Pulse

Private care · Direct access · Human connection

A constant presence.
In your health.

Experienced clinical judgment, personal guidance and direct access to someone who knows your name—and remains available when questions arise.

Concierge-level access, designed for real life.

Jerod C. Smith, founder and provider

New to Pulse?

Start with a conversation.

Tell Jerod what you are experiencing, what you want to understand and where you need support. Your next step should feel clear—not complicated.

Begin here

Healthcare, made personal again

Care should not disappear between appointments.

DIRECT

Access that stays open

Reach a provider who understands your care when questions, symptoms or results cannot wait months.

EXPERIENCED

Clinical insight you can trust

A trained eye for what others may overlook—translated into clear, thoughtful guidance.

HUMAN

Authentic—not automated

A real relationship with someone who listens, follows through and treats your health personally.

A provider performing a carotid examination during a private cardiovascular assessment

Present. Attentive. Personal.

Care begins
with listening.

Time to examine. Time to understand. Time to guide what comes next.

Services offered

Personal care.
Precisely delivered.

Four ways to bring experienced clinical judgment into your life—at home, by phone and whenever you need direction.

Private pricing

Clear. Simple. Personal.

View pricing

GLP-1 THERAPY

Semaglutide · starting dose
Supports appetite regulation, glucose control and medical weight management
$260
Tirzepatide · starting dose
Dual GIP/GLP-1 support for appetite regulation, glucose control and medical weight management
$330

HORMONE THERAPY

Testosterone cypionate · 200 mg/mL, 10 mL
Individualized dosing · laboratory monitoring required
$140
Tadalafil · 7 mg, 30 capsules
Daily erectile-function support · cardiovascular and medication review required
$120
PT-141 injection · 2 mL
Investigational support for sexual desire and arousal
$185

VITAMIN SUPPORT

Methylcobalamin B12 · 2 mg/mL, 5 mL
Clinician-directed support for B12 status, red blood cell production, neurologic function and energy metabolism
$110

PEPTIDE THERAPY

BPC-157 + TB-500
Investigational support for tissue recovery and the body's healing response
$445
KPV
Investigational support for inflammatory balance and gastrointestinal health
$200
Semax
Investigational support for focus, memory and cognitive performance
$175
Epitalon
Investigational support for cellular aging and circadian health
$310
MOTS-c
Investigational support for mitochondrial function, metabolic efficiency and energy
$310
TB-500
Investigational support for tissue repair, mobility and recovery
$205
NAD+ · 200 mg/mL, 5 mL
Investigational support for cellular energy and metabolic function
$205
NAD+ · 200 mg/mL, 10 mL
Investigational support for cellular energy and metabolic function
$275
Glutathione · 200 mg/mL, 30 mL
Clinician-directed antioxidant support for oxidative-stress management
$120
GHK-Cu + Argirelox · 0.2% clarifying cream, 30 mL
Investigational topical support for skin quality and the appearance of fine lines
$175
Additional medicationsAvailable by request

CONSULTATIONS

Phone consultation$50
In-home GLP-1 consultation$85
In-home cardiovascular assessment$105

CONTINUOUS ACCESS

Pulse Connection · Monthly
Direct provider access · cancel before your next billing date
$89 / month
Pulse Connection · Annual
Preferred value · save $173 per year
$895 / year
Medical aestheticsBy referral only

Consultation and informed consent are required before treatment. Hormone therapy requires appropriate laboratory evaluation and ongoing monitoring. Sexual-wellness treatment requires cardiovascular and medication review. Compounded therapies are not FDA approved. Potential uses are investigational, outcomes are not guaranteed and treatment is prescribed only when clinically appropriate. Dosing, treatment length and follow-up are individualized and discussed privately during consultation.

Prescription standards View details

Prescription standards

Prepared through a licensed 503A compounding pharmacy.

All Pulse compounded medication prescriptions are fulfilled by Pure Pharmacy Fishers LLC, a state-licensed compounding pharmacy in Indiana operating under Section 503A of the Federal Food, Drug, and Cosmetic Act.

Prescription packages include the appropriate syringes. Alcohol swabs and a sharps container are available upon request.

01

METABOLIC + HORMONE HEALTH

GLP-1 + hormone therapy—managed with intention.

