Christina Mutch
Physician · Family medicine
6–10 years of experience
Menopause Society Certified Practitioner
About Defiant Direct Primary Care
Dr. Christina Mutch co-founded this small direct primary care practice in Williamsburg with her husband, Dr. Jake Mutch, who is also a family doctor. She is the practice's menopause doctor and trained in menopausal hormone therapy through the Heather Hirsch Academy. Menopause care is part of an all-inclusive family medicine membership, not a separate program, so she is also your primary care doctor. New members start with a new-patient visit of an hour or more, including a physical exam and advanced labs. After that you can reach the doctor directly by text, email, phone or video, and same-day or next-day visits are available. The practice doesn't bill any insurance, but people on Medicare can join under a private agreement.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
Cost and insurance
Care is by membership, and visits aren’t billed to insurance.
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Self-pay
- Enrollment fee
- $350
- Membership, ages 22-64
- $250 per month
- Membership, ages 65+
- $325 per month
Members can still use their insurance for outside labs, imaging and medications, and the practice also offers its own discounted lab prices.
Verified September 2026.
Qualifications
DO, MSCP
