NextMD lists over 6,000 concierge and direct primary care (DPC) practices in the United States, staffed by 8,500 Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO) physicians. This report ranks where those practices are, what they charge, and where their doctors trained.
All figures come from NextMD directory data as of June 2026. In this report, "concierge medicine" refers to all physician-led membership care, both concierge and DPC. Fees are monthly; where a practice charges an annual retainer, it is converted to a monthly figure. City and state fee figures are the median across practices that publish a price.
Table of Contents
Concierge and DPC practices by state
The 20 largest city markets
The 10 most expensive cities
The 10 most affordable cities
The 30 most common medical schools
Market size and growth
Pricing and practice models
Private equity and the MDVIP sale
Why doctors are converting
Company moves in the past year
FAQ
Practices by State, All 50 States
Five states hold 40% of the national market. Florida, California, and Texas alone hold 31%.
Rank | State | Practices | % of US | Median fee | DPC share |
|---|---|---|---|---|---|
1 | Florida | 699 | 11.3% | $182/mo | 21% |
2 | California | 651 | 10.5% | $200/mo | 15% |
3 | Texas | 571 | 9.2% | $150/mo | 33% |
4 | New York | 361 | 5.8% | $190/mo | 12% |
5 | Georgia | 207 | 3.3% | $175/mo | 34% |
6 | Pennsylvania | 196 | 3.2% | $179/mo | 28% |
7 | Virginia | 190 | 3.1% | $150/mo | 31% |
8 | North Carolina | 185 | 3.0% | $100/mo | 48% |
9 | Colorado | 178 | 2.9% | $139/mo | 42% |
10 | Illinois | 171 | 2.8% | $150/mo | 25% |
11 | Arizona | 170 | 2.7% | $179/mo | 26% |
12 | Maryland | 157 | 2.5% | $179/mo | 11% |
13 | Michigan | 146 | 2.4% | $170/mo | 39% |
14 | Ohio | 144 | 2.3% | $149/mo | 35% |
15 | New Jersey | 141 | 2.3% | $190/mo | 7% |
16 | Tennessee | 137 | 2.2% | $165/mo | 34% |
17 | Washington | 137 | 2.2% | $125/mo | 50% |
18 | Massachusetts | 136 | 2.2% | $208/mo | 32% |
19 | South Carolina | 115 | 1.9% | $179/mo | 30% |
20 | Indiana | 104 | 1.7% | $125/mo | 49% |
21 | Missouri | 89 | 1.4% | $122/mo | 48% |
22 | Nevada | 89 | 1.4% | $199/mo | 16% |
23 | Oklahoma | 78 | 1.3% | $109/mo | 47% |
24 | Alabama | 74 | 1.2% | $167/mo | 28% |
25 | Oregon | 74 | 1.2% | $125/mo | 64% |
26 | Connecticut | 70 | 1.1% | $183/mo | 16% |
27 | Louisiana | 65 | 1.1% | $167/mo | 23% |
28 | Kentucky | 64 | 1.0% | $165/mo | 39% |
29 | Kansas | 61 | 1.0% | $80/mo | 67% |
30 | Maine | 52 | 0.8% | $122/mo | 73% |
31 | Utah | 49 | 0.8% | $150/mo | 35% |
32 | Delaware | 48 | 0.8% | $179/mo | 23% |
33 | Wisconsin | 45 | 0.7% | $85/mo | 73% |
34 | Minnesota | 38 | 0.6% | $105/mo | 66% |
35 | Idaho | 35 | 0.6% | $125/mo | 60% |
36 | District of Columbia | 32 | 0.5% | $190/mo | 3% |
37 | New Mexico | 29 | 0.5% | $179/mo | 28% |
38 | Arkansas | 29 | 0.5% | $110/mo | 66% |
39 | Hawaii | 29 | 0.5% | $208/mo | 24% |
40 | Rhode Island | 29 | 0.5% | $194/mo | 14% |
41 | Nebraska | 25 | 0.4% | $122/mo | 48% |
42 | New Hampshire | 25 | 0.4% | $150/mo | 72% |
43 | Montana | 25 | 0.4% | $82/mo | 80% |
44 | Vermont | 20 | 0.3% | $177/mo | 40% |
45 | Iowa | 18 | 0.3% | $94/mo | 56% |
46 | Mississippi | 18 | 0.3% | $112/mo | 56% |
47 | Wyoming | 16 | 0.3% | $75/mo | 44% |
48 | West Virginia | 8 | 0.1% | $85/mo | 62% |
49 | Alaska | 6 | 0.1% | $150/mo | 17% |
50 | South Dakota | 6 | 0.1% | $167/mo | 50% |
51 | North Dakota | 4 | 0.1% | $150/mo | 25% |
A further 138 practices are listed without a confirmed state and are excluded from this table. The DPC share column shows the percentage of each state's practices that are direct primary care. DPC is the majority model in lower-cost states such as Montana (80%), Maine (73%), Wisconsin (73%), and Kansas (67%). Browse practices by state, including Florida and Texas, on the state pages.