Explore care

GLP-1 treatment is not simply a prescription. Jerod provides a thorough, safety-first approach built around careful patient selection, individualized dosing, nutrition, glucose awareness, muscle preservation, side-effect management and meaningful follow-up.

Living with type 1 diabetes since childhood gives Jerod a firsthand understanding of metabolic disease. That lived experience—combined with focused clinical study and patient care—shapes a level of guidance often missing from high-volume, one-size-fits-all programs. Every plan is evaluated personally and adjusted according to the individual, not an automated schedule.

  • Complete medication candidacy and safety review
  • Individualized starting dose and thoughtful titration
  • Nutrition, protein and muscle-preservation strategy
  • Glucose, thyroid and hormone evaluation
  • Direct support for side effects, questions and progress
  • Ongoing reassessment—not prescribe-and-disappear care
Begin a metabolic consultation
02

IN-HOME CARDIOVASCULAR RISK ASSESSMENT

Know your risk before it becomes disease.

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A family history of heart or vascular disease should not leave you waiting for symptoms. Jerod provides an in-home cardiovascular history and physical examination to identify risk, establish a meaningful baseline and guide the appropriate next step.

  • Focused cardiovascular history and physical examination
  • Three-lead ECG recording using EKO technology
  • ECG tracing available by email or text at the patient’s request
  • Lower-extremity venous evaluation
  • Personalized risk discussion, guidance and next-step recommendations
Request a cardiovascular assessment
03

THE PULSE CONNECTION · FOUNDING MEMBERSHIP

A provider within reach—all year.

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The Pulse Connection is built on a simple promise: you matter beyond the appointment. Jerod offers his time, attention and experienced clinical judgment throughout the year—so when a question, symptom or decision arises, you have a steady and reassuring connection to someone who knows your story.

PPresence UUnderstanding LLongevity SSupport EExpertise
  • The ability to contact Jerod by phone, text or email for non-emergency health questions
  • Messages personally reviewed, including nights and weekends, as circumstances allow
  • Discussion of symptoms, laboratory results and care options
  • Medication and treatment guidance
  • Guidance on when and where to seek additional care
  • Care coordination and continuity support
  • Priority scheduling when available
  • 10% member savings on eligible Pulse services and treatment-management programs
  • A consistent clinical relationship—not a rotating provider or automated response
MONTHLY ACCESS$89 / month

Cancel before your next billing date.

ANNUAL ACCESS$895 / year

Preferred value—save $173 per year.

Membership details

Membership fees cover provider access and care coordination. Visits, in-home assessments, physical examinations, procedures, laboratory testing, imaging, prescriptions, medications, pharmacy charges and shipping are not included unless specifically stated.

Membership is not health insurance and does not replace primary, specialty or emergency care. Membership does not guarantee that a medication or treatment will be prescribed. Every treatment requires an appropriate clinical evaluation, informed consent and determination of medical appropriateness.

Monthly memberships automatically renew each month until canceled before the next billing date. Annual memberships automatically renew yearly unless canceled before renewal. Charges already processed are not prorated or refunded except where required by law. Member savings cannot be combined with other promotions and may not apply to controlled substances, pharmacy charges or third-party services.

Members may contact Pulse at any time; an immediate response cannot be guaranteed. Call 911 or seek emergency medical care for an emergency.

Join the Pulse Connection
04

MEDICAL AESTHETICS · BY REFERRAL ONLY

Trusted guidance. The right connection.

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Medical-aesthetic services are available by referral only. When appropriate, Jerod can help patients understand their options and connect them with trusted independent professionals in the local medical-aesthetics community.

  • Guidance shaped by your goals and medical history
  • Education about appropriate aesthetic options
  • Medication, risk and candidacy review when clinically indicated
  • Connection with trusted independent local professionals
  • Continuity between medical, metabolic and aesthetic goals
Request referral guidance

Medication programs require consultation, informed consent and clinical approval. Dosing, treatment length and follow-up are individualized and discussed directly with each patient. Medication availability and pricing may change. Cardiovascular screening and three-lead ECG recording do not replace definitive diagnostic testing. Medical-aesthetic services are available by referral only and are provided by independent practices subject to their own consultation, candidacy and pricing. Pulse Connection messages are answered as promptly as circumstances allow but are not emergency coverage and do not replace primary, specialty or emergency care. Call 911 for a medical emergency.

