01 The Practice

A clinic built around the conversation — not the clock.

Most internal medicine in Galveston runs on volume. Dr. Karnath's practice runs on the opposite premise: that a careful history still solves more than half of what walks through the door, and that the rest deserves the time to be done properly.

New patient visits are scheduled for sixty minutes. Follow-ups for thirty. Same-day urgent concerns are triaged by phone before lunch, and you will speak with a person — not a directory tree.

What this is not: a membership concierge. What it is: a single-physician practice with a small staff, in the same suite on Mechanic Street for the last nineteen years, accepting most major commercial insurance and traditional Medicare.

Dr. Karnath's consultation room with examination chair and brass desk lamp

The consultation room

One exam table, one chair, no partitioned "patient side." Dr. Karnath conducts the entire visit in the same room — including the discussion.

60-min new visits Same-day triage

Brass medical instruments and stethoscope on a charcoal linen surface

The instruments

Diagnostic equipment maintained and calibrated in-house — not shared across a hospital network. Bloodwork is drawn on-site and couriered twice daily to the lab.

In-house labs On-site EKG

02 Specialties & Pricing

Care that covers the whole adult, not a single complaint.

Indicative pricing below reflects self-pay rates for common visits. Most commercial insurance and traditional Medicare are accepted — co-pays apply per your plan. Call to confirm network status.

Comprehensive Diagnostic Consultation

A full sixty-minute new-patient workup: complete history, physical examination, review of existing records and imaging, medication reconciliation, and a written assessment with follow-up plan sent to your primary referral source.

$285 self-pay · 60 min

History & Physical Med Review Written Plan

Hypertension Management

Ongoing blood pressure control with home-monitoring review, medication titration, and quarterly labs.

$140 follow-up · 30 min

Type 2 Diabetes Care

HbA1c tracking, continuous glucose monitor integration, and lifestyle-aligned medication strategy.

$165 follow-up · 30 min

Annual Preventive Physical

The yearly exam most adults actually need — age-appropriate cancer screening, cardiovascular risk scoring, immunization review, and a forward plan. Distinct from a problem visit. Billed separately under preventive benefits.

$220 self-pay · 45 min

Screening Risk Score Vaccines

On-Site Lab Draw

CBC, CMP, lipid panel, A1c, TSH drawn in-office. Couriered twice daily to the reference lab.

$45 draw fee · + tests

EKG & Cardiac Risk

12-lead electrocardiogram interpreted on-site, with referral coordination when indicated.

$75 self-pay · in-visit

Pre-Operative Clearance

History, physical, EKG, and labs for elective surgical clearance — typically returned within 48 hours.

$310 self-pay · complete

Galveston House Calls

Limited home visits for established patients with mobility limitations, within Galveston Island.

$240 established patients

Office hours

Same-day urgent concerns triaged by phone before 11:00 a.m.

SundayClosed

Monday8:00 — 17:00

Tuesday8:00 — 17:00

Wednesday8:00 — 17:00

Thursday8:00 — 17:00

Friday8:00 — 12:00

SaturdayClosed

After hoursVoicemail → paging

03 Why Patients Stay

Hands of a physician writing notes on a chart with a brass fountain pen

Established2006

Patients~1,400 active

Nineteen years on Mechanic Street — and counting.

Patients stay because they are heard. The average follow-up in this practice lasts twenty-eight minutes — roughly three times the national internal-medicine average. That is not a marketing figure. It is what the schedule allows.

i.
One physician, end to end
Dr. Karnath sees every patient personally — no mid-level handoffs, no rotating coverage. Your chart is read by the same person who examined you.
ii.
Records that travel with you
Full chart export provided on request, at no charge, in the format your next physician actually wants — not a vendor-locked PDF.
iii.
Direct phone access
During business hours, a human answers. After hours, the paging line reaches the on-call physician — typically Dr. Karnath himself.

04 Request a Visit

Begin with a conversation.

Send the form and we will call you back within one business day to confirm a time, verify insurance, and gather any records we should review before your visit. Existing patients may use the same form for follow-up scheduling.

PhoneCall the office directly

SchedulingUse the form →

LocationGalveston, Texas · 77550

Appointment request

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Thank you — your request has been noted. We will call you at the number provided within one business day to confirm.