1. Executive Summary
NextMD lists 135 concierge and direct primary care (DPC) practices and 220 physicians across the Dallas-Fort Worth metro, the fifth-largest concierge and DPC market in the US and the largest single-state metro in the Sun Belt [1][2]. Monthly fees run from $29 to $1,500, with a metro median of $165 and a blended average of $146 [1][2]. The notable signal is the model split: DFW's 33% DPC share is more than double Los Angeles's 15% and more than eight times New York's 4% [1][2], anchored on a Texas-trained physician bench (57% of disclosed-school physicians attended UT Southwestern, UNTHSC, UTMB Galveston, or another in-state program) [1].
2. DFW Metro Concierge & DPC Market At a Glance
Metric | Value |
|---|---|
Metro population (2024) | 8.48M [3] |
National rank | 5 |
Practices / physicians | 135 / 220 [2] |
Density | 1 per 63,000 residents [2] |
Model split | 59% concierge / 33% DPC / 7% hybrid / 1% performance [1] |
Fee range / median | $29 to $1,500 / $165 [1] |
Blended average fee | $146 [2] |
MD / DO share | 84% / 14% [1] |
Top medical school | UT Southwestern (16 of n=122) [1] |
Top hospital systems | UT Southwestern, Baylor Scott & White, Texas Health Resources [2] |
3. Market Size & Scope
The Dallas-Fort Worth-Arlington metropolitan statistical area (MSA) is the fourth-largest US metro by population (8.48 million) and the fifth-largest concierge and DPC market by practice count (135) [2][3]. DFW sits ahead of Houston (118), Atlanta (104), Chicago (93), Philadelphia (92), and Phoenix (78), and trails LA (222), NYC (210), DC (176), and Miami (172) [2].
Density runs at about one practice per 63,000 residents, mid-range among top-10 metros [2]. The metro's distinctive signal is model balance. Coastal markets run 70 to 80% concierge with low single-digit DPC; DFW runs 59% concierge and 33% DPC. The Texas DPC movement, built on family-medicine training pipelines and a self-pay-friendly small-business economy, scales here in a way it does not in NYC or LA [4].
4. The Physician Bench: Who Are the DFW Metro's Concierge & DPC Doctors?
NextMD lists 220 physicians across the metro's concierge and DPC practices. Of the 214 with disclosed degree, 184 (84%) are doctors of medicine (MD) and 30 (14%) are doctors of osteopathic medicine (DO) [1]. The osteopathic share traces to UNTHSC in Fort Worth, which trained 15 listed physicians.
Training pedigree. Among DFW physicians with disclosed medical schools (n=122 of 220, 56%), 57% trained in Texas. Top feeders: UT Southwestern (16), UNTHSC (15), UT Health Houston (12), UTMB Galveston (11), UT Health San Antonio (7) [1]. Among disclosed residencies (n=115), John Peter Smith in Fort Worth (12) and Parkland / UT Southwestern in Dallas (12) supply the largest blocks.
Experience. Disclosed residency end years (n=36 of 220, 16%) put the median DFW concierge physician at 24 years post-training; the sample skews toward physicians with richer online bios, and 64% of it is at least 20 years past residency.
Carrie Carter, MD at CC:MD trained at UT Southwestern for both school and residency and runs the metro's highest-priced practice at $1,500/mo. Todd K. Cowan, MD at Todd K. Cowan, MD in Fort Worth trained at Texas Tech, finished Family Medicine residency at JPS in 1988, and remains an established Fort Worth concierge name [1].
5. What Concierge Medicine Costs in the DFW Metro
Of the 137 DFW practices, 81 (59%) disclose pricing. Monthly fees run from $29 to $1,500, with a median of $165 [1]. The blended fee on the live DFW directory page is $146, pulled down by the DPC tilt [2].