The experience behind Pulse

Clinical depth.
Personal connection.

10,000+ hours of operating-room and procedural experience
Jerod C. Smith providing care in the operating room FOUNDER & PROVIDER

Jerod C. Smith, CRNP

Advanced Practice Provider · Pennsylvania Licensed · Adult-Gerontology Acute Care Certified

Jerod brings a rare breadth of high-acuity clinical and procedural experience to every Pulse patient.

His career has crossed the operating room, neurosurgery, vascular surgery, advanced wound care and cardiovascular medicine—environments where details matter, decisions carry weight and trust is earned.

Former Chairman, Advanced Practice Provider Council
Excela Health Medical Group

Explore Jerod’s clinical experience +
NEUROSURGERY

Brain, spine and complex neurologic care

Experience supporting deep brain stimulation, spinal surgery, cranial nerve disorders and patients navigating complex neurosurgical conditions.

VASCULAR SURGERY

From the operating room to recovery

Hands-on procedural experience including vein harvesting, vascular surgery and the longitudinal care of patients with arterial and venous disease.

ADVANCED WOUND CARE

Helping difficult wounds heal

Extensive wound-management experience, including complex vascular wounds and advanced treatment with cellular and tissue-based skin substitutes.

CARDIOVASCULAR MEDICINE

Seeing risk before it becomes crisis

Current expertise in cardiology and vascular medicine informs a prevention-first approach to weight, metabolic health and long-term wellness.

“I have spent my career caring for people when the stakes were high. Pulse brings that same attention, judgment and commitment to helping people take control before a crisis.”
Adult-Gerontology Acute Care ACLS Certified Licensed in Pennsylvania Former APP Council Chairman 13+ years in complex care 10,000+ procedural hours Cardiology + vascular medicine

Clinical governance

PROVIDER IDENTIFICATION

Jerod C. Smith, CRNP

National Provider Identifier
NPI 1669880993

MEDICAL DIRECTOR · COLLABORATIVE PHYSICIAN

Gennady Geskin, MD

Dr. Geskin is an interventional cardiologist whose work includes the evaluation and treatment of cardiovascular and vascular disease. He serves as Pulse’s medical director and maintains a collaborative agreement with Jerod C. Smith, CRNP.

Patient perspectives

Listening. Explaining.
Following through.

What patients have shared about their experience with Jerod.

GOOGLE

“Jerod Smith is a keeper.”

“Personable, explains things well and thoroughly performs the procedure. The entire experience and outcome was excellent.”

WEBMD

“He explains everything and answers all questions.”

“Followed up multiple times regarding my father’s cardiac testing and Varithena procedures. Knowledgeable, thorough and a great listener.”

HEALTHGRADES

“The appointment wasn’t rushed.”

“Listened and answered all questions. Explains conditions well.”

PATIENT REVIEW

“Jerod is all about patient care.”

Care centered on the person—not simply the appointment.

Patient names and review dates are omitted for privacy and clarity. Individual experiences vary.

Publications & perspectives

Advancing the role of experienced APPs.

Jerod’s work extends beyond individual patient care to the larger conversation about access, quality and the appropriate use of advanced practice providers.

PULSE CLINICAL PERSPECTIVE

GLP-1 Therapy Is More Than a Prescription

Why Jerod’s approach combines careful evaluation, individualized dosing, nutrition, exercise, muscle preservation, cardiovascular risk reduction and direct access to a provider who remains involved.

By Jerod C. Smith, CRNPMetabolic health · Cardiovascular health · Continuity
Read the full article

CASE STUDY PARTICIPANT

Optimal use of APPs can enhance a health system’s post-COVID-19 recovery

An HFMA case study examining how thoughtful utilization of advanced practice providers can improve access, operations and financial sustainability.

Healthcare Financial Management AssociationJerod participated in the work
Read on HFMA

Start here

A simple first step.

Tell us how to reach you and what you’re interested in. This brief form creates a text to Pulse—your medical history stays out of the website.

Prefer direct contact? Call or text 412-223-7674, or email [email protected].

Submitting opens your Messages app. Standard messaging rates may apply.

Take control of your health

Only the present exists.

Contact Pulse