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Your Trusted Primary Care & Medical Aesthetics Provider in Boston, MA
Boston Direct Health is a premier primary care and medical aesthetics practice in Boston, MA, dedicated to empowering health and elevating beauty through personalized, patient-centered care. Our team of experienced professionals offers a comprehensive range of services, including primary care, sexual wellness treatments, hormone replacement therapy, medical aesthetics, and specialized LGBTQ+ affirming care. We prioritize holistic, evidence-based approaches that address both physical and emotional well-being, with a focus on preventive care and long-term health optimization.

Our state-of-the-art facility in Boston's Back Bay neighborhood provides a welcoming environment where patients receive compassionate, inclusive care tailored to their unique needs. We serve individuals seeking innovative solutions like IV therapy, bioidentical hormone therapy, and advanced aesthetic treatments, all delivered with a commitment to transparency, accessibility, and medical excellence.
Services
Primary Care Medical Aesthetics LGBTQ+ Care Weight Management Sexual Health Hormone Therapy IV Therapy Cancer Screening Athletic Performance Skin Rejuvenation
Highlights and features
  • We offer personalized care combining primary care and medical aesthetics under one roof.
  • Our team provides inclusive, affirming healthcare for LGBTQ+ patients.
  • We utilize evidence-based approaches like bioidentical hormone therapy and IV hydration.
  • We prioritize preventive care and holistic wellness in a patient-centered environment.
  • Our direct primary care model ensures accessible, transparent medical services.
What people say
Professional and compassionate Clear explanations of treatments Safe and inclusive environment Effective hormone therapy Clean, welcoming space
Services
Primary Care
Our direct primary care model provides comprehensive medical services without insurance constraints. Patients receive personalized preventive care, chronic disease management, and urgent care through a monthly membership. This approach ensures accessible, patient-centered healthcare with same-day appointments and 24/7 provider communication.
Medical Aesthetics
We offer non-surgical aesthetic treatments including BOTOX, dermal fillers, laser hair removal, and skin rejuvenation. These services address cosmetic concerns while maintaining natural facial expressions and skin health through advanced, minimally invasive techniques.
LGBTQ+ Care
Our inclusive healthcare services cater to LGBTQ+ patients with specialized sexual health screenings, hormone therapy, and mental health support. We create safe spaces for open discussions about unique health needs while providing culturally competent, gender-affirming medical care.
Hormone Therapy
Bioidentical hormone replacement therapy addresses hormonal imbalances through customized treatment plans. We help patients manage menopause symptoms, low testosterone, and other endocrine disorders using plant-derived hormones that match the body's natural molecular structure.
IV Therapy
Intravenous vitamin and nutrient infusions deliver rapid hydration and targeted wellness benefits. Our IV cocktails address fatigue, boost immunity, and support athletic recovery through direct bloodstream absorption of essential nutrients.
People
Steve Zivich
Physician
Dr. Steve Zivich is a board-certified family medicine physician in Boston specializing in direct primary care and integrative medicine. He combines conventional and functional medicine approaches to provide personalized healthcare solutions for diverse patient needs.
Questions
What services does Boston Direct Health offer?
We provide primary care, medical aesthetics, hormone therapy, IV therapy, LGBTQ+ care, sexual health treatments, and Galleri cancer screenings.
Do you accept insurance?
We operate under a direct primary care model and do not bill insurance, but we offer transparent pricing and payment plans.
How do I schedule an appointment?
Call us at (617) 304-1965 or use our online form to request an appointment in Boston.
What makes your LGBTQ+ care unique?
Our staff provides affirming, inclusive care with specialized knowledge of LGBTQ+ health needs and concerns.
Are your treatments evidence-based?
All services use evidence-based practices, including bioidentical hormone therapy and FDA-approved treatments.
Reviews (6)
Mandy Dejonghe
Feb 01, 2022 Report
Best doctor I've had. I experience a wide range of somewhat random medical issues and also have to get a lot of bloodwork done for my medications. They are always there, respond very quickly and help with everything. They know more about FMLA than the HR person at my work. Totally worth the money (especially for the robes that make me feel like I'm at the spa and not dying).
Ronaldo Fujii
Nov 29, 2021 Report
Best Doctor I had. Very knowledgeable and very carrying. I underwent the Opus plasma treatment and despite being painful there was an incredibly great result. I always had an asymmetric eyelid, one slightly lower than the other since I was a baby, which I thought that at one point in time I would need to do a blepharoplasty. With the Opus I managed to become symmetric and to treat some of the long term wrinkles I had from that condition. I used to have a constant retraction of the forehead above the droopier eyelid, which now is not activated constantly as it used to be and I see clearly with
Milton Panagopoulos
Apr 20, 2021 Report
Dr. Zivich is the best! Very professional, very knowledgeable, and very personable. You can always connect with his office very easily. Everyone that works there Joe the nurse and the front desk people are extremely kind and helpful. I never leave Dr Zivich's office feeling that I didn't get everything I needed answered. He is seriously the best of the best! Highly recommend!
Juliana Mitchell
Apr 03, 2021 Report
Truly positive experience at BDH. Easy to find. Space is so welcoming. Staff extremely kind and professional. At 57 years old - I have the common aging deep "11" forehead lines. I felt they made me appear angry when I wasn't at all. I had tried multiple topical products and treatments for years. I went to BDH for a consult for treating those deep forehead/frown lines with Botox.
Amanda Digitale RN, BSN was knowledgeable, informative and completely reassuring. We made a plan and I was treated right then and there with the first of the recommended sessions. It was mildly uncomfortable (but- hey
Serena Bouvier
Mar 31, 2021 Report
I went to BDH for laser hair removal on legs and armpits. The office is clean and welcoming and Dr. Zivich is fantastic to work with (it's six hour long sessions... so lots of time talking!). He's caring, knowledgeable and takes a holistic/patient-focused approach to wellness.Dr. Zivich was meticulous, he worked with me in early sessions to adjust laser settings based on pain threshold/skin reaction, and passed over stubborn areas 3x in the later sessions, leading to excellent results.
Christine Foerster
Mar 29, 2021 Report
I dont have a single negative thing to say about Dr. Zivich and his staff at BDH! Every visit has exceeded expectations in regards to friendliness, efficiency, and addressing the reason for my visit. Finding a PCP who genuinely cares about your health and makes you feel like you are more than just a number/appointment is HARD, and I couldnt recommend BDH enough for their incredible staff and services. I have gone in for: rapid Covid testing, bloodwork, medication changes, physical ailments, and supplementation help. My boyfriend won some free Botox and spoke very highly of the appointment