She has an old fashion home office with outdated decor. She told be that she would fill my…read moremedications after a check up, but later called and canceled them at the pharmacy. This left me without my medication and truly inconvenience and hurt me. I would not advise you see Dr. Zittel because do not know what type of service you will get. I hope you take my warning.

My valuation is based on 3 years experience with Dr. Zittel's office. I enjoyed Dr. Zittel, as well…read moreas her medical staff, and I agree with Dr. Zittel on her medical views. However I feel that the level of consideration for patients on the office side I feel was significantly unprofessional. The Office Manager lost his cool, raised his voice and used profane language towards me on a phone call when I asked him for an exception to a $50 missed appointment fee for a primary physical that was scheduled with a Physician's Assistant (not Dr. Zittel). I expressed to the office manager that I am very good with keeping my appointments and would have anticipated a notification from the office when the appointment was coming up. He told me that his office "did notify me in some form or another", but he did not specify how I was notified. I did not receive a phone call or a text message as is pretty standard in healthcare these days. It's still not clear to me how they felt that I had been notified prior to my appointment. The office manager would not back down on the fee, but did decide to reduce my fee to $25. I told him that I am unhappy with any fees being incurred b/c 1) I did not miss an appointment with a doctor which is who I should be seeing when I pay a co-pay, and my doctor collects money from my insurance company, as if I have seen a physician; and 2) I did not receive a notification or an opportunity to confirm my appointment, and that on the date of my appointment (which I missed) I called the office, and that no one even bothered to reschedule an appointment with me at that time which seemed odd. I received a quick goodbye from the secretary almost as if the office was excited to bill me their hidden $50 fee. I then expressed to him that his behavior was very angry and that he was elevating his tone withe me and that I did not feel comfortable have profane language in a call with my primary care physician, and that he has me strongly considering leaving Dr. Zittel's practice. He then replied, I was free to leave and that he did not care what I did. Naturally, I ended our not so enjoyable conversation. What patient wants to hear from their primary physician's staff that they do not care about their patient? I went over to the office to speak with the office staff directly and to acknowledge the inappropriate behavior I received over the phone. I asked if I signed anything that would acknowledge my understanding that missing an appointment would incur a $50 fee. I was told that I didn't sign anything, but that this was standard practice in all practice. I can say that I've never encountered a fee at another physician's office. However, while I acknowledge that fees may happen elsewhere - say at a specialist's office where the doctor has a long wait to be seen, I told the office staff that it was unprofessional to not acknowledge in some manner in person, or over the phone that fees are incurred for missed appointments. Instead, I received a cold billing notice in the mail, and that this was eye opening for me that this was how their business was being run. I told the secretary that I was in the office just a few weeks before, and no one bothered to collect the $50 fee at that time while I was there in person for a physical, they said I was free to go. While I stood in the office, the secretary told me that the $50 fee is incurred for all appointments that are cancelled up to 24 hrs in advance of an appointment date. I'm sorry - and I expressed my dissatisfaction to the secretary - but this is nuts. I am not one to cancel my appointments, but I may need to reschedule every once in a great while, and I certainly don't want to pay $50 for doing so. I expressed that a small town physicians office should have a little more consideration and understanding when dealing with suburban neighborhood clientele, and after living in major US cities for 15 years, I can say I have never been treated with such a lack in courtesy and disrespect. Lastly, I paid the reduced fee of $25 before I left the office. I certainly hope that these missed and cancelled appointment fees do go towards modernizing some of the office equipment within the exam rooms. The decor is old, and in some cases tattered and dusty. I will be taking my business elsewhere.