Ultra-premium concierge ($400 and up). CC:MD at $1,500, Elle Medicine at $833, Highland Park Concierge Medicine at $625, Ivalo MD at $475. MD² Dallas operates here without a published fee; the live directory cites a panel of roughly 50 families per doctor [2].
Standard concierge ($150 to $400). The largest band. MDVIP-network physicians cluster at $183 to $208 (e.g., MDVIP - Mitch Carroll, MD at $208). Methodist Premier Wellness at $200 is the hospital-affiliated option.
DPC ($29 to $200). Mila Family Health in Fort Worth at $29 sets the floor, and Paradigm Family Health in Dallas at $150 sits at the DPC top.
For national pricing context, see how much does concierge medicine cost.
6. Practice Models in the DFW Metro: Concierge vs DPC vs Hybrid
The DFW model split runs 59% concierge, 33% direct primary care, 7% hybrid, and 1% performance medicine across 137 practices [1]. The DPC share is roughly triple the national average and matches the Texas-statewide DPC rate of 32% [4].
The driver is cost. DPC fees ($29 to $200) sit at one-tenth to one-fifth of the ultra-premium concierge ceiling, and Texas DPC scales on employer-direct contracts, small-business owners, and self-employed working professionals. Concierge coexists, concentrated on the Walnut Hill corridor in Dallas and select suburban pockets in Southlake and Frisco. See the full concierge vs DPC comparison.
7. Sub-Region Deep Dive: Where DFW Practices Cluster
Dallas County (55 practices, 40%). Dallas city proper holds 45 listings; smaller clusters sit in Irving, Richardson, and Cedar Hill. The Park Cities / Walnut Hill corridor holds the metro's premium concierge: CC:MD at $1,500, Highland Park Concierge Medicine at $625, and MD² Dallas. Baylor Scott & White Signature Medicine anchors the hospital-affiliated tier on the same corridor.
Tarrant County (43 practices, 31%). Fort Worth and its suburbs form a separate urban core that leans DPC. Fort Worth has 12 listings; Mila Family Health at $29 sets the metro floor and Devoted DPC at $80 is a typical mid-tier. Southlake (8) and Grapevine (5) add higher-priced concierge such as Helix Internal Medicine.
Collin County (29 practices, 21%). The North Dallas growth corridor (McKinney 11, Frisco 7, Plano 7) covers the family-affluent and tech-employed segment. Ivalo MD at $475 anchors McKinney's premium tier; Bliss Direct Primary Care at $75 anchors Plano's DPC side; Frisco Concierge Medicine at $333 anchors Frisco.
Denton County and outliers (about 10 practices). Denton, Highland Village, Flower Mound, and Lewisville host a smaller cluster, with Bruce Linden, MD at $212 and Precision Direct Primary Care at $50 as the two pricing ends.
8. Notable Practices in the DFW Metro
Selected across model and price tier (listings, not endorsements):
CC:MD (Dallas, concierge, $1,500/mo): metro's highest-priced practice; Walnut Hill Lane.
MD² Dallas (Dallas, concierge): national ultra-premium network; about 50 families per doctor.
Baylor Scott & White Signature Medicine (Dallas, concierge): BSW's hospital-affiliated concierge line.
Methodist Premier Wellness (Dallas, concierge, $200/mo): second hospital-affiliated option.
Fountain Life (The Colony, performance): metro's only performance-medicine listing.
Elam Health and Wellness (McKinney, concierge, $295/mo): North Dallas suburban anchor.
Mila Family Health (Fort Worth, DPC, $29/mo): metro pricing floor.
Paradigm Family Health (Dallas, DPC, $150/mo): established Dallas DPC.
Bliss Direct Primary Care (Plano, DPC, $75/mo): Collin County DPC standard.
Integrative Medical of DFW (Coppell, hybrid, $49/mo): hybrid functional / primary care.
