Helping patients stay active and avoid surgery.
No waits, 30-60 minute visits and transparent pricing. this is:
MEDICINE
AS IT ShOULD BE
direct care podiatry
Being a direct care podiatry practice means we do not allow insurance companies to interfere with patient care. We often see patients that have insurance but we are out of network which means all fees are paid directly by the patient.
Eliminating insurance allows us to concentrate on the doctor-patient relationship. Patients have direct access to the doctor, the doctor can be seen within 24 hours, there are no wait times in the office, patients can spend up to an hour with the doctor and there will never be a surprise bill. Direct care medicine respects the patient’s needs and time. This is medicine as it should be.
Schedule an appointment
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Office
We are located at 300 North Cedar Street Suite E1 in Summerville, SC. We share a space with ReNu Physical Therapy.
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House Calls
The doctor will see you at your home, facility or place of business.
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Virtual Visit
Visit with the doctor using our HIPAA compliant video and text platform.
Regenerative Medicine
Regenerative Medicine is a major medical advancement that supports the body so that it can restore itself. It helps the body reduce inflammation and replace or regenerate tissue that has been damaged by age, disease or trauma.
Through exosomes, stem cells and peptides, we treat conditions affecting the foot, ankle, and lower leg to support healing, improve mobility, and reduce discomfort over time. These healing mediators are injected directly into the damaged areas by our Podiatrist to drive better outcomes.
This innovative therapy is our best tool to delay surgery or keep patients out of the operating room all together.
Dr. Shannon Mcavoy carmignani, dpm
Podiatrist and owner of Renew Foot & Ankle Wellness Center in Summerville, South Carolina, Dr. Carmignani specializes in noninvasive and minimally invasive treatment of the foot and ankle to help patients avoid the operating room.
Dr. Carmignani completed her 3 year surgical residency at University Hospitals in Cleveland, OH after graduating from medical school at Kent State University College of Podiatric Medicine. Prior to medical school, she obtained a Bachelor of Science degree in molecular biology from Stetson University in DeLand, FL, where she graduated cum laude.
services
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Regenerative Medicine is a major medical advancement that supports the body so that it can restore itself. It helps the body reduce inflammation and replace or regenerate tissue that has been damaged by age, disease or trauma.
Through exosomes, stem cells and peptides, we treat conditions affecting the foot, ankle, and lower leg to support healing, improve mobility, and reduce discomfort over time. These healing mediators are injected directly into the damaged areas by our Podiatrist to drive better outcomes.
This innovative therapy is our best tool to delay surgery or keep patients out of the operating room all together. Click here to learn more.
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Includes a foot exam, trimming and shaping of nails, especially thick, fungal or deformed nails. Trimming of calluses for ulcer prevention. Application of moisturizer and cuticle oil. All instruments undergo hospital-grade sterilization. Great for men and women.
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Virtually painless laser therapy to clear the nails of the discoloration and thickness associated with toenail fungus.
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Routine diabetic foot exams, diabetes education, nail and callus care, neuropathy pain management.
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Our Podiatrist treats fractures, tendon tears, ankle or foot sprains, wounds and more. Through conservative methods, regenerative medicine and/or minimally invasive procedures, we strive to heal our patients without going to the operating room.
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Warts are first debrided then treated with a potent medicine called cantharidin to pull the remaining wart off so that the skin can heal.
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Debridement with regular wound care and dressings. Special pricing for chronic wounds that need frequent care.
Pricing
Regenerative medicine
$125
30 minute in-person appointment to find out if you are a candidate for regenerative medicine treatments. This is our best tool to help patients stay active and delay or avoid surgery. Click here to learn more.
30 Minute Medical Appointment
$125
30 minute in-person appointment in our office to discuss general foot and ankle pathologies (plantar fasciitis, ankle pain, wounds, toenail fungus, etc.). Includes a foot exam and discussion of diagnosis and treatment options. Procedures, labs and imaging may require an additional fee but these fees are always discussed and agreed upon prior to ordering.
Medical pedicure
$85
30 minute in-person appointment in our office. Includes a foot exam, nail trimming and shaping, callus reduction, heel exfoliation, cuticle conditioning and skin moisturizing. All foot types are welcome. Done by a licensed Podiatrist (foot doctor), in a medical setting, using sterile instruments. Patients will not be charged an appointment fee unless other foot issues are addressed.
Steroid/neuroma injections
$200
30 minute in-person appointment in our office for steroid injections for painful joints, plantar fasciitis, neuroma, etc..
Laser toeNail fungus therapy
$1,100
60 minute in-person appointment in our office to treat toenail fungus using a laser. Includes treatment of all 10 toenails.
Nail avulsion procedure
$200
This procedure involves numbing the toe via injection and removal of the ingrowing portion of the toenail (or the entire toenail, if necessary). If the doctor finds that an injection is not necessary, the appointment will cost just $125.
Cantharidin Wart therapy
$175
30 minute appointment in our office for application of wart medication and dressings. May require multiple visits.
House Calls
$225
30-45 minute in-person appointment done in the patient’s home. Includes a foot exam and discussion of diagnosis and treatment options. Also includes nail trimming and callus reduction, if needed. Additional procedures may require an extra fee.
FAQs
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Working with insurance companies requires huge overhead forcing physicians to see too many patients. The result is patients having to wait a month or more to see their doctor, long wait times in the office and spending only 4 to 7 minutes on average with the doctor. On top of that, patients receive surprise bills and often end up paying much more! Eliminating insurance means the patients get the care they need without the stress and financial burden.
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We respect your time and your needs. There are no waits to see the doctor. You will have time to explain your situation and you will be heard. The doctor will have time to explain your diagnosis and your treatment plan in terms you will understand. We will come to your home or your business if you’re too busy to travel. No hurry, no stress.
Additionally, the cost tends to be less, especially for those in high deductible and high out-of-pocket plans. Without the need to bill insurance, you will likely save thousands by seeing a direct care physician.
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All appointments include a physical exam, diagnosis and treatment discussions, basic nail care and wound care if applicable. Things that will cost extra include procedures, injections, labs, medication, xrays, other advanced imaging, wound grafts, braces, boots, orthotics and other medical equipment. We work with organizations that provide a discounted rate for cash paying patients and patients can often use insurance for these items and services if applicable. Click here for more pricing information.
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When a patient does not show up to an appointment, the doctor loses the time she could have spent helping another patient. Credit card information is collected upon booking to cover the cost of the no-show fee when a patient doesn’t call to cancel an appointment with 24 hours notice. The patient’s card will be charged $50 if they do not show up for a house call. The patient’s card will be charged $25 if they do not show up to an in-office appointment. These fees are only charged when a patient does not show up to an appointment and does not call to cancel their appointment 24 hours ahead of time.
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Yes! We also take cash, checks and credit/debit cards.
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Patients are realizing there is a better way which is creating a great demand for doctors that do not accept insurance. The Direct Care movement is nationwide and spreading rapidly. Use the links below to find other direct care primary physicians and specialists in the US.
https://mapper.dpcfrontier.com/
https://dscalliance.org/