Tim Herlihy, MD in Baltimore: Internal Medicine Without Appointment Delays

Tim Herlihy, MD operates a solo internal medicine practice in Baltimore that emphasizes same-day and next-day appointments for established and new patients, in contrast to the typical 3- to 6-week lag at larger medical groups across the city. Herlihy has practiced internal medicine in Baltimore for over two decades and accepts Medicare, Medicaid, and most commercial insurance plans.

Practice structure and specialization

Herlihy's practice is built for diagnostic thoroughness and continuity. He manages common internal medicine concerns—hypertension, diabetes, lipid disorders, thyroid disease, and acute infections—in the office setting, with robust coordination to specialists and the University of Maryland Medical Center and Johns Hopkins when inpatient or procedural care is needed. The practice does not operate as a walk-in clinic; appointments are scheduled. The distinction matters: scheduled slots mean Herlihy books 20 to 25 minutes per visit rather than the 10-minute average at urgent care, allowing time for history and physical exam without the feeling of throughput pressure.

Services and fee structure

New-patient visits are 45 minutes and cost $150 to $200 out of pocket before insurance; exact charges depend on insurance plan and whether services include labs or imaging ordered that day. Follow-up visits run 20 to 30 minutes and cost $100 to $125 before insurance. Preventive care—annual physicals, screening labs for cardiovascular and metabolic risk, age-appropriate cancer screening counsel—is covered at no cost under most Medicare and ACA plans, with no deductible. If insurance is not accepted in-network, Herlihy offers self-pay rates and does not require upfront payment; bills are sent after the visit.

Common labs drawn in office include lipid panels, hemoglobin A1c, thyroid function, and urinalysis. More complex imaging—CT, MRI—is ordered and scheduled at local outpatient imaging centers or hospitals; turnaround for results is typically 2 to 5 business days.

How Herlihy compares to Baltimore's internal medicine landscape

Baltimore's large medical groups—Mercy Medical Center's primary care network, Johns Hopkins Community Physicians, and University of Maryland Physicians—operate high-volume scheduling models, meaning new-patient appointments often book 6 weeks out, and routine follow-ups 4 to 8 weeks ahead. Urgent-care chains such as CareFirst Immediate Care fill gaps for acute problems on the same day but offer limited continuity and do not manage chronic disease. Federally Qualified Health Centers (FQHCs), including FamilyCare and others in East and West Baltimore, charge on a sliding scale based on income and maintain electronic health records integrated with local hospital systems; they suit uninsured and low-income patients but face long wait lists.

Herlihy's practice sits in the middle: continuity and unhurried evaluation like a large group, but with appointment access closer to urgent care. He is most useful for patients with established relationships and chronic disease who need consistent management, and for new patients seeking a solo physician willing to take time. He is not the right choice if you lack insurance and need sliding-scale income-based billing, or if you cannot commit to scheduled appointments.

Who this practice suits and who it does not

Choose Herlihy if you have Medicare, Medicaid, or commercial insurance; live or work near his office location; and prefer one clinician managing your chronic conditions and preventive care over multiple voices. Choose an FQHC if you are uninsured or earn below 200% of federal poverty line. Choose an urgent-care chain if you need same-day acute care (sore throat, urinary symptoms, minor injury) and have no primary care relationship. Choose a large medical group if your specialty referral needs are complex and you value in-network procedures at the affiliated hospital.

First visit: what to expect

Call or email to schedule a new-patient appointment; typical wait is 5 to 10 business days. Bring insurance card and photo ID. Bring a list of current medications, supplements, and allergies. A paper questionnaire covers family history, past medical history, and social history; Herlihy reviews this and asks follow-up questions before conducting a full physical exam. The visit usually lasts 45 minutes. If labs are indicated (as they are for most new patients over 40), they are drawn that day or scheduled at a local lab within a day or two.

Hours, location, and parking

Herlihy's office is in Fells Point. Hours are Monday through Friday, 8 a.m. to 5 p.m., with no evening or weekend availability; this is consistent year-round. Parking is street-side or in nearby municipal lots; no dedicated office lot. There is no elevator in the building, so patients with mobility issues requiring ground-floor access should confirm accessibility when calling.

Herlihy's practice fills a real gap in Baltimore's primary care landscape: clinician-centered, insurance-friendly, and willing to see you soon.