Geriatric care that sees
the whole person.
Primary care for older adults in Orlando, Florida – Medicare accepted, family welcomed, and always unhurried. Dr. Shemiranei takes the time your parent deserves.
What older adults and families need to know.
- Medicare is accepted.
- Annual wellness visits, chronic disease management, and most preventive services are billed to Medicare.
- We manage complexity.
- Diabetes, hypertension, cholesterol, polypharmacy, cognitive screening – all under one physician.
- We communicate with families.
- With patient consent, we keep family members informed and involved in care decisions.
- No rushed appointments.
- Geriatric care requires time. We schedule it properly.
- Care team
- Dr. Saied Shemiranei (medical director and founder) sees patients personally. Staff speaks five languages.
- Start here
- Call 407-845-8623 or request a free 15-minute phone consultation.
A primary care practice built for older adults.
Physician who takes time.
Dr. Shemiranei’s approach to geriatric care is unhurried – visits are long enough to actually address everything.
Medicare and most insurances accepted.
We bill Medicare for wellness visits, chronic care, vaccinations, and most preventive services.
Polypharmacy review standard.
Many older adults are on 8-12 medications. We review for interactions, duplicates, and unnecessary prescriptions every year.
Fall risk and cognitive screening.
Formal fall risk assessment and dementia screening are part of our annual wellness protocol – not optional add-ons.
Family communication built in.
With patient consent, we meet with adult children or caregivers to ensure the care plan is understood and supported at home.
Multilingual team.
We speak English, Spanish, Farsi, French, and Portuguese – important for patients and family members whose first language is not English.
What an annual wellness visit looks like at APMUC.
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01
Medical history review.
We review the full medication list, prior diagnoses, and any changes since the last visit.
-
02
Physical and cognitive screening.
Vitals, physical exam, fall risk assessment, and a brief cognitive screening.
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03
Preventive care planning.
Vaccinations, cancer screenings, and lab orders are reviewed and updated.
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04
Family debrief if requested.
With patient consent, we review findings and the care plan with family members present or by phone.
Senior health services we provide.
Annual Wellness Visit (Medicare AWV)
Medicare-covered annual visit including health risk assessment, preventive planning, and care coordination.
Chronic Disease Management
Ongoing care for diabetes, hypertension, high cholesterol, and other chronic conditions with regular lab monitoring.
Polypharmacy Review
Formal review of all medications for drug interactions, duplicates, and opportunities to simplify the regimen.
Fall Risk Assessment
Standardized tools to identify fall risk factors and trigger referrals to physical therapy or home safety review.
Dementia and Cognitive Screening
Brief, validated cognitive assessments to identify early changes and guide timely diagnosis and planning.
Vaccinations
Flu, shingles, pneumonia, and COVID-19 vaccines administered in-office, tracked in your health record.
Home Health Coordination
Orders and coordination for home health aides, physical therapy, and durable medical equipment when needed.
Family Communication
Structured family meetings and care-plan summaries for adult children and caregivers, with patient authorization.
APMUC primary care, concierge medicine, or hospital-system geriatrics?
APMUC primary care
For relationship-based, Medicare-accepted care
Concierge medicine
For maximum access and time
Hospital-system geriatrics
For complex post-acute care
Senior care and wellness visit pricing.
APMUC accepts Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Humana, Medicare, and Medicaid among others. Pricing is confirmed before your visit.
Medicare AWV
$0 covered by Medicare
- Annual Wellness Visit billed to Medicare Part B
- Health risk assessment and preventive planning
- Cognitive and fall risk screening included
- Vaccination review and orders
- Care plan documentation
Cash AWV
$175
- Same as Medicare AWV for uninsured or non-Medicare patients
- Full wellness and preventive evaluation
- Lab referrals included
- Family summary available
Polypharmacy consult
$250
- Dedicated visit for full medication review
- Drug interaction and deprescribing assessment
- Pharmacist coordination if needed
- Written medication list provided
Geriatric care built on relationship, not rotation.

