TPMG Coastal Internal Medicine and Tidewater Bariatrics
Verified listingAbout TPMG Coastal Internal Medicine and Tidewater Bariatrics
What is TPMG Coastal Internal Medicine and Tidewater Bariatrics?
TPMG Coastal Internal Medicine and Tidewater Bariatrics is a physician-led primary care practice at 1405 Kempsville Road in Chesapeake, Virginia. It opened in February 2014 and is accepting new patients. Its main work is primary care, in four areas: family medicine, geriatric medicine, internal medicine and pediatrics. Weight loss is the other service it lists. The weight loss side, Tidewater Bariatrics, joined the group in July 2015.
Margaret M. Gaglione, MD, FACP, is the practice's board-certified internist and bariatrician. The other prescribers are Angel Miller, DO, Donald Hastings III, MD, and Erin E. Briscoe, MSN, FNP-C. Dr. Hastings joined in April 2026, and the practice says he is accepting new patients.
In its own words: "Dr. Gaglione and her staff are committed to helping you achieve your weight loss goals through education, treatment, and maintenance programs such as meal programs, grocery store food programs, and the use of pharmaceutical therapeutics, as appropriate."
It lists telemedicine as available, with scheduling by phone. It has a 4.8 rating on Google from 366 reviews.
This listing is for its Hampton office at 2240 Coliseum Dr B.
What does it cost?
It does not publish prices for its weight loss program, its medication, or a consultation. It does publish missed-appointment fees, which are not billed to insurance. A patient who is 20 minutes late or does not show pays $50. A new patient who misses a visit pays $100. A new weight loss patient who misses the 60-minute first appointment pays $125.
It takes insurance and says it participates in Medicare's Advanced Primary Care Management (APCM) program, which gives patients more support between visits. It does not say which other insurers it accepts. It also does not say whether it offers cash-pay rates, financing or membership terms.
What should you ask before you book?
Ask who writes the weight loss prescription and which medication the program uses. The practice does not name one. Ask whether the drug is brand-name or compounded, and whether the program fee includes the medication. It does not say either.
Ask what the consultation, follow-up visits and lab work cost, and whether each is billed to insurance or paid directly. Ask how to cancel a program and whether it requires a contract. Ask which follow-up visits can be done by telemedicine.
If you want hormone, peptide or longevity care, ask first. The practice does not name any of those services. Pediatrics is listed as a service, but the page also says Dr. Gaglione welcomes patients from age 13 on up, so ask how those fit together if you are bringing a child. You can call (757) 842-6267.
Who is it a good fit for?
This is a good fit if you want a primary care practice that also runs a weight loss program, with a physician or nurse practitioner prescribing, and you are willing to get the costs in writing before you start. If you are looking for hormone, peptide or longevity care, this practice does not name those services, so ask before you assume it offers them.
Services Offered
What we confirmed
Read off TPMG Coastal Internal Medicine and Tidewater Bariatrics’s own website on 2026-10-13. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “Dr. Gaglione and her staff are committed to helping you achieve your weight loss goals through education, treatment, and maintenance programs such as meal programs, grocery store food programs, and the use of pharmaceutical therapeutics, as appropriate.” source
Hours
Monday: 8:00 AM - 4:30 PM Tuesday: 8:00 AM - 4:30 PM Wednesday: 8:00 AM - 4:30 PM Thursday: 8:00 AM - 4:30 PM Friday: 8:00 AM - 4:30 PM