise bills. Just straightforward, personalized healthcare that puts you first.
Simple, predictable pricing—know what you'll spend on primary care each year.
Schedule visits that are longer and relaxed, with no insurance paperwork to navigate.
Enjoy wholesale medication prices, discounted labs, and messaging with your physician.
"What was old is now new again. The idea of the old-time country doc where you could directly pay for services is the heart of direct primary care."

I am a family medicine physician with a unique background in chaplaincy, prevention, public health, and community care. After spending a summer as an interfaith hospital chaplain, I deeply appreciate the power of sitting in someone's presence, fully listening, and becoming a true partner in your life's journey.
Why family medicine? At age 12, my physician cousin diagnosed my appendicitis—that rapid response averted disaster and sparked a lifelong interest in medicine. Many do not have access to a doc in their family. This model helps with that. Family medicine embodies full-blown curiosity about what makes people thrive.
My family and I have lived in Sylvania for the past 4 years - just outside of downtown. I want to see all of us age well and prevent many illnesses. We all are invested in our community and neighborhood.
Master of Theological Studies, Union PSCE
MD/MPH Dual Degree, Virginia Commonwealth University
Residency & 10 years at Community Health Center serving uninsured patients
K Health - Leveraging technology for personal, heart-centered care
Opened Main Street Clinic DPC in Sylvania, OH
Wellness cannot be achieved by the individual alone. Health is seated within family systems, culture, and community—we (you and the doc) treat the whole picture.
Planning ahead for later life by establishing healthy patterns now sets you up for healthy longevity. Accountability and partnership make all the difference.
With an MPH focused on advocacy and access to care, Dr. Pomrenke has worked to increase access to healthy food, advance care planning, and uninsured patient care.
Memberships & Credentials: American Academy of Family Physicians (Boarded) • DPC Alliance • OH AAFP
Menopause Society 2025 and 2026
Your initial visit is booked for 90 minutes—if you need all of it, go for it. Subsequent visits are tailored to your needs as we build understanding together.
We can find significant cost savings on labs and imaging, plus wholesale medications dispensed at cost—real value that adds up quickly. For examples, wholesale medications 80% of the cost of a GoodRx script. Labs 60-70% less than typical. This would not stop you from using your insurance to pay for your medications and labs, you can set that up with your lab and pharmacy.
After months of research, we use SigmaMD—an advanced app for messaging, scheduling, video visits, and accessing your medical records. Import your MyChart records for seamless connectivity. In person visits as well as the convenience of telehealth.


Understanding the true cost of healthcare involves more than just insurance premiums. This analysis reveals how Direct Primary Care (DPC) significantly reduces overall healthcare expenses and out-of-pocket costs for a single 35-year-old individual across various scenarios.
Let's compare the annual healthcare costs for a single 35-year-old individual who has two urgent care visits, two primary care visits, and regular medication throughout the year.


In this routine care scenario, DPC membership dramatically reduces the "out of pocket max" (green portion) and the "deductible still left over" (yellow) sections. By covering routine services, DPC acts as a buffer against unexpected bills, offering clear savings compared to traditional insurance models where co-pays and deductibles quickly add up.
Now, consider the same single 35-year-old individual, but with the added need for one abdominal CT scan during the year.


This scenario highlights one of DPC's most significant advantages: access to cash-pay pricing for imaging. While DPC doesn't cover procedures like CT scans directly, DPC physicians can order imaging directly at cash-pay facilities, bypassing the typical insurance markup.
An abdominal CT through insurance might cost $2,000-3,000 (applied to your deductible), but cash pay pricing can be as low as $400-800. This substantial difference helps keep the "deductible still left over" (yellow section) dramatically lower for DPC members, as shown in the graphs. This applies to CT scans, MRIs, X-rays, and ultrasounds, often leading to 50-70% lower costs than insurance-negotiated rates.
DPC membership greatly reduces unexpected out of pocket costs in routine care scenarios, offering predictability and significant savings on common visits and medications.
DPC provides access to dramatically lower cash-pay rates for imaging (CT, MRI, X-rays), often 50-70% less than insurance rates. This keeps your "deductible still left over" (yellow) much lower.
DPC pairs perfectly with lower-premium, high-deductible insurance plans (e.g., Bronze, Silver). It covers your routine needs affordably while your insurance protects against major medical events, maximizing your savings.
DPC converts variable healthcare expenses into a manageable fixed monthly cost, bringing financial peace of mind and allowing for better budgeting without unexpected medical bills for primary care.
Families often face higher healthcare utilization due to the varied needs of multiple members, from routine check-ups for children to managing chronic conditions for adults. Direct Primary Care (DPC) provides even greater value for families managing multiple members' healthcare needs by offering comprehensive, accessible, and cost-effective primary care solutions.
Let's compare the annual healthcare costs for a family of 4, assuming 5 urgent care visits, 6 primary care visits, and 1 medication for the whole family during the year.


By consolidating primary care costs into a fixed membership fee, families gain predictability and substantial savings compared to traditional insurance models where co-pays and deductibles quickly accumulate across multiple family members. Yes, it is a bit more expensive, but the value of one provider, with significantly improved access remains.
Now, consider the same family of 4, but with the added need for one abdominal CT scan during the year.




