1. Executive Summary
The Miami metropolitan area is the fourth-largest concierge medicine market in the United States, behind LA, NYC, and DC. NextMD lists 172 physician-led concierge and direct primary care (DPC) practices across Miami-Dade, Broward, and Palm Beach counties, supported by 231 Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO) physicians [1]. Concierge retainers run $2,000 to over $40,000 a year, with a metro-wide concierge median of $217 a month [1]. The defining feature is an unusually dense hospital-system concierge layer: three out-of-region branded programs (Cleveland Clinic, Mount Sinai New York, Sollis Health) operating in Palm Beach alongside the in-region academic UHealth Premier, a configuration not common nationally [2][3][4][5].
2. Miami Metro Concierge & DPC Market At a Glance
Metric | Value |
|---|---|
MSA population (2025) | 6.39 million |
Practices on NextMD | 172 |
Physicians (MD/DO) | 231 (192 MD, 39 DO) |
Practices per 100k | 2.69 |
Concierge / DPC / hybrid share | 81% / 11% / 5% |
Concierge median membership | $217/mo (n=43, 31% disclosure) |
Top sub-city | Boca Raton (44 practices) |
Major hospital systems | Baptist Health, UHealth, Jackson Health, Cleveland Clinic Florida |
3. Market Size & Scope
The Miami MSA covers Miami-Dade, Broward, and Palm Beach counties: 6.4 million residents across more than 30 municipalities [6]. NextMD's 172 listed practices place the metro fourth nationally, behind LA (222), NYC (210), and DC (176) [1].
The distinctive structural feature is that the market is not centered on its anchor city. Miami proper has only 20 listed practices [7]. Most of the supply sits 50 miles north in Palm Beach County, where Boca Raton accounts for 44 practices, West Palm Beach for 18, and Palm Beach Gardens, Boynton Beach, Jupiter, Delray Beach, and Wellington combine for another 33 [1]. Palm Beach County holds 92 of the metro's 172 practices (53%) in a county that has 25% of the population [6]. The snowbird and retiree economy drives the inversion. LA shows a similar anchor-decentering pattern at metro scale.
4. The Physician Bench: Who Are the Miami Metro's Concierge & DPC Doctors?
Training pedigree. Disclosed training-history coverage is sparse (top-10 schools sum to 33 doctors, biased toward bios with richer online detail). Within that subset, the most common feeders are the University of Florida and Philadelphia College of Osteopathic Medicine (PCOM) at four physicians each, Ross University at four, and a combined University of Miami complex at nine [1]. The PCOM concentration drives a 17% osteopathic share (39 DOs of 231 physicians), the highest of any top-10 metro versus 7 to 14% in LA, NYC, and DC [1][2]. The Caribbean medical school footprint (Ross and St. George's) is also more visible here than in other top-10 metros.
Experience profile. Among physicians with disclosed years in practice (n=47 of 231, 20%), the median is 23 years post-residency, with the middle 50% spanning 16 to 30 years [1]. This skews more experienced than the national primary-care average, consistent with concierge being a mid-to-late-career conversion model [8].
Specialty mix. Internal medicine (115) and family medicine (55) dominate. Preventive medicine appears on 136 of 231 doctor profiles as a self-identified focus, and functional medicine on 47 (20%), the highest concentration in the top 10 [1]. Spanish-language service is standard; Portuguese is available at a subset of practices.
5. What Concierge Medicine Costs in the Miami Metro
Among the 43 concierge practices that disclose a fee (31% of the 139 concierge practices), the median is $217 per month and the mean is $325 per month [1]. Disclosed fees span $99 to $3,000 per month [1]. For broader context, see our guide on how concierge medicine pricing works across the US.
The metro splits into three pricing tiers:
Entry ($2,000 to $3,000 per year). Boca General & Family Medicine at $2,000, MDVIP physicians across Palm Beach at $2,500 to $3,500, and Okonkwo Care Pediatrics at $299 per month.
