Dr. Marina Gafanovich MD


Dr. Marina Gafanovich MD, Internal Medicine


Internal Medicine, General Practice



English, Russian

Deal of the Day

Annual Physical Examination
2 Reviews

Internist Dr. Marina Gafanovich MD offers Annual Physical Examination for a 'Deal of the Day' price of $175

This offer is for an Annual Physical Exam. 

This could be for school, work, or just general knowledge and wellness and is highly recommended for everyone concerned about being healthy. 

An Annual Physical generally consists of the following elements: 
- History Taking where you fill out extensive forms that the physician will review and discuss with you and become part of your medical record 
- Oral History Taking where you and the medical team will discuss your medical history and status in greater detail - Physical Examination 
- Standard Testing, in office 
- Outside testing, generally lab tests (which you can order through FairCareMD (we recommend the Complete Metabolic Panel for most adults)
- Discussion of on-going care and treatment options 
- Documentation 

This process can take up to an hour of Physician and staff time including documentation and coordination of care with other providers. 

You will be provided electronic copies of your records free of charge or paper copies for $0.25 per page. 

Thank you for your interest in our services and for using FairCareMD!

Additional Information About This Offer:

Age Range: All

Background Information: Why get an Annual Checkup 

Having a regularly scheduled physical exam can provide many benefits that we may not think about in our everyday life. The exam is so important that your insurance will generally recommend an annual exam and may even waive the annual deductable in order for you to schedule a physical. 

Peace of mind -knowing that you are in good health gives you confidence which can lead to less stress and more relaxed living 

Early detection – most diseases manifest before there are any physical symptoms. For diseases with long progression periods (certain cancers, heart disease, etc.) early detection key to beginning treatment and conquering an illness 

Prolonged life – along with early detection comes the increased possibility of a prolonged life especially if problems are found and treated quickly 

Allows you to monitor “unseen” health issues – your blood pressure, cholesterol levels or heart disease, to mention only a few. Comparing your physical exam results from year to year will show where you are improving, and where you may need help. 

Doctor-patient relationship – establishes a relationship with your primary care physician to turn to when more serious problems arise. 

Don’t wait until an issue comes up before you Google search or telephone your insurance company to find a doctor. 

The Annual Physical Exam 
For some people, the annual physical examination is a source of reassurance that they’re as healthy as they feel. Others see it as an alarm system, to catch health problems before they become serious. “Getting a check-up” is frequently required by many companies and insurances today but is also valuable to the person who wants to be and stay healthy. 

What can you expect from your annual physical exam? 

Annual Physical Exam: 

The Basics: Listening  
Dr. Gafanovich begins by listening to your reason for obtaining a physical exam. There are many different reasons for the visit and although some of the exam parts are the same, the Doctor will customize the exam to meet your individual needs. 

You should mention any concerns or goals with your health. It’s important to speak openly about important behaviors, like smoking, alcohol use, sexual health, diet, and exercise. The doctor will also check on your vaccination status and update your personal and family medical history. 

Vital Signs
These are some vital signs checked by Dr. Gafanovich: 
- Blood pressure: less than 120 over 80 is a normal blood pressure. Doctors define high blood pressure (hypertension) as 140 over 90 or higher.
- Heart rate: Values between 60 and 100 are considered normal although many healthy people have heart rates slower than 60.
- Respiration rate: Between 12 and 20 is normal. Breathing more than 20 times per minute may suggest heart or lung problems. 
- Temperature: 98.6 degrees Fahrenheit is the average, but healthy people can have resting temperatures slightly higher or lower. A fever is not present until the temperature is over 101.0 degrees Fahrenheit.
- General Appearance: Your doctor gathers a large amount of information about you and your health just by watching and talking to you. How is your memory and mental quickness? Does your skin appear healthy? 
- Heart Exam: Listening to your heart with a stethoscope, a doctor might detect an irregular heartbeat, a heart murmur, or other clues to heart disease.
- Lung Exam: Using a stethoscope, a doctor listens for crackles, wheezes, or decreased breath sounds. These and other sounds are clues to the presence of heart or lung disease. 
- Head and Neck Exam: Opening up and saying “ah” shows off your throat and tonsils. The quality of your teeth and gums also provides information about your overall health. Ears, nose, sinuses, eyes, lymph nodes, thyroid, and carotid arteries are also examined. - Abdominal Exam: The doctor can use a range of examination techniques including tapping your abdomen to detect liver size and presence of abdominal fluid, listening for bowel sounds with a stethoscope, and palpating for tenderness.
- Neurological Exam: Nerves, muscle strength, reflexes, balance, and mental state are assessed.
- Dermatological Exam: Skin and nail findings could indicate a dermatological problem or disease somewhere else in the body.
- Extremities Exam: Your doctor will look for physical and sensory changes. Pulses can be checked in your arms and legs. Examining joints can assess for abnormalities.

