Internal Medicine Prevention and Wellness
Dr. David Miloy MD
830.895.5599 1411 Water St. Kerrville, Tx 78028



At the heart of what we do is acknowledge that every patient is an individual whose personal goals and needs must be recognized.  With the help of their physician, they have the right to live the most productive and healthiest life possible.

The patient-physician relationship works best when both parties work together as a team.  This requires communication, developing a plan and then executing the plan.  It’s important that you play an active role in your health – I value your input.

Preventive Medicine

Prevention is key to good health and it’s rarely too late to take action.  We achieve prevention by getting to know you, your past medical and family history.  We spend the time to understand your personal goals and needs.  We address lifestyle changes, educate you on the most likely threats to your wellbeing and offer appropriate preventive screening tests.

Early Disease Detection

Throughout my training and career I have witnessed the importance of early disease detection.  Early detection will usually result in a much better health outcome, require less medical attention and save you tremendous amounts of health care dollars.

We accomplish early detection by performing a comprehensive annual exam and applying noninvasive technology to assess your various organ systems for disease.

Rapid Response

When you do become ill it’s important we get you back on your feet as soon as possible.  We achieve this by same day appointments or contacting Dr. Miloy 24/7 for urgent medical needs.  We also provide email access for less urgent medical questions or problems.  When traveling or geographically challenged, you will have access to telemedicine services for enhanced treatment and convenience.

Ethos of Direct Primary Care

Optimum Health provides a more modern approach to paying for primary care called Direct Primary Care (DPC) that has been embraced by patients, physicians, employers, and policymakers across the United States.  The defining characteristic of DPC is a lasting and trusting relationship between a patient and his or her primary care provider.
Establishing this relationship is the key to achieving superior health outcomes, lower costs and an enhanced patient experience.

DPC accomplishes this by focusing on five things:

1.  Service:  The hallmark of DPC is adequate time spent between patient and physician.  DPC enables unhurried interactions and frequent discussions to assess lifestyle choices and treatment decisions aimed at restoring and promoting long-term health.  DPC practices have extended hours in which doctors can be reached, ready access to care, and patient panel sizes small enough to support this service commitment.

2.  Patient Choice:  Patients choose their own personal physician and are active partners in their healthcare. Empowered by transparency and accurate information at the point of care, patients are fully engaged in making their own medical and financial choices.

3.  Replacement of Fee-For-Service:  DPC eliminates the perverse fee-for-service (FFS) incentives in primary care. These incentives distort healthcare decision-making by rewarding visit and procedure volume over value.  This undermines the trust that supports the patient-provider relationship and rewards expensive and inappropriate testing, referrals, and treatment. DPC replaces FFS with a simple monthly fee that covers comprehensive primary care services. Fees must be adequate to allow for appropriately sized patient panels to support this level of care so providers can ignore the other financial incentives that distort medical decisions and compromise the doctor-patient relationship.

4.  Medical Advocacy:  DPC providers are committed advocates for their patient members within the healthcare system.  They have time to make informed, appropriate referrals and support patients when necessary outside of the primary care setting.  DPC providers accept the responsibility to serve as expert healthcare navigators for their members.

5.  Stewardship of Health and Healthcare Dollars:  DPC providers believe that healthcare must provide more value to the patient and the system.  Healthcare must be more patient-responsive, less invasive, and less expensive than it is today.  The ultimate goal is health and well-being, not simply the treatment and management of disease.


Optimum Health MD is a premier health facility centrally located in Kerrville, TX. Our goal is to provide outstanding care and assistance in a compassionate, accessible, and supportive setting. We provide urgent care as well as consultations to our Kerrville patients and the surrounding area.