Premium ($3,000 to $6,000 per year). Richard Martinoff, MD at $5,150 (SignatureMD), STARDOC Pediatrics at $4,000.
Ultra-premium (over $12,000 per year, frequently above $40,000). Dr. Ben Soffer caps his Boca panel at 50 patients with custom pricing; Dr. Rosanel caps Miami at under 40. The Palm Beach metro division advertises the highest blended membership average of any NextMD metro at $506 per month, driven by this tier [9].
DPC is uncommon here. It runs $68 to $250 per month with a $110 median, and EmpowerMed at $110 in Miami is the most-cited option [1].
6. Practice Models in the Miami Metro: Concierge vs DPC vs Hybrid
The Miami metro is 81% concierge, 11% DPC, 5% hybrid, 2% performance health, 1% specialty [1]. The 81% concierge share is the highest in the top 10, ahead of NYC (78%) and DC (74%) [2][10]. DPC supply is concentrated in Miami-Dade and Broward; Boca Raton and Palm Beach County operate with effectively zero flat-fee DPC, a market gap the Boca city-page FAQ flags directly [11]. For trade-offs between models, see our concierge vs DPC comparison.
7. Sub-Region Deep Dive: Where Miami Metro Practices Cluster
Palm Beach County (92 practices, 53% of metro)
Boca Raton (44 practices) is the densest concierge sub-market in the metro. The Boca market splits along I-95 into East Boca (older retirees, MDVIP-heavy, internal medicine) and West Boca (families, the metro's strongest pediatric concierge cluster including VIPediatrics and Pediatric Wellness Concierge by Dr. Levy).
West Palm Beach (18 practices) is anchored by two out-of-region brands: a Cleveland Clinic concierge office and a Mount Sinai New York Concierge Care satellite serving snowbirds. Palm Beach Gardens, Jupiter, Delray Beach, and Wellington round out the county.
Miami-Dade County (50 practices, 29% of metro)
Miami (20 practices) and Miami Beach (13) anchor the county, with Coral Gables (6), Doral, Aventura, and Pinecrest filling out. The distinctive feature is UHealth Premier, the University of Miami Health System's concierge program (11 physicians), the only academic-medical-center concierge program in Florida [7]. Miami's $205 per month average membership is below Boca's, reflecting a younger demographic.
Broward County (30 practices, 17% of metro)
Fort Lauderdale (6) and Plantation (5) anchor a more value-tier market that skews toward MDVIP and SignatureMD network practices.
8. Notable Practices in the Miami Metro
UHealth Premier (Miami). University of Miami Health System concierge program, 11 physicians. The only academic-medical-center concierge program in Florida, integrated with Bascom Palmer Eye Institute and Sylvester Comprehensive Cancer Center.
Dr. Ben Soffer Concierge Medicine (Boca Raton). 50-patient cap, custom pricing, house calls, direct cell access, and flexible seasonal plans for split-time residents.
Cleveland Clinic Concierge Medicine, West Palm Beach. Two physicians, with referral pathways into Cleveland Clinic Weston and the planned Cleveland Clinic West Palm Beach campus.
Mount Sinai New York Concierge Care (West Palm Beach). Four physicians. A Florida satellite of Mount Sinai's New York concierge program, designed for patients who winter in Palm Beach.
VIPediatrics (Boca Raton). Five pediatricians, $3,250 per year, hour-long appointments, BioFire rapid polymerase chain reaction (PCR) testing. The largest pediatric concierge group on NextMD in this metro.
Sollis Health Boca Raton Center. Members-only concierge urgent care, the Florida outpost of Sollis Health (also active in New York, LA, and the Hamptons).
Timeless Health (Miami). Longevity-medicine concierge, founded by Dr. Elliot Dinetz, serving over 1,000 patients across 11 countries.