Male Physical Exam An annual physical exam for men might also include:
- Testicular exam: A doctor can check each testicle for lumps, tenderness, or changes in size. Most men with testicular cancer notice a growth before seeing a doctor.
- Hernia exam: The famous “turn your head and cough” checks for a weakness in the abdominal wall between the intestines and scrotum. (The actual reason you turn your head is so you don’t cough on the doctor.)
- Penis exam: A doctor might notice evidence of sexually transmitted infections such as warts or ulcers on the penis.
- Prostate exam: Inserting a finger in the rectum lets a doctor feel the prostate for its size and any suspicious areas. 

Female Physical Exam A woman’s annual exam might include: 
- Breast exam. Feeling for abnormal lumps may detect breast cancer or benign breast conditions. The doctor will also check the lymph nodes in the underarm area and look for visual abnormalities of the breasts.

Laboratory Tests 
There are no standard laboratory tests during an annual physical. 

However, Dr. Gafanovich may order certain tests routinely (which may all be found on FairCareMD):
- Complete blood count Screening test for diabetes and lipid panel
- Chemistry panel Urinalysis (UA) (urine pregnancy test for females)
- Thyroid function tests 
- A lipid panel (cholesterol test) is recommended every year.  Abnormal cholesterol levels increase the risk for heart attacks and strokes. 

For your convenience, Dr. Gafanonvich has a nurse on staff that will draw your blood on the premises without the need to go to a remote laboratory. 

Dr. Gafanovich’s Physical Exam Emphasizes Prevention 

The annual physical exam is a great opportunity to refocus your attention on prevention and screening: At age 50, it’s time to begin regular screening for colorectal cancer. People with immediate family members with colorectal cancer may need to be screened before age 50. For most women, age 40 marks the time to begin annual mammogram screening for breast cancer. Everyone should have their cholesterol (lipids) checked every five years after age 20, according to the American Heart Association. Healthy behaviors work far better than medicine at preventing illness, and don’t require a prescription: Do 30 minutes of brisk walking or other exercise, most days of the week. Your risk for cardiovascular disease, diabetes, and cancer will fall dramatically. Eat a mostly plant-based diet, low in animal fats. Above all, don’t smoke. 

 We try to make your annual physical exam as efficient and pleasant as possible by providing services like, chest X-ray, EKG, blood labs, ABI and pulmonary function testing. Keeping up a good relationship with your doctor through regular visits is a widely recognized and valuable part of maintaining good health. Please don’t hesitate to call us 212-249-6218 if you would like to schedule a visit or you can do this online by clicking Book an Appointment link on the top of the page! 

"I went to see Dr. Gafanovich for a routine physical. The girls at the desk were very nice and my wait time was short. Dr. Gafanovich was kind and knowledgeable. I also had blood work done and was impressed with how quickly I received the results and how thoroughly Dr. Gafanovich explained the results to me. I have recommended her to all of my friends. So nice to finally find a doctor with a personal touch. Thank you!" 
Cindy Gooden

Created on: 04/23/11
Last modified on: 04/23/11
Verified   Verified


Upper East Side Office

1550 York Avenue
(between 81st and 82nd Street)
New York, NY 10025

Accepted Insurance:

Aetna Choice® POS
Aetna Choice® POS II
Aetna Health Network Only?
Aetna Health Network Option?
Aetna HealthFund® Aetna Choice® POS
Aetna HealthFund® Aetna Health Network Only?
Aetna HealthFund® Aetna Health Network Option?
Aetna HealthFund® Open Access Aetna Select?
Aetna HealthFund® Open Access Elect Choice® EPO
Aetna HealthFund® Open Access Managed Choice® POS
Aetna HealthFund® Open Access POS II
Aetna HealthFund® Open Choice® PPO
Aetna Open Access® Elect Choice (EPO)
Aetna Open Access® HMO
Aetna Open Access® Managed Choice® (POS)
Aetna Select?
Elect Choice® (EPO)
Managed Choice® (POS)
Open Access Aetna Select?
Open Choice® (PPO)
Quality Point-of-Service® (QPOS®)
Blue Cross Blue Shield
Cigna HMO
Open Access Plan
POS, POS Open Access
Preferred Provider Organization (PPO)
Empire Blue Cross Blue Shield
Direct HMO, Direct Pay HMO, Direct Pay POS, DirectShare POS
Healthy New York
MediBlue HMO
MediBlue PPO
Empire Plan
The Empire Plan (UHC)
Health Net
Advantage Platinum HMO/POS
Advantage Platinum Insurance PPO
Oxford Health Plans
Freedom Plan
Liberty Plan
Definity PPO
Harvard Pilgrim Choice Plus
Harvard Pilgrim Options
UnitedHealthcare Choice
UnitedHealthcare Choice Plus
UnitedHealthcare iPlan Choice Plus
UnitedHealthcare iPlan PPO
UnitedHealthcare Options PPO
UnitedHealthcare Select EPO
UnitedHealthcare Select Plus HMO
UnitedHealthcare Select Plus POS