Integra Concierge Medicine

Medical Services You Can Trust

Our goal at Integra Concierge Medicine is to help you achieve a healthier lifestyle.

Discover the power of a personal relationship with your primary physician who offers a proactive approach to your personal health.


We Are Here for You

As a concierge program working outside the *usual insurance model, we have the ability see less patients allowing us more time to develop a true doctor-patient relationship. You will have a direct line to your physician to expedite your healthcare concerns. We strive to find the root of your healthcare concerns rather than just treating the symptoms.
*We do not take traditional insurance. See our plans here



Our Services

You're in Good Hands

We use a patient-centered strategy to healthcare, rather than the conventional one-size-fits-all insurance limited viewpoint.

As a board-certified Family Medicine physician I have experienced the decline in patient-doctor interaction and quality of care, we have gone from a relationship to only having a few minutes with our patients.

The concierge model eliminates the insurance confinements and allows us to focus on explaining, educating, counseling, and treating patients without time restraints. This translates to better health and longevity-allowing us to recognize and address minor problems before they have the opportunity to manifest as significant issues. 

Read more about our medical services.

Primary Care

Patients are best served when their care is provided by an integrated practice care team led by a primary care physician. Health professionals work together as an interprofessional, interdependent team in patients’ best interests to support comprehensive care delivery. A primary care physician is a specialist in family medicine, general internal medicine, or general pediatrics who provides definitive care to the undifferentiated patient at the point of first contact and takes continuing responsibility for providing the patient’s comprehensive care.

Functional Medicine

Functional medicine asks how and why illness occurs and restores health by addressing the root causes of disease for each individual. It is an approach to patient care that views health and illness as part of a continuum in which all components of the human biological system interact dynamically with the environment, producing patterns and effects that change over time. Functional medicine may be described as the clinical application of systems biology. Chronic disease is usually preceded by a period of declining function in one Read More

Hormonal Optimization

Hormone Optimization helps you understand if your body is operating at its peak performance in terms of hormones. It intends to enhance hormone deficiency and improve overall hormonal functions through a tailored, Read More

Compounded and Bio Identical

Hormonal imbalances can affect multiple aspects of our lives including sleep, libido, weight, energy, mood and metabolism. We can prevent or slow down this progression through the use Read More

Medical Weight Loss

According to the National Institutes of Health, obesity and overweight together are the second leading cause of preventable death in the United States. Losing weight on your own isn't easy and results can take a long time to appear. Read More


Telemedicine does not replace face-to-face consultation but it has been in use for 30 plus years, and it has been consistently shown to be a safe and quality care modality. Phone or video appointments make seeing your doctor, fast and easy from Read More

Concierge Medicine

Men's Health

If you are feeling sluggish, have no energy, can't perform in bed or any trouble with erections, we will customize a treatment plan for you to get you feeling back to yourself again. We want to help men with low testosterone, Read More

Women's Health

Among women, hormone imbalance can happen at any age. When hormonal imbalances are left undiagnosed and untreated, it will affect your personal health and multiple facets of daily life, including your sleep, relationships, Read More

Mental Health

Our goal at Integra Concierge Medicine is to provide an integrative approach to health, including your mental health. We believe in the connection between mind body, and spirit. Many chronic illness can be link to our mental health, thus Read More


It is important for LGBTQ+ individuals to have a primary care physician who they feel comfortable with and can ask honest questions about their health and well-being. Our concern is that patients often avoid or delay care due to fear of Read More

We Are Your Concierge Medical Provider

About Us

Dr. Paul A. Busse earned his BS Degree in Marine Biology from Texas A&M University in Galveston, TX.  Afterward, he returned home to earn his medical degree in his home country of Peru from San Martin de Porres University. He completed his residency at the Nebraska Medicine, Clarkson Family Medicine, in Omaha Nebraska. Dr. Busse is a Board-Certified Family Medicine physician who is fluent in English and Spanish.
In love with Florida’s sunshine, he has been living in the Jacksonville and Saint Augustine area since 2009.  Dr. Busse has been practicing medicine for over 20 years and has been a family medicine physician with Ascension St Vincent’s Health Primary Care since 2017. He listens to understand your health concerns and takes the time to get to know you and your family’s health history.

Dr. Busse then works with you to create a personalized care plan for your long-term health needs.

When he is away from the office, he enjoys the beach, cars, sailing, paddle boarding, cycling, traveling and spending time with family and friends.

Your Health is Our Concern

House calls are available when appropriate. Some patients may not be able to visit us in the office due to severe illness or injury. House calls visits will be available after a virtual consultation at no additional cost. These visits will be scheduled on as needed basis depending on the severity of the case.

Why Us

Our Health Services are a Concierge Style

We believe a strong doctor-patient relationship and convenience of care are key to maintaining good health. Concierge medicine typically provides a level of access to your physician that is unachievable in a traditional doctor-patient arrangement. Concierge medicine allows your physician to significantly limit the number of patients they accept into their practice, which means increased availability and access for one-on-one healthcare. Concierge medicine helps form a personal bond between you and your physician. With more direct access, you’re likely to develop a more trusting and familiar relationship, which may make you more willing to follow recommendations for preventive care.

Serving You With Compassion

Over time I have witnessed a change in medicine that I am not proud of. When I signed up to run this marathon, I did it thinking of my future (of course) but also thinking about the positive changes I could make in my patients. I did not spend a third of my lifetime studying only to see insurance companies run all of our lives and limiting what is done. On top of all, we have employers pushing for more and shorter appointments. This makes our job virtually impossible, as there are many aspects to review in a very short period of time. I do not want to practice medicine under these conditions. I want to bring back the personalized true family/personal physician model where there is a true patient-doctor relationship.

Understanding What you Need

Maintain a small provider-patient ratio allows us to offer more convenient, patient-focused care. Our concierge model is a membership program where we do not accept health insurance, allowing us the freedom to operate without restrains/ limitations.


This is What Our Patients Say

Dr. Busse is one of the most compassionate doctors I’ve ever encountered. His attention to detail, ability to listen and explain any concerns you have along with always being mindful of your best interest make him the perfect fit for anyone seeking a hands-on doctor.

~ Amy O.

Blog News

The Benefits of Integra Concierge Medicine for Your Family's Health and Wellbeing

With the latest in medical advancements, Integra Concierge Medicine is here to keep you informed and educated. Our own Dr. Busse provides regular updates with news on the newest health developments so that you can make well-informed decisions for yourself and your family!



Health savings accounts (HSA) and flexible spending accounts (ESA)might cooperate with concierge care. Check with your plan provider, but medical services generally apply the same way that a copay or prescription at a traditional practice would. Some HSA and FSA plans reimburse for other services, like wellness visits, if you show receipts.


You may see the doctor in the office as many times as medically necessary as a membership patient of our practice. In addition, the doctor is available 24/7 via e-mail, text, and personal cell phone.


Items such as laboratory tests, immunizations, diagnostic tests, hospitalizations, specialist visits, and medications are not covered by the membership fee. These services are usually covered by your health insurance plan. We do recommend everyone have health insurance as we are not a health insurance company.


Yes, we maintain a small provider-patient ratio which allows us to offer more convenient, patient-focused care with same or next day appointments. If you have further questions, please contact us and we can give you the answers you are looking for.