The practice was built around a quiet idea: that the information of your own life — every test, every specialist's letter, every line in your biology that matters — is yours, and ought to be held somewhere it can actually be used.
In most settings, that information is scattered. It lives in portals, in faxes, in the gaps between specialists. The patient is left to be the courier. What gets lost in the carrying is the part that matters most: the arc, the why, the connection between this year and last.
The work here begins from a different posture. The records arrive before you do. The history is read carefully. The biology is part of the conversation, not the fine print. Continuity is not a feature; it is the structure.
What this looks like, in the ordinary course, is a single physician who knows you over time, with sufficient time to know you, and the diagnostic precision modern medicine has made possible brought to bear on your particular situation as the work unfolds.
Primary care, the way you remember wishing it could be
This is a small, membership-based primary care practice for adults. Its working premise is that the relational work of being someone's personal physician and the precision modern medicine has made possible belong in the same room, in the hands of the same physician, applied to the particular person in front of them.
Diagnostic and screening work, directed to the person
Modern primary care has no shortage of tests it could order. The harder question — and the one that requires a physician who knows you — is which to run, when, and why. Screening is calibrated to your individual risk rather than the population average: family history, prior findings, your own biology, the questions that have been worked up before and the questions that haven't.
Where clinical genetics is relevant — to clarify a long-standing question, to refine the management of a known condition, to inform what to watch for — it is brought in with the same discipline. Diagnostic testing is ordered when it stands to change a decision, and not for its own sake.
The interpretation of results is part of the work, not a separate handoff. A result on its own is data. In the context of your history, your symptoms, and what we have observed together over time, it becomes information you can use.
Clinical reasoning, made visible
Most of what a physician does in a complex case is invisible to the patient: reading the records carefully, sitting with a history, working through a differential, talking to the specialist, integrating the imaging with the labs with the symptoms with the trajectory. In a fifteen-minute visit, that work is rushed or skipped. Here it is the actual method.
Where the situation is ambiguous, that is said directly. Where a finding has multiple plausible interpretations, the alternatives are laid out. Where the right plan is to wait and watch, the watching itself is structured. The reasoning is shared out loud because most decisions in adult medicine belong, in the end, to the patient.
A personal physician partnership
The relationship is a partnership in the working sense of the word: you bring forward what is on your mind, and the work of figuring out what to do about it is undertaken jointly. You are not a reporter delivering symptoms to a decoder. You are a participant in your own care, with autonomy over the information of your own life.
Continuity is what makes this kind of partnership possible. The physician who saw you last year is the same one reading the new lab today, holding the arc of what your body has been doing, remembering the medication trial that didn't work and why. For an adult patient, that memory is most of the care.
What the practice intends to deliver is the real-time unification of clinical judgment, diagnostic precision, and continuous personal physician care — the three together, in the hands of one physician with sufficient time and continuity to do the work properly. None of the three is exotic. None is sufficient without the others. Together, they are what good adult primary care has always been at its best.
Dr. Long trained at the seam between family medicine and clinical genetics, and his clinical career has been spent there. The premise has always been the same: that the precision modern medicine has made possible is most useful in the hands of a physician who knows the patient over time, and that the older work of being someone's doctor is what allows that precision to be brought to bear.
Education and training
UndergraduateMichigan State University, Lyman Briggs College BS in Genomics · BS in Molecular DiagnosticsMedical schoolUniversity of Cincinnati College of Medicine Doctor of Medicine, 2015ResidencyDetroit Medical Center / Michigan State University Family Medicine, 2015–2018ResidencyUniversity of Colorado School of Medicine Medical Genetics and Genomics, 2018–2020FellowshipChildren's Hospital of Colorado Medical Biochemical Genetics, 2020–2021
Board certifications
Family MedicineAmerican Board of Family Medicine Board-certifiedClinical GeneticsAmerican Board of Medical Genetics and Genomics Board-eligibleBiochemical GeneticsAmerican Board of Medical Genetics and Genomics Board-eligible
Affiliations
AcademicVolunteer Clinical Faculty, CU Anschutz Department of Family MedicineHospitalPresbyterian St. Luke's Medical Center, Denver
Clinical work
Much of Dr. Long's work over the past several years has been with adults living with rare and undiagnosed conditions — connective tissue disorders, mitochondrial disease, inherited cancer syndromes, the long tail of single-gene conditions that present in adulthood, and patients in whom no diagnosis has yet been settled. That work, and the years spent building the clinical infrastructure to support it, established a depth of experience in precision diagnostics and personalized care that became the foundation for the practice.
The gaps in these patients' care, both upstream of diagnosis and downstream of it, shaped how Dr. Long came to think about ordinary primary care as well. Upstream, in the long search for answers, what is missing is most often the time and the continuity to think the problem through. Downstream, after a diagnosis is in hand, what is missing is integrated primary care that understands what the diagnosis means for the rest of the life around it.
