Frequently Asked Questions
Quick answers about booking, insurance, virtual visits, and prescriptions at Aristos Internal Medicine. Don’t see your question? Call us at (509) 426-5425 — we’re happy to help.
Yes. We are currently accepting new adult patients for both in-person and virtual care.
Book online any time: choose in-person or virtual, pick a time that works, and you're done. You can also call us at (509) 426-5425.
Aristos Internal Medicine participates with most major insurance plans through Privia Medical Group, including UnitedHealthcare, Cigna, Blue Cross Blue Shield, Aetna, Humana, and Medicare. Coverage, copays, and patient responsibility vary by plan, so please verify your coverage directly with your insurance provider.
Questions? Call us at (509) 426-5425.
You'll see Dr. Kyle Varner, MD, dual board-certified in Internal Medicine and Obesity Medicine, or Swapna Dutta, ARNP, a family nurse practitioner. Our goal is for you to see the same clinician at every visit.
Appointments are longer than a typical rushed visit. New patient visits get extra time for a thorough evaluation, and follow-ups stay focused and efficient, so you never feel hurried.
42 E Rowan, Suite B, Spokane, WA 99207
Monday to Friday, 9:00 AM to 5:00 PM
Yes. Dr. Varner is fluent in English and Spanish. Sí, el Dr. Varner habla español.
● Patient Portal: for medical questions, follow-up, and clarification
● Phone: (509) 426-5425 for clinical concerns that need a direct conversation
● Text messaging: for administrative matters only, such as scheduling or logistics
Medical discussions should take place by phone or through the patient portal, not by text message.
Yes. Care is offered virtually or in person, depending on what is most appropriate for you and the clinical situation. Virtual visits are used whenever they can safely and effectively meet your needs; in-person care is provided when an office visit is necessary.
For virtual visits, you must be physically located in Washington State at the time of the visit, where Dr. Varner holds an active medical license. This applies regardless of your permanent residence and is based on state medical licensing rules.
When scheduling, you choose virtual or in person based on the guidance in our scheduling system. If you're unsure, pick either one; the visit type can be adjusted as needed. Or call us at (509) 426-5425 and we'll help.
The patient portal is the preferred way to communicate about your care. Send messages for:
● Clarification about a treatment plan
● Follow-up questions
● New medical concerns
If a message requires extensive discussion, medical decision-making, or evaluation, an appointment will be offered to ensure appropriate care.
Laboratory testing is typically performed through LabCorp, with orders sent electronically. If you prefer a different laboratory, we can provide a paper or PDF lab order so you can complete testing at the lab of your choice.
Aristos Internal Medicine does not manage chronic pain conditions that require long-term opioid therapy. Patients who need ongoing treatment with chronic narcotic medications are referred to pain management specialists, who are better equipped to provide that level of care.
Short-term pain medications may be prescribed when medically appropriate for established patients who:
● Have been seen in person within the past year, and
● Are being treated for an acute or clearly defined condition
The practice is not set up to manage long-term opioid therapy.
For certain chronic controlled substances, prescribing may require:
● A prescribing or treatment agreement
● Periodic drug testing
● At least one in-person visit per year
These requirements are in place to ensure safe, responsible prescribing and compliance with medical standards.
Our practice requires a prior in-person medical evaluation before any controlled substances are prescribed. We do not initiate or maintain controlled substance therapy via telehealth-only visits, in accordance with the Ryan Haight Act and our internal diversion prevention protocols.
Ready for unrushed, physician-led care?
Now accepting new patients, in person in Spokane or virtually across Washington. Book online in about a minute, or give us a call.