Concierge Medicine & Primary Care
A board-certified family physician as your primary care doctor, with the time and data to go deeper.
McKinney, TX Mon–Fri 8–5 · After-hours access for members
Longer visits, 100+ biomarker labs, and a physician who finds the root cause.
Most primary care runs on short visits and insurance codes. The tests that could explain how you feel often can’t be ordered until a diagnosis justifies them, so problems build quietly for years.
None of that is in your head. It’s in your data.
Book your consultDr. Castel Santana, known to his patients as Dr. Cas, has practiced as a board-certified family physician for more than a decade. He kept seeing people get sicker even as more medication was prescribed.
So he built Evoke 5 around time and data: a long first visit, a lab panel covering 100+ biomarkers, and a plan he retests to prove it’s working.
“The more data points we have, the better decisions we can make.”
A 100+ biomarker panel, retested through the year, plus genetic testing. Included in every membership.
Foundations first: sleep, nutrition, gut health and hormones. Advanced therapies when your labs say you’re ready.
A small patient load, on purpose. Unrushed visits, and follow-ups that actually happen.
Over the years, a number of doctors have told me that I had inflammation. However, no one had ever told me how to get rid of it.
From my first visit, Dr. Cas made me feel heard and not alone.
Six months ago, I could barely get out of bed. Last week, I hiked and biked 53 miles at high elevations (above 9500′) in Colorado.
Patients of Dr. Cas, in their own words. Individual results vary.
Start your own storyTell us what’s going on and what you want to change.
Your first visit and baseline labs show Dr. Cas what’s driving your symptoms.
Follow a plan built for your biology, and retest to see it working.
One practice. Every tool, chosen by your data.
All services
A board-certified family physician as your primary care doctor, with the time and data to go deeper.
Advanced labs, gut, toxin, genetic and mitochondrial testing that turn "your labs look normal" into real answers.
Bioidentical hormones, peptide therapy and IV nutrient therapy, prescribed from your labs and monitored over time.
Prolotherapy and PRP joint injections, the Wolverine Protocol and therapeutic plasma exchange, all consult-first.
Neuromodulators, PRP and exosome microneedling, and liquid facelift, planned around your hormones, inflammation and healing.
Every membership costs less than the same care à la carte.
Foundational care
$129.99 / month
Advanced care
$229.99 / month
Coming soon
$2,500 / month
Monday–Friday, 8:00 a.m.–5:00 p.m.
No. Memberships and specialty labs are cash-pay, at published prices, so there’s no waiting on a diagnosis code. HSA and FSA funds may be used for eligible services. Check with your plan administrator.
Memberships start at $129.99 a month (Evoke Well). Evoke Optimize is $229.99 a month, and Evoke VIP is launching soon at $2,500 a month. A single new-patient visit is $350, and every à la carte price is on the memberships page.
Yes. Members get a yearly exam, sick visits throughout the year, and a care team that already knows their history. Dr. Cas can also coordinate with the specialists you already see.
A 60-minute comprehensive visit (120 minutes for VIP). Dr. Cas reviews your history and goals, examines you and orders your labs. Results take about four weeks, then you go over every number together and build your plan.
Yes. Consults, lab reviews and many follow-ups work by video. Exams, injections, IVs and procedures happen in the McKinney clinic.
Book your consult and talk through what you’re feeling and what you want to change.
Dr. Cas’ Daily Wellness Routine
The simple daily habits Dr. Cas uses for energy, recovery and long-term health. Free, straight to your inbox.