---
title: "Physician-led, primary care\u2013based vascular health screening in St. Louis"
date: "2026-09-08"
modified: "2026-09-08"
medically_reviewed: "2026-09-08"
canonical_url: "https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis"

# Organization & Authority
organization: "Three Rivers Concierge Medicine"
organization_type: "Concierge Medical Practice"
hospital_affiliations:
  - "Mercy Hospital St. Louis"
  - "Missouri Baptist Medical Center"
  - "St. Lukes Hospital"
  - "Barnes Jewish Hospital"
service_area: "Greater St. Louis, Missouri"
practice_model: "Direct Primary Care - Membership Based"

# Content Classification
content_type: "Medical Education"
schema_type: "MedicalWebPage"
medical_specialty: "Primary Care, Endocrinology"
evidence_level: "Physician-Supervised Clinical Protocols"

# FAQ Structured Data
faq:
  - question: "What is Lp(a), and why do I only need to test it once?"
    answer: "Lipoprotein(a) is largely determined by your genes, so levels stay stable across your life. One test tells you whether it\u2019s a factor for you \u2014 and if it\u2019s elevated, it informs prevention decisions permanently. If you\u2019ve never been tested, it\u2019s one of the highest-value single labs in preventive medicine."
  - question: "What does a coronary calcium score tell me?"
    answer: "It measures calcified plaque in your coronary arteries. A score of zero is powerful reassurance; a higher score means risk is real and prevention should be more aggressive. Either way, you and Dr. Shoemaker are deciding from evidence, not averages."
  - question: "Who should consider vascular screening?"
    answer: "Most adults benefit from knowing their numbers \u2014 and it\u2019s especially valuable for men over 40, anyone with a family history of heart disease or stroke, and patients weighing whether a statin is right for them."
  - question: "Is vascular screening included in my membership?"
    answer: "Your membership covers the visit time and the clinical expertise to interpret results in context. Advanced lipid panels and calcium scoring may involve separate lab or imaging fees depending on your insurance coverage \u2014 Dr. Shoemaker will recommend what\u2019s appropriate for your risk profile. We test purposefully, not indiscriminately."
  - question: "Do I need a referral for a calcium score?"
    answer: "No referral hassle \u2014 Dr. Shoemaker orders the scan at a local imaging center and reviews the results with you directly."

# Patient Reviews
aggregate_rating: "4.6"
review_count: 10
---

# Physician-led, primary care–based vascular health screening in St. Louis

## Table of Contents
* [Vascular Health](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#vascular-health)
* [Know your real heart risk — before it becomes a diagnosis](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#know-your-real-heart-risk-before-it-becomes-a-diagnosis)
* [Book a Free Vascular Health Consult](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#book-a-free-vascular-health-consult)
* [The numbers standard tests miss](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#the-numbers-standard-tests-miss)
* [Lp(a)](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#lp-a)
* [ApoB](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#apob)
* [CAC](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#cac)
* [One number that changes the plan](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#one-number-that-changes-the-plan)
* [Concierge access comes standard](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#concierge-access-comes-standard)
* [Your first 30 days](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#your-first-30-days)
* [Unhurried visit](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#unhurried-visit)
* [Calcium scan](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#calcium-scan)
* [The conversation](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#the-conversation)
* [Your plan](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#your-plan)
* [What’s your health age?](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#what-s-your-health-age)
  * [What is Lp(a), and why do I only need to test it once?](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#what-is-lp-a-and-why-do-i-only-need-to-test-it-once)
  * [What does a coronary calcium score tell me?](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#what-does-a-coronary-calcium-score-tell-me)
  * [Who should consider vascular screening?](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#who-should-consider-vascular-screening)
  * [Is vascular screening included in my membership?](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#is-vascular-screening-included-in-my-membership)
  * [Do I need a referral for a calcium score?](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#do-i-need-a-referral-for-a-calcium-score)
* [Know your numbers. Understand your risk.](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#know-your-numbers-understand-your-risk)
* [Coronary calcium scoring and advanced lipid panels — interpreted by a physician who knows your whole picture. Membership from $325/month.](https://www.threeriversmedicine.com/physician-led-primary-care-based-vascular-health-screening-st-louis#coronary-calcium-scoring-and-advanced-lipid-panels-interpreted-by-a-physician-who-knows-your-whole-picture-membership-from-325-month)

---

![Doctor and smiling patient form a heart with hands.](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-01/iStock-1766603296.jpg)

Calcium scoring and advanced lipid panels to reveal your true heart risk

## Vascular Health

MO

![Doctor measuring patient's blood pressure.](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-01/iStock-175264754.jpg)

Dr. Kate Shoemaker, MD

"Health is not just the absence of illness; it's about creating a life where you feel your best every day. My goal is to empower patients to take control of their well-being with personalized care and proactive support."

