Cardiovascular
Blood pressure, lipid panel, ECG when indicated, cardiac risk discussion

Routine screenings and risk assessments designed to catch issues early and keep you healthy for life
Catch Disease at Stage 1, Not Stage 4
Many Lower Keys patients only see a doctor when something is wrong — after hypertension has damaged the kidneys, prediabetes has become diabetes, or a slow-growing cancer has spread. Without routine screening, treatment gets harder, costlier, and less effective.
Preventive screenings at Florida Keys Primary Care change that timeline. Dr. Keifer and Tabble Memoli follow U.S. Preventive Services Task Force guidelines for labs, cancer screenings, immunizations, and lifestyle assessments — most 100% covered under preventive insurance benefits. Forty years of physician continuity means your screenings are personalized to your trends and family history.
Evidence-Based Early Detection
Preventive health screening is a structured set of tests, exams and counseling delivered to people without symptoms — designed to detect disease in its earliest, most treatable stages. Recommendations follow national guidelines from the CDC and the U.S. Preventive Services Task Force, and are tailored by age, sex, family history and risk factors. Common screenings include blood pressure, cholesterol, blood sugar, thyroid, colon cancer, breast cancer, cervical cancer, prostate, lung cancer in smokers, osteoporosis, depression and immunizations.
At Florida Keys Primary Care in Big Pine Key, screening is woven into your annual physical exam and ongoing chronic disease management. Dr. Gregory Keifer, D.O. and Tabble Memoli, MSN, APRN review what is due, order it efficiently in one office, and discuss results in plain language. On-site phlebotomy means most labs are drawn the same day with no extra trip to Marathon. Imaging and specialty screening referrals are coordinated through our established Lower Keys network.
Screening saves lives most clearly with cancer (colon, breast, lung), cardiovascular risk (BP, cholesterol), and metabolic disease (diabetes, thyroid). It is also where small adjustments — diet, weight, sleep — can prevent decades of medication.
Long-Term Returns
2000+ Satisfied patients
Catch cancers and metabolic disease at stage 1 when treatable
Prevention is far cheaper than treating advanced disease
Most preventive screenings are 100% covered by insurance
Recommendations reflect your age, history and family genetics
Clarity about what is and is not happening in your body
Where to Get Screened
| Setting | Cost | Continuity | Lab Access | Personalization | Follow-Up | Best For |
|---|---|---|---|---|---|---|
| FL Keys Primary Care | Insurance-covered preventive | Same provider yearly | On-site phlebotomy | Tailored to your history | Same office, written plan | Comprehensive, ongoing screening |
| Retail Walk-In Clinic | Variable, often self-pay | Different provider each visit | Send-out lab | Generic | Patient must coordinate | One-off basic labs |
| At-Home Lab Subscription | $50-$300+ per panel | No clinical relationship | Mail-in kit | Self-selected | No physician guidance | Curiosity, not diagnosis |
Adults of All Ages
Preventive screening benefits nearly every adult — and especially Lower Keys residents who live a distance from specialists. Pair screenings with your annual physical exam for the most efficient use of your time and insurance benefit. Patients managing existing conditions should keep screenings going alongside chronic disease management.
Not sure what is due? Schedule a free consultation and our team will outline the right screening plan for your age and history.
A clear walkthrough of your screening visit, from risk review and testing to results and next-step recommendations
Our medical assistant updates medications, allergies and family history.
Dr. Keifer or Tabble Memoli identifies which screenings are due based on age and risk.
On-site phlebotomy collects labs; imaging or referrals are scheduled the same visit.
Dr. Keifer reviews lifestyle factors — diet, sleep, exercise, alcohol — and sets goals.
Tabble Memoli sends written results and next steps through the patient portal in 7 days.
Low-risk testing, occasional false positives, and the importance of timely follow-up on screening results
Most preventive screenings are covered at 100% by commercial insurance and Medicare under the Affordable Care Act, with no copay or deductible — provided the visit is coded as preventive and not problem-focused. The list of covered preventive services includes blood pressure screening, cholesterol screening, diabetes screening, colon cancer screening, mammography, cervical cancer screening, immunizations and many counseling services.
Imaging studies (mammography, DEXA, low-dose CT) and colonoscopies are billed by the imaging center or specialist directly. We coordinate referrals and confirm preventive coverage before scheduling. Patients with high deductibles or self-pay billing can finance through Cherry or Care Credit. Pairing your screening visit with an annual physical exam is typically the most cost-effective approach for the year.
Personalized preventive screenings tailored to your age, history, and risk factors close to home
Trends tracked across decades of Lower Keys patient records
Lifestyle and stress addressed alongside lab numbers
No extra trip to Marathon for blood work — drawn same visit
Coordinated referrals for mammography, colonoscopy and cardiology
The right tests at the right time, no guesswork required
Every result explained in plain language during follow-up
Pair preventive screening with these complementary services for full primary care.
Annual physicals, chronic disease management, walk-in sick visits and in-office procedures — physician-led care for the Middle and Lower Keys
Learn More
Hormone Replacement, Medical Weight Loss, TMS Therapy, Emsella, Emsculpt Neo and more — physician-led wellness for the Lower Keys
Learn More
Hair restoration, PRP facials and PRP joint injections — physician-led regenerative medicine for the Lower Keys
Learn More
Botox, dermal fillers, ADVATx laser resurfacing, Emface, Denza, Nirvana laser hair removal and physician-curated skincare — all under one roof
Learn MoreBig Pine Key, FL
Preventive care includes screenings, immunizations and counseling delivered when you are healthy — designed to find disease early or prevent it. The ACA defines a list of services that must be covered without cost-sharing.
Cholesterol, blood pressure, blood sugar (when meeting risk criteria), Pap tests, mammography, colon cancer screening, immunizations and several others. Coverage details vary slightly by plan.
Some screenings begin at 18 (BP, cervical), others at 35 (diabetes), 40-50 (mammography, colon, prostate discussion), and 65 (osteoporosis, AAA in men with smoking history).
Yes — for an accurate lipid panel and fasting glucose, fast 8-12 hours (water and prescribed medications are fine). A morning appointment makes fasting easier.
Most screenings are annual or every 1-3 years depending on age, results and risk. Specific intervals follow USPSTF guidelines and we tailor them to your history.