Primary Care

Primary care works when the primary goal is the relationship.

Direct Primary Care is a new approach to primary care that aims to bring doctors and patients back together. It works outside of the medical industrial insurance complex by providing membership-based services that include increased access, better care, and transparent pricing with no surprise bills.

We will make decisions with you rather than for you.

At River Mill Osteopathic, you get a real relationship with a real doctor who has the time to really get to know you. We don’t bill insurance at all, so insurance doesn’t tell us what is best for you. Instead, we charge a low monthly fee—often lower than your phone bill—conveniently debited from the bank account, FSA, or HSA of your choice.

We will see you when you need to be seen and help you decide when you don’t.

We will answer your questions thoroughly and make sure you understand.

We will have relaxed, on-time appointments to give you the respect you deserve.


When you come to see us, your visits are on a relaxed timeframe with no rush to see the next patient. With 30–60-minute visits, you can be sure your questions are answered and you get what you need. If you’re not in the office, your doctor is only an email, a text message, or a phone call away. Messages come directly to your doctor, so you’ll never get an on-call physician who doesn’t know you, and response times are usually quick and efficient even at night or on the weekend.


While we always encourage scheduling visits—which you can do yourself online ahead of time—we know that life happens and we offer same or next-day appointments rather than sending you to urgent care.

In addition, we contract with laboratory and imaging services to provide significant discounts (as little as 1/10th of the cost) compared to hospital pricing and have a pharmacy on-site with competitive pricing to undercut usual medication costs while saving you the hassle of a trip to the pharmacy.

Got questions? Book a 15 minute FREE consultation

Meet Dr. Joseph McCue

Dr. McCue graduated from Chicago College of Osteopathic Medicine in 2014. He completed Family Medicine Residency in Columbus, GA and Osteopathic Fellowship in Bangor, ME. He believes you should have the primary responsibility for decisions about your care, and he is happy to help you make the best decisions for you and your family. Special areas of interest and training include medical ethics; evidence-based natural birth and development; the neuropsychiatric roots of trauma; obesity, metabolic disease, and weight loss; and addictions medicine.

Osteopathic Manipulative Treatment (OMT)

Osteopathic manipulative treatment embodies the core philosophy and practice of traditional osteopathy in a contemporary, result-oriented, evidence-based fashion. OMT uses hands-on diagnosis and treatment with a focus on ensuring the patient is free from restriction so that their native health can be restored. Health and happiness are who we are, sometimes we just need a little help to make ourselves whole again.

Dr. McCue is well-versed in the use of both direct and indirect forms of osteopathic manipulative treatment, often incorporating seemingly disparate modalities seamlessly into a single treatment. These include:

• High Velocity Low Amplitude (HVLA or “cracking”)

• Muscle Energy

• Strain/Counterstrain

• Facilitated Positional Release (FPR)

• Myofascial Release (MFR)

• Osteopathy in the Cranial Field (Craniosacral)

• Biodynamic Treatment

• Fulford Percussion

• Fascial Distortion Method (FDM)

• Still Technique

We Help You Find Your Native Health


There are four tenets at the core of osteopathic principles and practice, which I formulate as follows:

The person is a functionally integrated unit of body, mind, and spirit or connection to the infinite.

Persons are constantly engaging performative acts of self-regulation, self-healing, and health maintenance.

Structure and function are reciprocally interrelated at all levels.

Rational treatment is based upon an understanding of personal holistic unity, self-regulation, and the integrity of the structure-function relationship.


“To find health should be the object of the doctor. Anyone can find disease.”

—Andrew Taylor Still, MD, DO

The Five Models of Osteopathic Treatment

Biomechanical – Aims to optimize the structure and function of the musculoskeletal system to enhance the body’s innate homeostatic mechanism

Respiratory/Circulatory – Aims to normalize respiratory and circulatory components of homeostatic responses to improve nutrient delivery and waste removal

Metabolic/Energetic – Aims to utilize the body’s biochemical processes, cellular functions, and energy consumption to facilitate the homeostatic response

Neurologic – Aims to normalize nervous system function, including somatic and autonomic nerves, to allow for proper communication and restoration of health

Behavioral – Aims to optimize mental, emotional, and spiritual influencers of health to pattern a milieu of nourishing behaviors