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About

Carilion Clinic Family & Internal Medicine in Lexington is part of Carilion Clinic, a Roanoke, Virginia-based nonprofit integrated health system. The Lexington location offers primary care services through Carilion Children’s and Family Medicine, expanding Carilion’s presence in western Virginia with a focus on pediatrics and family medicine. It aligns with Carilion’s network of hospitals, physician practices, and care facilities, and is connected to recent openings of pediatric facilities in Lexington. For specifics on providers, services, and appointment options at the Lexington Family & Internal Medicine site, refer to Carilion’s local listings or the Lexington pediatric medicine announcements.

Clinic Type

Internal Medicine

Address

108 Houston St, Suite A, Lexington, VA 24450

Phone

540-463-2181

Email

billingservice@carilionclinic.org

Opening Hours

Not published — contact the clinic to confirm hours.

Telehealth

Virtualist services and video visits for current pediatric and adult patients

Services Offered

  • Primary Care
  • Family medicine
  • Internal Medicine
  • Virtualist/Video visits
  • Preventive care
  • Routine care
  • Ongoing care

Team

  • Kathleen P. Bogacz, Internal Medicine — MD
  • Marie D. Nicely, Internal Medicine — PA
  • William J. Sayre, Internal Medicine — MD
  • Michael S. LaRue, Internal Medicine — PA
  • Ryan A. Tomlin, Family Medicine — PA

Insurance & Payment

  • Carilion Clinic contracts with most major health insurance carriers

Carilion Clinic contracts with most major health insurance carriers. This list is updated periodically and is subject to change without notice.

Languages Spoken

Awards & Accreditations

  • Internal Medicine (4.9 out of 5) 494 Total Ratings
  • Internal Medicine (4.9 out of 5) 576 Total Ratings

Photos

What Patients Say

Overall sentiment across review platforms: mixed

  • Carilion Clinic Official Website: 4.9 out of 5 (494)

Patients praise

  • Appreciation for thorough care from specific providers (e.g., Dr. Sayre and PAs)
  • Positive feedback regarding the efficiency and helpfulness of the front office staff
  • Ability to schedule same-day appointments in some cases

Common complaints

  • Dissatisfaction with billing and perceived high costs
  • Concerns about pain management protocols and medication refill policies
  • Reports of unprofessionalism in specific provider interactions

"I've been going to Dr. Sayer, and his PA's Marie and Mike for about 5 years. I've found them extremely thorough, and willing to explain things at my level... The front office staff is very polite and helpful."

LocalityBiz review

"Carillon is a huge disappointment to the community. Prices are set at highly ridiculous amounts and they could not possibly care any less about the people they are supposed to be helping."

LocalityBiz review

Synthesized from public review platforms as of Jul 11, 2026 — sources: [1][2][3][4].

Information sourced from the clinic's website as of July 11, 2026.

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