Why this practice
The practice was built, in part, to close those gaps where they appear within ordinary adult primary care, and to relieve the patient and the family of the burden of coordination that has long fallen to them. It is also, more simply, the practice Dr. Long would want as a patient — one in which the physician knows the situation, holds the arc of it, and is reachable when something matters.
Commitments in the work
Privacy and discretion in the conduct of the relationship
Professionalism in the work
Accountability for what is done and what is not
Shared decision-making between patient and physician
Care that is individualized to the person, proactive in attention to prevention and risk, and consistent across the years
The annual membership secures the sustained availability and considered attention of the physician for the year, along with the conditions that make that attention possible: a small panel, unhurried scheduling, and direct access. Membership secures access and attention — not a prepaid schedule of visits, tests, or procedures, and not a guarantee of a specific clinical outcome.
Comprehensive initial visit, with follow-up visits as the work requires — without limit on number or length
Direct access by clinical message, telephone, and video
Annual structured review of preventative care and individual risk
Coordination of specialty referrals and hospital follow-through
Interpretation and integration of laboratory, imaging, and clinical genetic information, considered within the context of your history and circumstances
Consultation$850 initial · $450 subsequent
A complete and bounded engagement for patients who would prefer a focused evaluation before deciding on the membership relationship. The consultation is also available to members seeking dedicated time for a specific clinical question.
Consultation services draw on Dr. Long's expertise in both family medicine and clinical genetics, and may include:
Review and interpretation of previous genetic testing, including variants of uncertain significance
Clinical phenotyping and diagnostic evaluation
Annotation and guided review of genome sequence data
Risk assessment informed by family history and personal biology
Comprehensive clinical evaluation integrating prior workup and records
A consultation is not, on its own, the beginning of an ongoing primary care relationship; that relationship is formalized only through membership.
Continuity Visits$300 / visit · up to three
For previously established or existing patients of Dr. Long who would like to maintain periodic follow-up without entering the full membership relationship — whether to keep a clinical thread alive between life seasons, to remain reachable on a question that may or may not develop, or to take the relationship at a measured pace.
After three visits the next step is mutual: either the relationship is formalized through membership, or another setting is identified that better fits the work to come.
Conversion to membership. Fees paid for consultations and continuity visits are credited in full against the cost of annual membership for patients who choose to enroll. The credit applies to the annual payment option only, not to the quarterly installment plan.
Costs falling outside the membership — health insurance, hospital charges, prescription costs, outside laboratory and imaging fees, and the fees of consulting specialists — remain the patient's responsibility. The relationship may be ended by either party with reasonable notice; unused portions of a quarterly installment are refunded on a pro-rata basis.
OriginalMD 1901 E 19th Ave, Ste 6450 Denver, Colorado 80218
Licensed states
Colorado, Wyoming, New Mexico, Oklahoma, Arizona, Kansas, and Michigan.
Telehealth services are available to members, continuity patients, and for specified consultations.
Privacy Policy
How this website handles your information
Last updated: June 2, 2026
This Privacy Policy describes how Patrick M. Long, MD, PLLC, doing business as OriginalMD (“OriginalMD,” “we,” “us,” or “our”), handles information collected through this website, originalmd.com. It applies to the website only. Protected health information created or received in the course of providing medical care is governed separately under our Notice of Privacy Practices and applicable law, including HIPAA.
Information we collect
When you use the inquiry form on this website, we collect the information you choose to provide — typically your name, email address, the subject of your inquiry, and the contents of your message. We do not require you to create an account, and we do not knowingly collect information from anyone under the age of 18 through this website.
Like most websites, basic technical information (such as IP address, browser type, and pages viewed) may be logged by our hosting and infrastructure providers for security and operational purposes.
Please do not send medical information here
The website inquiry form is a general point of contact and is not a secure channel for protected health information. Please do not include detailed medical history, test results, or other sensitive health information in the form. Once a clinical relationship is established, sensitive communication takes place through secure, appropriate channels.
How we use information
We use the information you submit to respond to your inquiry, to communicate with you about the practice, and to maintain a record of our correspondence. We use technical information to operate, secure, and improve the website.
How we share information
We do not sell your personal information. We may share information with service providers who help us operate the website and our communications (for example, our website host and email provider), and we may disclose information where required by law. These providers are permitted to use the information only to provide services to us.
Data retention and security
We retain inquiry information for as long as reasonably necessary to respond to and document your contact with us, and then dispose of it appropriately. We take reasonable measures to protect the information collected through this website, though no method of transmission or storage is completely secure.
Your choices
You may contact us to ask what information we hold about you, to request a correction, or to request deletion of information submitted through the website, subject to any legal or recordkeeping obligations. To make a request, use the contact details below.
Changes to this policy
We may update this Privacy Policy from time to time. When we do, we will revise the “Last updated” date above.
Contact
Patrick M. Long, MD, PLLC (OriginalMD) 1901 E 19th Ave, Ste 6450 Denver, Colorado 80218 info@originalmd.com
This Privacy Policy addresses the website only and is not a substitute for the Notice of Privacy Practices required under HIPAA. It is provided as general information and not as legal advice.
