Who is Dr. Yousef Zarbalian and what is his background & training?

Please see the about section for more information about Dr. Zarbalian's multifaceted experience in internal medicine, rheumatology, acupuncture, and herbalism.  

I do have/don't have insurance; can I still see you?


For those who have insurance, I can provide you with a bill to submit to your insurance company for reimbursement.  All of my prescriptions and orders are honored by insurance and my office will complete prior authorizations on your behalf.

For those who don't have insurance, the membership plan gives you excellent access to an excellent physician (see more info above).  Dr. Zarbalian can also provide you with significantly discounted pricing on self-pay labs through Sunrise labs or Quest (which can also be cheaper for those with high-deductible insurance).

Dr. Zarbalian started East-West Rheumatology to deliver personalized, time-intensive care, and because private insurance imposes administrative burdens that are a hindrance to good medical care, Dr. Zarbalian opted to be out-of-network with ALL private insurances.

Other rheumatology offices do not offer a multi-faceted approach to rheumatologic care in part because the doctor only has 10 minutes to spend with you. Our clinic does not operate with such time restrictions and therefore we do not operate with strategies limited to medications.

There are 2 ways to pay for my care : Direct physician care membership OR cash-based visits at reasonable rates. Further details below.

I do participate with Medicare. 

Medicare is now covering acupuncture for indication of lower back pain.  

- Yousef Zarbalian, MD 

What are the benefits of membership? What is the cost?

East-West Rheumatology Membership : 


  • 360 degree medical intake

   - One-on-one consultation with Dr. Zarbalian about your health priorities, previous health history, and previous diagnostic testing 

   - Nutritional assessment and lifestyle factor analysis

   - Additional lab testing as decided upon at initial visit

   - Herbal or pharmaceutical intervention if indicated


  • Teamwork to achieve your health goals

 - Telemedicine visits and in-person visits with Dr. Zarbalian are included 

 - Access to Dr. Zarbalian via portal and telemedicine 

  • Access to additional holistic services at a discount for members : 

 - Acupuncture, cupping, gua sha: Sessions are 25% discounted compared with non-member rate

 - Herbal consultation and discounts on high-quality medicinal herbs (when indicated for specific medical conditions)


How much does membership cost?

  • Month to month membership: $200 per month with 4-month minimum membership term

    • Sliding Scale available starting at 2x's Federal Poverty level - please inquire for details

Member rates (for East-West Rheumatology members) :

  • $100 per session; $450 for package of 5 acupuncture or cupping sessions ($50 off the a la carte rate).


What are your a la carte rates for visits? 

Note that the rates below do not apply to members, for whom most of these visits (except house calls) are included with membership

  • Telemedicine visits and House calls: (NEW)  

    • New patient internal medicine, rheumatology, or herbal consultation:  $300 for 40-60 minute visit

    • Follow-up patients: $100-200 depending on time and complexity.  

    • Telemedicine visit is covered for medicare patients 

    • House call (after telemedicine visit):  $150-450 depending on travel time and visit duration. 

A la carte rheumatology and internal medicine:

  • 1st rheumatology/internal medicine visit, $300

    • One-hour visit includes holistic evaluation from Eastern and Western perspectives

    • Herbal medicine consultation included

    • Portal email access to discuss lab results, medication problems etc

  • Comprehensive follow-up rheumatology visit​, $200

    • Discussion of progress​ with lifestyle modification, medication therapy, laboratory study review

  • Basic Rheumatology follow-up visit​​ (20 minutes or less), $100​​​​​

A la carte acupuncture (rates for non-members):

  • $300 for 1st acupuncture/cupping session (60-90 minutes) includes evaluation, acupuncture/cupping treatment, and physical therapy recommendations.

    • $125 for one follow-up acupuncture/cupping/ gua sha session (includes 1 hour evaluation, treatment, & counseling with Dr. Zarbalian)

What is direct physician care?

The direct physician care model is a growing model of care that acknowledges that the care we provide should not be dictated by an insurance company. The most appropriate medical care for an individual should be based on the trusting relationship that a physician and patient/family can build in combination with the best available evidence.

Because we spend less time dealing with the rules of insurers and more time with you, our patients can expect prompter appointments, more time for visits, and addressing your health in a way that is right for you rather than for your insurer.

Services included with membership and cost can be found here.  

How long do I have to wait to see you?​

We can generally accommodate appointments on much shorter notice than other rheumatology offices (from same-day appointments to 2 weeks out).

How is your office managing visits during the COVID pandemic?

I began encouraging telemedicine visits as early as March 14th and then closed the office to in-person visits for a 2-week period before opening back to urgent visits.

At this time, I am seeing a few select patients per day with thorough sanitizing between patients.  I do not have any patients wait in the waiting room if there is another patient in clinic.   I am taking additional standard precautions : 

I will be wearing a KN95 mask during all consultations and treatments for the protection of patients and myself.
All patients will be re-scheduled if they have any fever, cold, or viral symptoms.  All patients should be wearing a mask.

- Yousef Zarbalian, MD

226 Maple Ave. West

Suite 202
Vienna, Virginia 22180

Phone: 703-372-2646

Fax : 703-828-0255

Email: EastWestRheum@gmail.com

©2019 by East-West Rheumatology