For Providers

Membership, diagnostic consultation, and genetic counseling for adults with complex, rare, or inherited conditions

OriginalMD is genetics-informed primary care in Denver. Patrick Long, MD, is a board-certified family physician, fellowship-trained in medical genetics, who practices the two disciplines together. Three ways to work with him, each with a defined scope.

Primary Care MembershipOngoing care
One physician who sees the whole picture for adults with complex or inherited conditions.
Cost is set after an initial visit.
Diagnostic ConsultationA question of diagnosis
Evaluation with comprehensive phenotyping; testing fitted to the question. When results need a conversation, they are reviewed at a counseling visit; otherwise they come to you in the note.
$850 · 90 minutes · in person preferred
Genetic CounselingA known risk, gene, or test
Counseling, ordering, results, and surveillance.
$450 per visit · 60 minutes · telehealth available

Dr. Long assigns the visit type at intake and confirms it with you. Referred patients are not solicited for membership.

Send for a Diagnostic Consultation when you see

Record review, history, three-generation pedigree, and examination; then testing fitted to the question, from a single gene to a genome with mitochondrial DNA, plus biochemical testing. Orders for labs, imaging, or specialty consultation as indicated. When results need a conversation, they are reviewed at a counseling visit; otherwise they come to you in the note. Reanalysis every 2 to 3 years, or when a laboratory reclassifies.

Multisystem disease, several specialists involved, and no unifying diagnosis
A hereditary phenotype never worked up, or onset decades early
Unexplained metabolic findings: recurrent rhabdomyolysis, exercise intolerance, hypoglycemia, lactic acidosis, or hyperammonemia
A prior result that settled nothing: a variant of uncertain significance, or negative testing despite strong suspicion
A childhood genetic diagnosis with no adult genetics care

Send for Genetic Counseling when you see

Pre-test counseling and ordering; results and what they mean for the patient and for relatives; surveillance for an established monogenic diagnosis, yearly or as indicated. Management of gene-related disease is recommended to you and carried out only within membership.

Hereditary cancer: cancer at a young age, multiple primaries, or familial clustering
A known familial variant: who else should be tested, in what order, and what a result means for each
ACMG secondary findings (treatable adult-onset conditions) and carrier screening
Pharmacogenomic profiling before or after a difficult medication course
A result from elsewhere that needs explaining; surveillance and reanalysis for an established monogenic diagnosis

A note from Dr. Long

I trained in family medicine first, then in medical genetics, genomics, and biochemical genetics, and I practice the two together. That order matters: my recommendations are written for primary care.

Most of what you will send me is a counseling visit: a family history that worries you or the patient, a hereditary cancer syndrome, a known variant and who else to test, a pharmacogenomic profile for someone failing medication after medication, or a consumer result nobody has explained. The question is defined; the answer is a test, a result read properly, or a plan for the family.

Send me a consultation when the diagnosis itself is the question: many symptoms, many specialists, no unifying answer; common disease behaving uncommonly; an adult with a childhood genetic diagnosis and no one managing it now. That visit is longer and in person where possible, with testing fitted to the findings.

Either way, your patient returns to you with a note you can act on, faxed within 48 to 72 hours and typically under 24. Ongoing care stays yours.

Patrick Long, MD

By specialty: which visit, and when

Specialty	Genetic Counseling	Diagnostic Consultation
Oncology; breast, GYN, and general surgery	Cancer at a young age, multiple primaries, or familial clustering; a known syndrome variant (BRCA, Lynch) in the family	Multiple cancers or multisystem findings with no syndrome identified; prior testing uninformative
Cardiology	Family history of cardiomyopathy, arrhythmia, or sudden death; a known variant; suspected familial hypercholesterolemia	Cardiomyopathy or aortopathy at a young age with other systems involved and no cause
Neurology	A known hereditary neuropathy, ataxia, or epilepsy gene in the family; pharmacogenomics for refractory seizures	Early or atypical neuropathy, ataxia, movement disorder, myopathy, or epilepsy; white matter disease; stroke in a young adult
OB/GYN	Carrier screening; a monogenic disorder or hereditary cancer in the family before pregnancy	Recurrent pregnancy loss or a maternal multisystem presentation without a diagnosis
Psychiatry	Pharmacogenomic profiling; a monogenic disorder with psychiatric features in the family	Psychiatric presentation with neurological, metabolic, or multisystem features
Dermatology, rheumatology, PM&R, ophthalmology, orthopedics	A known connective tissue, skin, eye, or skeletal diagnosis needing surveillance or family testing	Hypermobility with vascular, ocular, or skeletal features; lens dislocation; recurrent fever or inflammation without an autoimmune explanation
Radiology, any specialty	An incidental finding with a known hereditary association: renal cysts, aortic dilation, polyposis	Incidental findings across several organ systems with no unifying explanation

What a geneticist adds

The right testGene, panel, exome, or genome each answer a different question. Choosing well avoids a missed diagnosis or an uninterpretable result.

Interpretation against the patientA laboratory classifies a variant; a geneticist decides whether it explains this patient. Uncertain results come with a next step.

A negative result read correctlyNegative testing does not rule out a genetic cause; earlier results are reassessed before anything is repeated.

Biochemical geneticsSuspected inborn errors of metabolism and mitochondrial disease in adults.

The familyWho else to test, in what order, and what a result means for each.

ReanalysisEvery 2 to 3 years after a consultation, or when a laboratory reclassifies; a counseling visit.

What you receive

A note you can act onFaxed within 48 to 72 hours, typically under 24: assessment, rationale, recommendations.

Consequences spelled outFor surveillance, treatment, and testing of relatives.

Your patient backSpecialty management stays with you; gene-related management is recommended to you, and carried out only in membership. A call about a shared patient reaches Dr. Long directly.

Membership: a primary care home for your complex patients

One physician, both disciplinesThe physician managing blood pressure or an acute illness also interprets the genome.

Time60 to 90 minutes at first, a reassessment every year, and your recommendations in one plan.

Direct accessPatients and your office reach Dr. Long directly: no front desk, no phone tree.

Practice details

Patients	Adults 18 and older. We do not see patients who are currently pregnant. In person in Denver, or telehealth for patients located in Colorado. By appointment only, Monday through Friday, 9:00 AM to 5:00 PM MT.
Payment	Self-pay; OriginalMD does not bill insurance. Testing is separate; patients may use their own insurance at outside laboratories. Every patient has the right to a Good Faith Estimate of expected charges.
Medicare	Seen under a private contract; Dr. Long has opted out of Medicare.
Medicaid, TRICARE, VA	We are unable to see patients enrolled in Medicaid, TRICARE, CHAMPVA, VA health benefits, or other government health programs.

How to refer

Refer by fax

(303) 565-4574

Office (720) 575-0267

Send the clinical question, relevant records, and any prior genetic reports; Dr. Long assigns the visit type at intake and confirms it with you. Patients are scheduled within a week, often sooner. Please do not email records. Patients may also call.

How to reach the practice

info@originalmd.com

(720) 575-0267 · Fax (303) 565-4574

1601 E 19th Ave, Ste 6450, Denver, CO 80218

By appointment only, Monday through Friday, 9:00 AM to 5:00 PM MT.