9. Specialties Available
Beyond the dominant internal-medicine and family-medicine bench (Section 4), the metro's distinctive specialty depth is in functional medicine, preventive medicine, and pediatric concierge [1]. Cardiology concierge is represented by Crandall Concierge Medicine & Cardiology in West Palm Beach and Miami Center for Advanced Cardiology. Executive health appears on 12 physician profiles, often tied to the snowbird and corporate-retiree demographic.
10. Who Concierge Medicine Serves in the Miami Metro
Three patient archetypes drive demand: seasonal high-net-worth retirees in Palm Beach who want continuity between a Northeast home and a Florida winter home; dual-income West Boca and Coral Gables families seeking pediatric concierge with house calls and rapid diagnostics; and international and Latin American patients routed through Baptist Health (over 12,000 international patients annually) and UHealth International (7,000 more) who retain a US-based concierge physician for ongoing care between trips [12]. The bilingual physician supply makes this last archetype practical at scale.
11. Access & Availability in 2026
Most concierge practices in Palm Beach County are at or near panel capacity entering 2026; five named MDVIP and SignatureMD physicians on the Boca Raton city page are explicitly closed to new patients. Strict-cap practices such as Dr. Soffer and Dr. Rosanel maintain year-round access. House-call coverage is more common in this metro than in any other top-10 market, in part to navigate Miami traffic and reach Fisher Island, Star Island, and gated Palm Beach communities.
12. How the Miami Metro Compares to Other Top Markets
Metric | Miami | NYC | LA | DC |
|---|---|---|---|---|
Practices | 172 | 210 | 222 | 176 |
Practices per 100k population | 2.69 | 1.04 | 1.62 | 2.72 |
Concierge share | 81% | 76% | 73% | n/a |
Concierge median fee | $217/mo | n/a | $208/mo | n/a |
DO share | 17% | 8.5% | 14.2% | 7% |
Miami carries the highest concierge model share and the highest osteopathic share of any top-10 metro on NextMD [1][2][3][4]. Cross-metro median-fee disclosure rates vary, so cells are blank where the peer report does not publish a directly comparable median.
13. The 2026 Outlook for the Miami Metro
Two forces are shaping the market over the next 18 months. The planned Cleveland Clinic West Palm Beach campus will add a second academic-medical-center concierge option alongside UHealth Premier. MDVIP capacity is tightening across Boca Raton, with five MDVIP and SignatureMD physicians closed to new patients on the city page, pointing to new-entrant pressure in 2026. The Charlesbank–Goldman Sachs Asset Management co-ownership of MDVIP also continues to shape branded-supply consolidation across South Florida [13].
14. How to Choose a Concierge or DPC Doctor in the Miami Metro
Match sub-region to life pattern. Palm Beach for seasonal residents; West Boca and Coral Gables for families; Miami-Dade for professionals who want UHealth Premier's academic-system access.
Ask about seasonal panel management. Strict-cap practices stay open year-round; non-capped practices may be harder to reach November through April.
Verify hospital affiliation. Baptist Health, UHealth, Jackson Health, and Cleveland Clinic Florida have different referral networks.
Compare panel size, not just price. See our guide on how to choose the right concierge or DPC doctor, including the ER-reduction data small panels enable.
Sources & Methodology
[1, 10] NextMD practice and practitioner census (2026-04-19); Miami slice:
miami-metro-aggregate-2026-04-19.json.Live spot-check of NextMD city pages, 2026-05-09 (Boca Raton, Miami, West Palm Beach).
US Census Bureau Vintage 2025 estimates, Miami-Fort Lauderdale-West Palm Beach FL MSA: https://www.census.gov/data/tables/time-series/demo/popest/2020s-total-metro-and-micro-statistical-areas.html
[7, 12, 14] NextMD Miami city page (Baptist Health and UHealth International patient volumes; AMN Healthcare 2025 wait-time survey).
[9, 11] NextMD Boca Raton city page.
[13] Goldman Sachs concierge-adjacent healthcare, covering the Charlesbank–Goldman MDVIP co-ownership.