You don’t find this connection these days in doctors’ offices.
Dr. Saied Shemiranei, medical director and founder of APMUC, has cared for older adults in Orlando, Florida throughout his career. He believes geriatric primary care requires something most large systems don’t offer: time. Time to review ten medications. Time to ask about cognition. Time to call the adult child who couldn’t make the appointment.
Our practice is not a revolving door. Older patients at APMUC see the same physician at every visit, and that physician knows their history. We accept Medicare, and we welcome families. If your parent needs more than an annual checkup, we’re equipped to manage it.
Our team speaks English, Spanish, Farsi, French, and Portuguese. We’re at 1400 E Robinson Street, Orlando, Florida 32803. Open Mon-Fri, 9am-5pm.
Languages: English, Spanish, Farsi, French, Portuguese.
Credentials: Family medicine and internal medicine, with additional training in addiction psychiatry (American Academy of Addiction Psychiatry) and pain management.
Dr. Shemiranei took the time to listen to my concerns, explained everything clearly, and made me feel comfortable throughout the visit. It’s clear that patient care is a top priority here.
He explained everything in detail and answered all my questions. I saw eye contact from this doctor — you don’t find this connection these days in doctors’ offices. Thanks again Dr. Shemiranei.
I’ve been with them for 2 years now. They’re quick, precise, and inexpensive. All around great experience every single time.
Frequently asked questions.
Do you accept Medicare?
Yes. Medicare Part B covers the annual wellness visit, most chronic disease management visits, preventive vaccinations, and many lab orders. We will clarify coverage for your specific plan before billing.
What is an Annual Wellness Visit (AWV)?
The Medicare Annual Wellness Visit is a dedicated preventive visit – not a sick visit – where we review your health history, update your preventive plan, screen for cognitive changes and fall risk, and coordinate your upcoming year of care.
Is the polypharmacy review really necessary?
For patients on five or more medications, yes. Drug interactions and unnecessary medications are a leading cause of falls, hospitalizations, and cognitive decline in older adults. We take it seriously.
Do you do cognitive screening?
Yes. We use validated brief assessments at every annual visit. Early identification of cognitive changes allows for earlier planning, family conversations, and specialist referral when appropriate.
Can family members attend the appointment?
Yes, with the patient’s permission. We can also provide a written care summary for family members who can’t be present in person.
What vaccinations do you offer?
We administer flu, shingles (Shingrix), pneumonia (Prevnar 23 and Prevnar 20), and COVID-19 vaccines in-office. We check your immunization record and recommend what’s overdue.
Do you coordinate home health services?
Yes. If an older patient needs home health aides, physical therapy at home, or durable medical equipment, we write the orders and coordinate with home health agencies.
What if my parent has dementia?
We manage early and moderate dementia as part of primary care, including medication review, family education, and safety planning. For advanced dementia or behavioral complications, we coordinate with neurologists and memory care specialists.
Do you see patients who only speak Spanish or Farsi?
Yes. Our team speaks English, Spanish, Farsi, French, and Portuguese. Language should never be a barrier to good senior care.
Where is the clinic?
APMUC is at 1400 E Robinson Street, Orlando, Florida 32803. Open Mon-Fri, 9am-5pm. Call 407-845-8623 to schedule your parent’s wellness visit.
Book a geriatric wellness visit in Orlando, Florida.
Medicare accepted. Same physician, every visit. Call 407-845-8623 or book online.
Medical disclaimerThis content is for educational purposes only and is not medical advice. All treatment decisions must be made in consultation with a licensed physician. If you are experiencing a medical emergency, call 911.
Reviewed byDr. Saied Shemiranei, medical director and founder, Advance Preventive Medicine Urgent Care (APMUC), 1400 E Robinson Street, Orlando, Florida. Dr. Shemiranei speaks English, Spanish, Farsi, French, and Portuguese.