This scenario highlights how cash-pay imaging benefits are amplified for families. When any family member needs imaging (CT, MRI, X-ray, ultrasound), DPC provides access to 50-70% lower cash-pay rates. For example: a family CT scan through insurance might cost $2,000-3,000 (applied toward your deductible), but cash pay pricing can be as low as $400-800. This substantial difference keeps deductibles lower across the board, as shown in the graphs. Over time with multiple family members and varying healthcare needs, these savings compound significantly. DPC physicians order directly at cash-pay facilities, avoiding insurance markup entirely.
With 4 family members, routine care costs multiply quickly without DPC. DPC's flat family rate covers everyone's primary care needs, providing significant savings.
Any family member needing imaging gets 50-70% savings through cash-pay pricing, keeping deductibles lower across the board and reducing overall family medical expenses.
The "other option" shows dramatic savings - families can choose lower-premium catastrophic coverage while DPC handles most routine care affordably, maximizing value.
Convert unpredictable family healthcare costs into one manageable monthly fee, with transparent pricing for the whole household, bringing financial peace of mind.
"Thank you so much. This has been a great experience and I'm very impressed with your thorough examination and comments."
"Hey Dr. Pomrenke, Is there any way to ensure that I am scheduled to meet with you specifically for my next appointment" [during work w telehealth group]
"The best visit I have ever had with a Dr."
"Thank you so much for all your help! ... I do not take divine moments for granted. ... The medical field is better because of Doctors like you. The world is better because of people like you. What a wonderful gift."
"And my personal favorite - "Keep rocking it!""
Health happens in community. Join monthly social groups focused on topics that matter to you—from the Sandwich Generation juggling young kids and aging parents, to perimenopause and menopause support, to Walking events. You name the topic you'd like to explore with others.

Caring for younger generations while supporting aging parents—share strategies and support.

Navigate this transition with expert guidance and peer connection.

Combine exercise, fresh air, and health education in Sylvania's beautiful tree-lined streets. https://walkwithadoc.org/join-a-walk/locations/sylvania-ohio/


DPC removes insurance barriers for primary care. Keep your insurance for hospitalizations and specialists, but enjoy direct, unlimited access to your doctor for everyday healthcare needs—no copays, no deductibles, no claim denials.
We advise keeping your insurance for hospitalizations and specialty care. DPC covers primary care—the vast majority of your healthcare needs—but your insurance protects you from catastrophic costs. DPC is not insurance.
Main Street Clinic DPC provides significantly discounted lab services. We've lined up wholesale pricing that saves you money compared to typical insurance lab costs. Don't want to pay cash - sure, if you have insurance then you can submit your insurance to your pharmacy for coverage.
No, Medicare does not currently cover DPC memberships. However, many Medicare patients find DPC an excellent complement to their Medicare coverage. At this time Dr. Pomrenke is not accepting Medicare.
Yes! Health Savings Accounts can typically be used to pay for DPC memberships. Check with your HSA administrator to confirm.
"Direct Primary Care Service Arrangements: Beginning Jan. 1, 2026, an otherwise eligible individual enrolled in certain direct primary care (DPC) service arrangements may contribute to an HSA. In addition, they may use their HSA funds tax-free to pay periodic DPC fees."
Yes! We're currently accepting new patients and families in Sylvania, Toledo, and throughout Northwest Ohio. Schedule a free meet and greet to learn if Direct Primary Care is right for you.
Main Street Clinic DPC is located in Sylvania, Ohio and serves patients throughout the greater Toledo area including Sylvania Township, Perrysburg, Maumee, Holland, and surrounding Northwest Ohio communities.
Yes! We offer both in-person visits at our Sylvania location and convenient telehealth video visits through our SigmaMD app. You can also message Dr. Pomrenke directly for quick questions and care coordination.
Unlike traditional family medicine practices that see 15-20 patients per day, DPC allows Dr. Pomrenke to limit his patient panel and spend real time with you—90 minutes for your first visit.
Simple, predictable monthly fees mean no surprise bills. Know exactly what you'll spend on primary care each year. All pricing includes visits throughout the month, messaging, and care coordination.
One-time fee per household.
Per month for primary care - including urgent care as able.
Per month with a parent membership—whole family care made easy.
Per month for two adults ages 18-64—better together pricing.
Cancel anytime, though re-enrollment fee of $200 per person applies if you return.
For those 65 years of age and above and interested in the practice please join our wait list as Medicare Part B would require opting out for Dr. Pomrenke.
5687 Main Street, Sylvania, OH 43560—inside Spacebar, a shared workspace in the Red Bird business district. Conveniently located in downtown Sylvania, across from J & G's Pizza, serving families throughout Sylvania, Sylvania Township, Toledo, Perrysburg, Maumee, and Northwest Ohio. Easy access from US-23 and I-475.
All we need is a dedicated, pleasant environment for two people to talk. Dr. Pomrenke has practiced in many settings, including a clinic embedded in a rec center.


It's an old model that's new again, so there will definitely be questions. We want to create time for you to ask, to get to know the model better, and for us to know you a bit as well. Let's see if this is a good fit!
Book a video visit through our Google Calendar. Ask questions and learn if DPC is right for you.
Once we determine we're a good fit, we'll send you a registration link through our electronic health record system.
We'll dive deep into your health history, goals, and create a personalized care plan together.
Enjoy unlimited access to your physician, discounted labs and medications, and community health groups.
419-210-5370
Please note: do not include any personal health information in your email.



The Art of Medicine. The Art of You. The Art of Community.
Direct Primary Care in Sylvania, Ohio. Physician owned family medicine practice. No insurance billing for visits. Personalized primary care for you and your family.