The 20 Largest City Markets
New York City is the single largest market, with 152 practices.
Rank | City | Practices | Median fee | DPC share |
|---|---|---|---|---|
1 | New York, NY | 152 | $282/mo | 3% |
2 | Houston, TX | 74 | $178/mo | 11% |
3 | Chicago, IL | 58 | $224/mo | 12% |
4 | Naples, FL | 58 | $262/mo | 3% |
5 | Austin, TX | 54 | $192/mo | 11% |
6 | Scottsdale, AZ | 54 | $208/mo | 11% |
7 | Dallas, TX | 53 | $208/mo | 9% |
8 | Boca Raton, FL | 52 | $208/mo | 4% |
9 | San Antonio, TX | 49 | $175/mo | 41% |
10 | Atlanta, GA | 47 | $208/mo | 13% |
11 | Las Vegas, NV | 45 | $204/mo | 22% |
12 | Nashville, TN | 39 | $208/mo | 15% |
13 | Charlotte, NC | 37 | $142/mo | 30% |
14 | Washington, DC | 32 | $190/mo | 3% |
15 | Beverly Hills, CA | 32 | $410/mo | 0% |
16 | Tampa, FL | 32 | $185/mo | 31% |
17 | San Francisco, CA | 31 | $150/mo | 10% |
18 | Newport Beach, CA | 31 | $412/mo | 6% |
19 | Tucson, AZ | 26 | $179/mo | 23% |
20 | Carmel, IN | 25 | $165/mo | 40% |
The 10 Most Expensive Cities
This ranking covers cities with at least 10 practices and at least 6 that publish a fee, ranked by median monthly fee across all membership practices. Eighty-seven cities meet that bar.
Rank | City | Median fee | Practices |
|---|---|---|---|
1 | Newport Beach, CA | $412/mo | 31 |
2 | Beverly Hills, CA | $410/mo | 32 |
3 | New York, NY | $282/mo | 152 |
4 | Franklin, TN | $262/mo | 19 |
5 | Naples, FL | $262/mo | 58 |
6 | Wellesley, MA | $250/mo | 13 |
7 | Los Angeles, CA | $250/mo | 25 |
8 | San Diego, CA | $250/mo | 20 |
9 | Sarasota, FL | $233/mo | 16 |
10 | Tarzana, CA | $227/mo | 10 |
The 10 Most Affordable Cities
Same criteria, ranked from the lowest median monthly fee.
Rank | City | Median fee | Practices |
|---|---|---|---|
1 | Columbus, OH | $99/mo | 12 |
2 | Overland Park, KS | $99/mo | 16 |
3 | Fort Myers, FL | $100/mo | 18 |
4 | Grand Rapids, MI | $100/mo | 10 |
5 | Alpharetta, GA | $100/mo | 12 |
6 | New Braunfels, TX | $100/mo | 13 |
7 | Orlando, FL | $102/mo | 22 |
8 | Raleigh, NC | $109/mo | 15 |
9 | Arlington, VA | $110/mo | 10 |
10 | Portland, OR | $110/mo | 17 |
The affordable markets are DPC-heavy. The expensive markets are concierge-heavy and coastal.
The 30 Most Common Medical Schools
This counts the medical school listed for each of the 8,744 physicians in the directory; 5,610 list a school. The two most common are Caribbean schools, St. George's University and Ross University.
