[Sticky] Telemedicine Self-Pay Doctor In Alabama

Michael Gray, MD JD — Telemedicine Urgent Care

To be seen by Dr Gray click here:  https://michaelgray.clientsecure.me

Dr. Michael Gray is a board-certified family physician specializing in convenient, patient-focused telemedicine care. He provides straightforward, transparent self-pay virtual visits for patients who want timely access to medical care without the complexity of insurance billing.   No insurance is accepted, claims will not be submitted to your insurance for reimbursement.

Dr. Gray commonly treats conditions such as minor illnesses, medication refills (when appropriate), weight loss prescriptions (when appropriate) and general urgent care concerns. He also provides travel medicine guidance and lab review consultations. See  https://selfpaymd.com/community/telemedicne-use-cases-what-can-be-done-using-telemedicine-and-what-cannot-be-done-with-telemedicine/   

His approach to care is collaborative, practical, and evidence-based. Dr. Gray focuses on helping patients understand their options, make informed decisions, and receive care in a way that is respectful, efficient, and patient-centered.

Physician since 1995, Lawyer since 2016: Dr. Gray completed his undergraduate training at Johns Hopkins University, medical training at University of Maryland Medical School, residency at Georgetown University/Providence Hospital Family Medicine Residency Program, and law school at the University of District of Columbia. Board Certified in Family Medicine. Admitted to the Maryland State Bar for law practice -- medical malpractice cases in Maryland only.

As a former Medical Director, he has experience in both in-person urgent care and telemedicine, and has cared for over 80,000 patients through telehealth across the United States for several of the largest companies in the industry.  

Outside of clinical practice, Dr. Gray enjoys family time, technology and healthcare innovation, and staying active outdoors.

Services & Access

• Virtual appointments for all ages, under 18 must have parent or guardian present
• Simple, transparent self-pay pricing.
  • brief single topic visit for sinus infection, UTI, common cold, poison ivy etc
  • medicine review/bridge refills, lab review, more than 1 issue to discuss
  • weight loss visits if medically appropriate for oral medicines (bupropion, metformin, topiramate, naltrexone) or self-pay GLP1 medicine prescriptions (Zepbound, Mounjaro, Wegovy, Ozempic).   
    • I will not do prior authorizations, will only accept self pay GLP1 patients. Prior authorizations typically must be done by a participating provider in your insurance plan.
    • I require follow up visits every few months to document progress and safety. Cost of medicine or any required labwork is not included in the visit fee. You can have prescriptions sent to your local pharmacy or mail order through LillyDirect, Amazon, Mark Cuban pharmacy etc.   
  • Practice details:
  • No insurance required or accepted — patients pay directly for visits
  • Primary Care or Urgent Care or both? - Urgent Care only, you should still have an in person local primary care provider 
  • HIPAA web portal being used for visits:  SimplePractice.com
  • Electronic prescribing? -Yes
  • Can labwork be ordered? – In some cases a lab requisition form can be supplied and you can bring it to your local lab for fulfillment.
  • Patient Portal, direct access to medical records? -Yes, through SimplePractice.com
  • Fluent languages:  English only 

Areas Commonly Treated

• Minor illnesses & urgent care needs
• Hypertension, diabetes & chronic condition short term bridge medicine refills
• Sinus infections/upper respiratory infections
• Medication refills when appropriate, especially for those who travel frequently such as executives, truck drivers or those in the RV lifestyle who need prescriptions sent to different states at different times
• Lab review & treatment guidance
• Controlled substance prescribing? -No
• Brick and mortar and/or telemedicine? -Telemedicine Only
• States of licensure:  nationwide-licensed in all 50 states plus DC
• GLP1 prescribing? -Yes, where allowed by state law (Zepbound, Mounjarao, Ozempic, Wegovy).
• Compounded GLP1 prescribing? -No
• Not accepted for telemedicine visits: Workers comp, auto injuries, concussions, assaults, suspected fractures, disability forms/paperwork, patients with high medical complexity – Prompt in-person evaluation is recommended for these conditions. 
• Emergencies—Not appropriate for telemedicine. If you believe you are having a medical emergency please call 911.

Private Practice Policies To Be Aware Of

• Telehealth visits require that you upload a form of ID such a driver’s license and you must provide a credit card to be kept on file (not billed until time of service)
• You must agree to and opt in to receive email/text messages. This is a requirement due to the nature of telemedicine. If you do not consent and agree then please seek in person care.
• Appointment times are *approximate*. Because pre-registration takes time you may not be seen exactly at your appointment time but we make every effort to stay on schedule. 
• If you are not present in the virtual waiting room at the time of your appointment then a stand-by walk-in patient may be seen in your time slot. You would then be bumped to stand-by status yourself and you can choose to wait or choose to reschedule.
• No medication refills without a visit.Generous refills are provided where medically appropriate but we still need to document progress and safety in the medical record. I have 4 different worksites and refill requests from pharmacies are hard to trace to the correct practice and will routinely be denied. Please plan to follow up with me or your primary care provider BEFORE you run out of medicines. 
• Help me help you -- PLEASE update your pharmacy before your visit. Wrong pharmacy information is the most common cause of treatment delay. You will have to have another visit to change your pharmacy so please ensure your correct pharmacy is in your profile and make sure the pharmacy is open that day (especially on holidays!).
• You must agree to electronic communications for this practice as all communication will be electronic. Pre-visit triage questions can be anonymous through the public SelfPayMD.com website—DO NOT post any personally identifiable information on SelfPayMD.com as everything posted there is public.  Medical visits will be though HIPAA compliant synchronous audio/video conferencing using SimplePractice.com. Generally speaking if you have questions after your visit you must schedule another follow up visit for further discussion.  In any event, this practice is structured as urgent care and there is no phone coverage or after hours coverage. 
• No refunds. A telemedicine visit is not a guarantee of a desired prescription. You must still pay for the consultation even if you don’t receive a requested prescription or if you are referred to in person care due to the nature of your condition. Please ask first in the forums whether your case is appropriate to telemedicine, this can be done anonymously. 
• By proceeding you agree and understand that no doctor patient relationship is formed until you are seen in the HIPAA compliant patient portal. Anonymous triage inquiries on SelfPayMD.com do not constitute a doctor patient relationship.