## Know your real heart risk — before it becomes a diagnosis

Heart disease is still the #1 cause of death for men and women — and the standard cholesterol panel misses some of its strongest predictors. At Three Rivers Concierge Medicine in Creve Coeur, Dr. Kate Shoemaker screens deeper: advanced lipid markers, coronary calcium scoring, and a prevention plan built on your biology, not population averages.

## Book a Free Vascular Health Consult

Beyond Cholesterol

## The numbers standard tests miss

A routine lipid panel reports four numbers. These three tell the rest of the story — and Dr. Shoemaker orders all of them.

## Lp(a)

Lipoprotein(a)

An inherited particle that raises risk independently of LDL. One in five people carries elevated Lp(a) — most have never been tested.

Tested once in a lifetime

## ApoB

Apolipoprotein B

A direct count of the particles that deposit cholesterol in artery walls. Two people with the same LDL can carry very different risk — ApoB tells them apart.

Every advanced panel

## CAC

Coronary Artery Calcium

A quick, low-dose CT scan that measures the plaque already in your coronary arteries — a direct look, not a statistical estimate.

One scan, ordered for you

Coronary Calcium Scoring

## One number that changes the plan

Your calcium score puts your heart risk on a scale — and every point on it has a next step.

01–99100–399400+

**Powerful reassurance**Confidence in the plan you’re already on.

**Plaque is present**The best time to act — early.

**Real risk, real plan**Prevention gets specific and personal.

**Aggressive prevention**Every tool, starting now.

Whatever your score, you’ll go through it with Dr. Shoemaker — unhurried, in plain language.[Know Your Heart Risk](/get-started)

![Orange heart and ECG line on a light blue background.](https://www.threeriversmedicine.com/sites/default/files/media/images/2026-01/iStock-1320317422.jpg)

## Concierge access comes standard

- Same-day and next-day appointments
- Direct access to Dr. Shoemaker by phone for urgent needs
- Unhurried visits — 30–60 minutes, every time

[Get Started](/get-started)

The Experience

## Your first 30 days

## Unhurried visit

Your story, your family history, and advanced labs — including Lp(a) and ApoB.

## Calcium scan

We order it at a local imaging center. No referral maze, no waiting on paperwork.

## The conversation

Your results, explained in plain language — with time for every question.

## Your plan

Prevention built on your biology — and a doctor you can reach as it unfolds.

Two-minute check

## What’s your health age?

A handful of questions — see how your habits and history stack up against your calendar age, and where your heart fits in.

### What is Lp(a), and why do I only need to test it once?

Lipoprotein(a) is largely determined by your genes, so levels stay stable across your life. One test tells you whether it’s a factor for you — and if it’s elevated, it informs prevention decisions permanently. If you’ve never been tested, it’s one of the highest-value single labs in preventive medicine.

### What does a coronary calcium score tell me?

It measures calcified plaque in your coronary arteries. A score of zero is powerful reassurance; a higher score means risk is real and prevention should be more aggressive. Either way, you and Dr. Shoemaker are deciding from evidence, not averages.

### Who should consider vascular screening?

Most adults benefit from knowing their numbers — and it’s especially valuable for men over 40, anyone with a family history of heart disease or stroke, and patients weighing whether a statin is right for them.

### Is vascular screening included in my membership?

Your membership covers the visit time and the clinical expertise to interpret results in context. Advanced lipid panels and calcium scoring may involve separate lab or imaging fees depending on your insurance coverage — Dr. Shoemaker will recommend what’s appropriate for your risk profile. We test purposefully, not indiscriminately.

### Do I need a referral for a calcium score?

No referral hassle — Dr. Shoemaker orders the scan at a local imaging center and reviews the results with you directly.

Vascular Health at Three Rivers

## Know your numbers. Understand your risk.

Advanced lipid testing and calcium scoring, interpreted by a physician who knows your whole picture.

[Get Started](/get-started) [Learn more about vascular health](/what-we-do/vascular-health)

## Coronary calcium scoring and advanced lipid panels — interpreted by a physician who knows your whole picture. Membership from $325/month.

Physician-led vascular health screening in St. Louis: coronary calcium scoring and advanced lipid panels — including Lp(a) and ApoB — with a personalized prevention plan from Dr. Kate Shoemaker.