Rank | Medical School | Physicians |
|---|---|---|
1 | St. George's University School of Medicine | 84 |
2 | Ross University School of Medicine | 82 |
3 | Philadelphia College of Osteopathic Medicine | 80 |
4 | Indiana University School of Medicine | 59 |
5 | University of California | 58 |
6 | Medical College of Georgia | 51 |
7 | Lake Erie College of Osteopathic Medicine | 45 |
8 | Georgetown University School of Medicine | 43 |
9 | New York Medical College | 39 |
10 | Western University of Health Sciences | 36 |
11 | University of Maryland School of Medicine | 33 |
12 | New York College of Osteopathic Medicine | 32 |
13 | University of Washington School of Medicine | 32 |
14 | Medical University of South Carolina | 30 |
15 | Boston University School of Medicine | 28 |
16 | Baylor College of Medicine | 28 |
17 | Albert Einstein College of Medicine | 28 |
18 | Temple University School of Medicine | 28 |
19 | Nova Southeastern University College of Osteopathic Medicine | 27 |
20 | Wayne State University School of Medicine | 26 |
21 | Michigan State University College of Osteopathic Medicine | 25 |
22 | University of Texas Medical Branch | 25 |
23 | Jefferson Medical College | 25 |
24 | Eastern Virginia Medical School | 25 |
25 | Des Moines University | 24 |
26 | Medical College of Wisconsin | 24 |
27 | Emory University School of Medicine | 24 |
28 | Tufts University School of Medicine | 23 |
29 | Midwestern University | 23 |
30 | University of Alabama School of Medicine | 23 |
Nine of the top 30 are colleges of osteopathic medicine, which matches the directory's overall mix of roughly 80% MD and 20% DO physicians. University systems with multiple campuses, such as the University of California, are grouped as listed in physician bios.
Market Size and Growth
The published market-size estimates disagree. Grand View Research values the US concierge market at $7.35 billion in 2024, reaching $13.23 billion by 2030 at a 10.33% annual growth rate.[1] Precedence Research puts 2024 closer to $6.14 billion.[2] DPC estimates range from about $1 billion to over $70 billion depending on the definition.[3]
The most reliable growth figure counts practices, not dollars. A Health Affairs study found the number of concierge and DPC practice sites grew more than 80% between 2018 and 2023, and corporate-owned sites grew more than fivefold.[4]
Pricing and Practice Models
Concierge is 58% of practices, DPC is 30%, and hybrid, specialty, and performance models make up the rest.
Model | Share | Median fee | Publishes a price |
|---|---|---|---|
Concierge (higher priced practices tend | 58% | $196/mo | 47% |
Direct primary care | 30% | $99/mo | 72% |
Hybrid | 7% | $125/mo | 51% |
Specialty membership | 3% | $147/mo | 14% |
Performance / longevity | 2% | $229/mo | 20% |
Among concierge practices that publish a fee, 94% charge under $5,000 a year, 5% charge $5,000 to $12,000, and 1% charge $12,000 or more. DPC practices are more likely to publish a price than concierge practices, 72% against 47%. The American Academy of Family Physicians (AAFP) reports DPC fees of $50 to $100 a month, and Hint Health puts the median individual membership near $80.[5] For a full breakdown, see the concierge vs DPC comparison.
Private Equity and the MDVIP Sale
Private equity is buying concierge practices. Eighty percent of listed practices are solo, and 73.5% belong to no national network, which makes the market a target for roll-ups. In September 2025, Revelstoke Capital Partners, with about $5.5 billion under management, bought Griffin Concierge Medical as the tenth platform investment of its third fund.[6]
MDVIP is the largest concierge network, with more than 1,400 physicians and 430,000 members, and accounts for 23% of the practices NextMD lists.[7] Goldman Sachs Asset Management and Charlesbank Capital Partners have owned it since 2021.[8] Both firms are in the back half of a typical five-to-seven-year hold, and a sale is widely expected in 2026 or 2027, though none has been announced. NextMD tracks the full ownership map in its guide to private equity in concierge medicine.
Why Doctors Are Converting
Doctors move to concierge and DPC for autonomy. AAFP data shows DPC family physicians report 94% satisfaction, against 57% outside the private medicine model, and 12% burnout, against 46%.[5] The share of AAFP family physicians running a DPC practice tripled from 3% in 2022 to 9% in 2023.[5] Their average income, $288,779 in 2024, is about the family-physician average.[5] The directory bench is experienced: among physicians who list a residency year, the median has 26 years in practice.
Company Moves in the Past Year
Forward raised over $400 million and built AI kiosks called CarePods, then shut down on November 13, 2024, closing every location.[9]
Amazon paid $3.9 billion for One Medical in 2023, then closed One Medical corporate offices and cut several hundred jobs in 2024.[10]
Premise Health and Crossover Health merged in March 2026 into a company with nearly 900 worksite clinics across 47 states.[11]
Sollis Health, a membership concierge urgent and emergency care provider, raised a $33 million Series B led by Foresite Capital in December 2024 and reports more than 17,000 members.[12][13]
Networks: SignatureMD runs more than 200 affiliated physicians under Blue Sea Capital,[17] and PartnerMD has operated its Mid-Atlantic offices under the Markel Group since 2011.[18]
FAQ
Which state has the most concierge and DPC practices?