9. Specialties Available
Across the 137 DFW practices [1]:
Specialty | Count | Share |
|---|---|---|
Preventive Medicine | 91 | 66% |
Family Medicine | 69 | 50% |
Internal Medicine | 59 | 43% |
Functional Medicine | 35 | 26% |
Primary Care | 27 | 20% |
Executive Health | 13 | 9% |
Practices typically tag multiple specialties. The 50% Family Medicine share runs above the national average and reflects the DPC tilt. Internal Medicine concentrates in Dallas County and Southlake; Family Medicine dominates Fort Worth.
10. Who Concierge Medicine Serves in the DFW Metro
The DFW metro is the fourth-largest US metro at 8.48 million residents [3]. Three archetypes fit the local market:
Established Dallas executives in Park Cities, Highland Park, and University Park match to the Walnut Hill corridor's premium tier.
Family-affluent Collin County professionals in McKinney, Frisco, and Plano fit the $150 to $400 a month standard concierge band.
Self-pay and small-business families in Fort Worth and Tarrant County fit the DPC tier ($29 to $200). The Fort Worth DPC concentration is the deepest of any DFW sub-region.
11. Access & Availability in 2026
The live DFW directory shows about one concierge or DPC practice per 63,000 residents, with the metro-wide average wait to see a traditional-care primary physician at 21 days [2]. Concierge and DPC practices typically offer same- or next-day visits, direct physician phone and text access, and longer appointment windows.
Panel status changes month to month; patients should call directly to confirm new-patient acceptance. The 137 DFW listings are filtered to MD- and DO-led practices; nurse-practitioner-led primary care exists in the metro but sits outside concierge and DPC scope.
12. How the DFW Metro Compares to Other Top Markets
Metric | DFW | NYC | LA | DC | Miami |
|---|---|---|---|---|---|
Practices | 135 | 210 | 222 | 176 | 172 |
Physicians | 220 | 388 | 332 | 324 | 231 |
Rank | 5 | 2 | 1 | 3 | 4 |
Concierge share | 59% | 76% | 73% | 74% | 81% |
DPC share | 33% | 4% | 15% | low | 11% |
DFW carries the lowest concierge share and highest DPC share of the top-five US metros. The 33% DPC figure is more than double LA's 15% and more than eight times NYC's 4% [1][2]. Texas is the leading DPC state [4], and DFW carries a proportional share.
13. The 2026 Outlook for the DFW Metro
The DFW practice count rose from a cached 126 in April 2026 to 135 in mid-May. Two trends to watch: the Collin County exurb corridor (McKinney, Frisco, Prosper, Allen) continues to add practices fastest as family-affluent households migrate in from California, the Northeast, and Chicago; and the Fort Worth DPC concentration continues to attract employer-direct contracts. Hospital-affiliated concierge stays the smallest tier, with Baylor Scott & White Signature Medicine and Methodist Premier Wellness as the listed examples.
14. How to Choose a Concierge or DPC Doctor in the DFW Metro
Decide model first. Flat-fee primary care under $200/mo points to DPC; layered access on top of full insurance points to concierge.
Match to hospital system. Baylor admissions point to BSW Signature Medicine; Methodist to Methodist Premier Wellness; UT Southwestern to Parkland-trained physicians.
Match by sub-region. Park Cities / Walnut Hill for ultra-premium; Southlake for Tarrant concierge; Collin County for family-affluent suburban concierge; Fort Worth for lowest-priced DPC.
Confirm new-patient acceptance. Panel status changes month to month.
See how to choose the right concierge or DPC doctor.
16. Sources & Methodology
NextMD practice and practitioner census (
practices-master.csvv2.2-core,practitioners-master.csvv2.1-core, refreshed 2026-04-19).Live
nextmd.ai/city/dfw-metrodirectory page, Firecrawl scrape 2026-05-14.US Census Bureau MSA population estimate, Dallas-Fort Worth-Arlington TX (2024).
Internal Texas market analysis,
03_wiki/Markets/texas-market.md.