Find a doctor who still runs their own practice.
84 physician-led concierge and direct primary care practices across 25 states. Fewer patients each, so the time you get is real.
Most “concierge” networks are one company. This is 84 practices that each answer to their own patients.
Every practice in this directory is led by the physicians who run it, and keeps operational control of how it treats people. Nobody above them sets the panel size, the appointment length, or how long you wait.
That is a membership condition, not a marketing line. Practices apply, disclose their ownership structure, and are approved by the alliance board. If a practice sells control, it has thirty days to say so.
Why the visit is longer
A traditional primary care physician carries two thousand patients or more. A concierge or direct primary care physician deliberately carries a fraction of that.
That single decision is the entire model. The longer appointment, the same-week opening, the physician who remembers what you said last time, none of it is goodwill. It is arithmetic. Fewer people to look after means more of the day available for each one.
MDVIP, the largest national concierge program, publishes a target of roughly 600 patients per physician against 2,000 or more in traditional practice. Practices in the PPA network set their own panel limits, so ask the practice.
Worth saying plainly: this is not for everyone.
Worth it if
- You manage something ongoing and coordinate more than one specialist.
- You are caring for a parent, or someone is caring for you.
- You travel and need care that follows you.
- Something was missed once, and it changed how you feel about all of this.
Probably not if
- You are well, go once a year, and do not mind who you see.
- A membership fee on top of insurance is not workable right now.
- What you need is a specialist, not primary care.
Browse by state
84 practices across 71 cities and 25 states.
Questions people ask first
- What is a concierge doctor?
- A concierge doctor is a primary care physician who limits how many patients they take and charges a membership fee, in exchange for longer appointments, direct access, and same-day or next-day availability. The smaller panel is what makes the added time possible.
- How is this different from MDVIP?
- MDVIP is a single national programme that physicians affiliate with. The Private Physicians Alliance is a peer network of separately owned practices. Every member practice is led by the physicians who run it and retains operational control, and each sets its own fees, panel size, and services. You are choosing a practice, not enrolling in a programme.
- How is concierge medicine different from direct primary care?
- Both charge a membership fee for a smaller panel and better access. Concierge practices typically still bill your insurance for visits, with the membership fee covering access and added services. Direct primary care practices usually do not bill insurance at all, and the membership fee covers care directly.
- Do concierge doctors take insurance?
- Many do. A concierge practice commonly bills insurance for covered visits while the membership fee covers access and longer appointments. Direct primary care practices more often operate outside insurance entirely. It varies by practice, so ask.
- How much does it cost?
- Fees are set by each practice, not by the alliance, and vary by region and what is included. Every listing here links to the practice website.
- Is it worth it?
- It depends what you need from primary care. If you are well, rarely need your doctor, and are content seeing whoever is available, a membership fee may not buy you much. If you manage an ongoing condition, coordinate care for a parent, travel often, or want one physician who knows your history, the value is in access and continuity.