Florida, with 699 practices, ahead of California (651) and Texas (571). The top five states hold 40% of the US market.
What is the most expensive city for concierge medicine?
Newport Beach, California, with a median fee of $412 a month, followed by Beverly Hills at $410 and New York City at $282. The most affordable markets, near $100 a month, are DPC-heavy cities such as Columbus, Overland Park, and Fort Myers.
How much does concierge medicine cost?
In NextMD's directory, the median concierge fee is $196 a month and the median DPC fee is $99 a month. Among concierge practices that publish a fee, 94% charge under $5,000 a year.
Where did most concierge and DPC doctors go to medical school?
The two most common schools are St. George's University and Ross University, both in the Caribbean, followed by the Philadelphia College of Osteopathic Medicine. Of the directory's 8,744 physicians, approximately 80% hold an MD and 20% a DO.
Is direct primary care growing?
Yes. Both concierge and DPC are growing
Where can I find a concierge or DPC doctor?
NextMD is a free directory of physician-led concierge and DPC practices in all 50 states. Filter by city, state, and model, see each doctor's credentials, and contact practices directly at nextmd.ai.
Sources and Methodology
NextMD directory figures (practice and physician counts, model mix, pricing, state and city rankings, and medical schools) are computed from NextMD's practice and practitioner master files as of June 2026: 6,185 listed practices and 8,744 MD and DO physicians. Pricing covers the 53% of practices that publish a fee. External claims are cited below.
Grand View Research. (2025). U.S. Concierge Medicine Market Size, Share & Trends Analysis Report. Read on Grand View Research
Concierge Med Finder. (2026). US Concierge Medicine Market Report 2026 (roundup of Grand View, Precedence, and Technavio estimates). Read the roundup
The Business Research Company. (2026). Direct Primary Care Global Market Report. Read on The Business Research Company
Song, Z., Zhu, J., Marsh, T., Polsky, D., & Huntington, A. (2024). Growth and Characteristics of Concierge and Direct Primary Care Practices, 2018–2023. Health Affairs, as reported by Concierge Medicine Today. Read the analysis
American Academy of Family Physicians. Direct Primary Care (AAFP DPC Data Brief: fees, adoption, satisfaction, burnout, and income), with Hint Health 2026 DPC pricing. Read on AAFP.org
Revelstoke Capital Partners. (2025, September 30). Revelstoke Capital Partners Makes Investment in Griffin Concierge Medical. Read the announcement
PR Newswire. (2026). MDVIP Named Leading Membership-Based Primary Care Network (1,400+ physicians; 430,000+ members). Read on PR Newswire
PR Newswire. (2021, August 19). Goldman Sachs Asset Management and Charlesbank Capital Partners to Acquire Majority Ownership of MDVIP. Read on PR Newswire
Lagasse, J. (2024, November 13). Primary care player Forward shutters after raising $400M, rolling out CarePods. Fierce Healthcare. Read on Fierce Healthcare
Healthcare Dive. (2024, February). Amazon to close some One Medical offices, cut jobs. Read on Healthcare Dive
PR Newswire. (2026, March 12). Premise Health and Crossover Health Complete Merger. Read on PR Newswire
PR Newswire. (2024, December 5). Sollis Health Completes $33 Million Series B Funding Round Led by Foresite Capital. Read on PR Newswire
AlleyWatch. (2024, December). Sollis Health and the Membership Model for Concierge Emergency Medical Care. Read on AlleyWatch
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Internal Revenue Service. (2025). Treasury, IRS Provide Guidance on New Tax Benefits for Health Savings Account Participants Under the One Big Beautiful Bill. Read on IRS.gov
SALTA Direct. (2026). HSA and Direct Primary Care: What the One Big Beautiful Bill Means for 2026 (DPC fee caps of $150 individual / $300 family). Read the explainer
Blue Sea Capital. (2021). SignatureMD Completes Merger with Cypress Membership Medicine. Read on Blue Sea Capital
Markel Corporation. (2011). Markel Announces Transaction with PartnerMD. Read on Markel.com
Written by the NextMD editorial team. NextMD is the free directory patients use to find concierge and direct primary care doctors across the United States. Compare membership models, see physician credentials, and contact practices directly at nextmd.ai.