Senior primary care in Wesley Chapel via Ascend Mind and Body: same-week appointments at our Cashford Circle flagship (27724 Cashford Circle, Suite 102, 33544) or via Florida telehealth follow-ups for established patients. Comprehensive primary care for adults 65 and over, including the Medicare Annual Wellness Visit, medication reconciliation, fall risk assessment, cognitive screening, chronic disease management, and advance care planning. Dr. Jason Saylor, DO is the physician. Call (813) 670-3331 or book online.
What senior primary care looks like at Ascend
Geriatric primary care isn't just primary care for older patients. It's a different scope: medications interact in ways they didn't ten years ago, cardiovascular and metabolic risks become interrelated, falls become a real outcome question, cognition shifts come into play, and the conversations about advance care planning and goals of care matter as much as any prescription. The visit pace is different too. A first visit for a 72-year-old should not feel like a 22-year-old's annual physical.
Your first visit takes about 60 minutes. We collect a thorough history (current medications including supplements, prior surgeries, family history, recent falls or near-falls, social context), perform a focused exam, and review your preventive screening status. We do a Medicare-appropriate cognitive screen, depression screen, and fall risk assessment. We reconcile your medication list against what you're actually taking. And we lay out the plan: what labs, what specialist follow-up, what screenings are due, and what's coming in the next year.
The Medicare Annual Wellness Visit
If you have Medicare, you're entitled to an Annual Wellness Visit each year at no copay. It's not a "physical" in the traditional sense - it's a comprehensive risk assessment that includes a medication review, cognitive screening, fall risk assessment, depression screen, vital signs, and a review of which preventive screenings are due (mammogram, colonoscopy, immunizations, bone density, AAA screening for men). Most senior patients benefit from layering this onto a focused exam visit, which we do at the same appointment.
Medication reconciliation
One of the highest-value parts of senior primary care is the actual medication review. We see patients on a dozen prescriptions from four different prescribers, with overlap, duplication, and interactions nobody is tracking centrally. Bring everything you take - prescriptions, supplements, OTC medications, the things your spouse picked up at the pharmacy you didn't know about. We sort through it, flag what doesn't need to be there, and coordinate with your specialists to deprescribe where it makes sense. Beers Criteria informs the conversation but doesn't dictate it. [NEEDED: cite - American Geriatrics Society Beers Criteria for Potentially Inappropriate Medication Use in Older Adults]
Where we are in Wesley Chapel
The Wesley Chapel office is at 27724 Cashford Circle, Suite 102, Wesley Chapel, FL 33544, off SR-54 just east of I-75 in the Cypress Creek Town Center corridor. Surface parking, ground-floor entrance, exam rooms accommodate walkers and wheelchairs. From New Tampa or Tampa Palms via Bruce B. Downs Boulevard, expect about 10 to 15 minutes north. From Land O' Lakes via SR-54, about 15 to 20 minutes east. From Lutz via Livingston Avenue, about 15 minutes north.
Who we work with in Wesley Chapel & nearby Pasco County
- Wesley Chapel: 33543, 33544, 33545
- New Tampa & Tampa Palms: 33647
- Land O' Lakes: 34637, 34638, 34639
- Lutz: 33548, 33549, 33558, 33559
- Zephyrhills: 33540, 33541, 33542 (often via telehealth)
- Dade City: 33523, 33525 (often via telehealth)
Conditions and situations we manage in senior primary care
- Hypertension - with attention to orthostatic blood pressure and fall risk in older patients
- Hyperlipidemia and dyslipidemia - statin decisions and risk-benefit conversations specific to the older adult
- Type 2 diabetes - HbA1c targets that shift in older patients, with attention to hypoglycemia risk
- Hypothyroidism and thyroid disease - common, often undertreated in seniors
- Chronic pain - non-opioid approaches, deprescription where appropriate
- Preventive care screenings - cancer screening pacing, immunizations (shingles, pneumococcal, RSV, COVID, flu), bone density
- Cognitive screening - baseline and longitudinal assessment, with referral to neurology if indicated
- Fall prevention - gait and balance evaluation, home safety review, deprescription of fall-contributing medications
- Polypharmacy review - reconciliation, deprescription, coordination with specialists
- Advance care planning - living wills, healthcare surrogate designation, goals-of-care conversations
Our physician
Dr. Jason Saylor, DO is a board-certified osteopathic family medicine physician with 17 years of clinical experience, serving as Chief Medical Officer at Ascend. His clinical scope explicitly includes senior care, preventive medicine, chronic disease management, and medication reconciliation. [NEEDED: Saylor geriatric scope confirmation - CMO to confirm any specific geriatric training, fellowship, or geriatric volume] Dr. Saylor sees Wesley Chapel-area seniors in person at the Cashford Circle flagship and via Florida-statewide telehealth.
Insurance & pricing in Wesley Chapel
In-network
Dr. Saylor is currently in-network with Aetna and ChampVA, including Aetna Medicare Advantage plans where applicable. Medicare credentialing is in process; we'll update this page when active. Once credentialed, Medicare covers the Annual Wellness Visit, chronic care management, and most preventive services with no copay. Credentialing is also in process for BCBS, Humana, Medicaid (Careplus, Simply Healthcare), TRICARE East, Wellpoint, Oscar Health, and Health Network One.
Self-pay
Self-pay rates start at $135 for a follow-up visit. [NEEDED: senior care initial-visit and AWV self-pay rate confirmation]
Also see our nearby senior care options
- Senior care in Tampa: in-person at the Tampa-Carrollwood office
- Senior care in Land O' Lakes: Florida telehealth for the SR-54 corridor
- Senior care in Lutz: telehealth or short drive to Cashford Circle
- Senior care pillar: full program detail, FAQs, and clinical scope
- Wesley Chapel office: full office detail, all services
- Talk therapy: depression, grief, life transitions in later adulthood
FAQs about senior care in Wesley Chapel
Where in Wesley Chapel is the senior primary care office?
27724 Cashford Circle, Suite 102, in 33544. Off SR-54 just east of I-75 in the Cypress Creek Town Center corridor. Surface parking, ground-floor entrance, exam rooms accommodate walkers and wheelchairs. Most senior visits run 45 to 60 minutes for the Annual Wellness Visit, 30 to 45 for follow-ups.
Do you accept Medicare?
Medicare credentialing is in process for Dr. Saylor. We'll update this page when active. Currently in-network with Aetna (incl. Medicare Advantage) and ChampVA. We verify benefits before your first visit and discuss self-pay options if needed during the credentialing window.
What is the Medicare Annual Wellness Visit?
It's an annual visit Medicare covers at no copay that includes a health risk assessment, medication review, cognitive screening, fall risk assessment, depression screen, vital signs, and review of preventive screening status. It's not the same as a physical exam, but it is the foundation of geriatric primary care. We do a focused exam at this visit too.
Do you do home visits?
Currently no. Most senior care happens in office or via telehealth. For homebound patients, we'd refer to a home-based primary care service in your area.
How long is a senior primary care visit?
About 60 minutes for the first visit (or Annual Wellness Visit), 30 to 45 minutes for follow-ups. Telehealth visits typically run a bit shorter. We don't do five-minute appointments.
Can I do senior care via telehealth?
Yes, for follow-ups and chronic disease management. The initial visit and the Annual Wellness Visit are usually best done in person, but established patients often do quarterly chronic care follow-ups over secure video.
This page is informational and does not substitute for a clinical visit. Senior primary care decisions involve individual factors not captured in general content. Coverage of services depends on your specific Medicare or insurance plan.