Our Practice

This is different. I think I like it... How does it work?

Affordability & Price Transparency

Just as you know the cost before you buy goods and services in every other industry, now your health care costs can be fully transparent. You know what you're getting and you don't get surprise bills. We believe healthcare should be affordable.


We use a membership model to provide our members with more time and access to their medical provider. Members have as many visits as they need without any additional costs, access to at cost labs and imaging, and affordable in office procedures.

Convenience & Concierge Service

We take fewer patients so we have more time with you. Traditionally, each primary care provider has 2000 - 3000 patients; ours take 500 patients or less. This means you get more time with your provider, more personalized care, and same day or next day visits.


We have un-rushed visits, typically 30-60 minutes, for the best care possible. We see our patients on time. We do all our face-to-face visits as house calls, for your convenience.


We use the latest technology, so call, text, or email anytime. We help you coordinate the complex healthcare system and provide you support if you are hospitalized or seeing a specialist. You are our priority.

The Big Idea

It's pretty simple really, by having a direct relationship between you and your primary care provider and leaving the middle man out of primary care it actually saves you money! Health insurance is great for high cost medical needs, but it needlessly complicates and drives up the cost of routine care. 

Think about it like this, wouldn't it be crazy if you used your automobile insurance to pay for an oil change or your home owners insurance to pay for changing lightbulbs? This would dramatically increase the cost of your insurance. This is what has happened with our healthcare costs and health insurance. Primary care can meet about 85% of all of your medical needs over your lifetime!

 This is what smart healthcare looks like. You are smart for choosing it.

Our Provider

Kelly Botta, PA-C, MSPAS

Owner | Founder

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A native of Pittsburgh, PA, Kelly relocated to Winchester, VA to attend Shenandoah University's top ranked Physician Assistant program earning her Masters of Science in PA Studies, the terminal degree for physician assistants. Kelly is a board certified physician assistant with over ten years of experience in Internal Medicine, as well as Urgent Care and Emergency Medicine experience. Her professional interests include: patient education, preventative care, orthopedic conditions, procedures, and managing chronic disease.


Kelly started Smartypants Medicine, a Direct Primary Care practice, with a goal of bringing patient centered care to Winchester that is both convenient and affordable.


Kelly is married to Jeff, a local physical therapist, and together they have two, young daughters. Her hobbies include dabbling in real estate, anything sports or fitness related, and DIY home projects.

Want to learn more about direct primary care? Watch this.