There are now over 1,500 concierge medicine and Direct Primary Care (DPC) practices listed across major U.S. metros. That number is climbing fast. More patients are leaving insurance-driven primary care for membership-based models with smaller panels, longer visits, and transparent pricing.
Certain cities have emerged as clear leaders. Using real-time listing data from NextMD.ai, we ranked the top 7 U.S. cities for concierge medicine in 2026 by total practice count. We also layered in metro population estimates and doctor-to-resident ratios to show where patients have the most options.
1. Los Angeles Metro, CA – 197 Private Medical Practices
Metro Population (2026 est.): 12,770,000
Ratio: 1 concierge/DPC practice per ~64,800 residents
Los Angeles leads the list with the highest number of concierge and DPC practices. The metro area offers excellent variety across Entry Level, Premium, and Ultra Premium tiers, especially in Beverly Hills, Santa Monica, and other affluent neighborhoods.
What makes LA a great market: Strong wellness and longevity focus, mix of solo doctors and small groups, ultra-premium and plenty of options for families and professionals. Pricing tends to run higher due to the cost of living.
2. New York City Metro, NY – 195 Private Medical Practices
Metro Population (2026 est.): 19,293,000
Ratio: 1 concierge/DPC practice per ~99,000 residents
New York City ranks a very close second with 195 practices. The high concentration of executives and professionals creates one of the most competitive and diverse concierge markets in the country.
What is exceptional about NYC: Excellent Ultra Premium and Premium options in Manhattan and surrounding areas, strong specialist networks, and many practices geared toward frequent travelers. Expect higher pricing, particularly in core Manhattan.
3. Dallas-Fort Worth Metro, TX – 120 Private Medical Practices
Metro Population (2026 est.): ~8,100,000
Ratio: 1 concierge/DPC practice per ~67,500 residents
Dallas-Fort Worth has become a major hub with 120 practices. No state income tax and strong population growth have supported rapid expansion of membership-based care.
Why patients love DFW: More affordable pricing than coastal cities, solid mix of Entry Level and Premium practices, and many family-friendly options. The metro offers a good balance of suburban and urban settings.
4. Houston Metro, TX – 114 Private Medical Practices
Metro Population (2026 est.): ~8,489,000
Ratio: 1 concierge/DPC practice per ~74,500 residents
Houston follows closely with 114 practices. The large population, energy sector, and world-class medical center have created a robust concierge and DPC ecosystem.
How Houston compares to other top markets: Competitive pricing, emphasis on preventive and longevity care, and practices that serve both executives and families. Strong options are available across all tiers.
5. Atlanta Metro, GA – 96 Private Medical Practices
Metro Population (2026 est.): ~6,345,000
Ratio: 1 concierge/DPC practice per ~66,100 residents
Atlanta has seen steady growth with 96 practices. As a major business and logistics hub in the Southeast, it continues to attract new concierge and DPC practices.
Why Atlanta is one of the top cities in the South: Good variety of price points, many family-oriented practices, and strong options in both the city and suburbs. Pricing is generally more moderate than coastal markets.
6. West Palm Beach Metro, FL – 92 Private Medical Practices
Metro Population (2026 est.): ~1,600,000 (Palm Beach County and surrounding areas)
Ratio: 1 concierge/DPC practice per ~17,400 residents
West Palm Beach and the broader Palm Beach area attract high-net-worth individuals seeking concierge care in a Florida lifestyle setting. It has one of the strongest practice-to-population ratios on this list.
How West Palm Beach competes at the high end: High concentration of Premium and Ultra Premium practices, excellent wellness and travel medicine options, and appeal for retirees and second-home owners.
7. Nashville Greater Metro, TN – 74 Private Medical Practices
Metro Population (2026 est.): ~2,150,000
Ratio: 1 concierge/DPC practice per ~29,100 residents
Nashville continues to grow as a concierge destination. Although it has fewer total practices than larger metros, it offers an attractive practice-to-population ratio and a strong community feel.
Why patients love Nashville: More intimate practices, vibrant entrepreneurial and healthcare scene, and a nice mix of Entry Level and Premium options. Many appreciate the lower cost of living compared to NYC or LA.
Rank | City | Practices | Metro Pop. (2026 est.) | Ratio (1 practice per) | Price Trend |
|---|---|---|---|---|---|
1 | Los Angeles, CA | 197 | 12,770,000 | ~64,800 residents | Higher |
2 | New York City, NY | 195 | 19,293,000 | ~99,000 residents | Highest |
3 | Dallas-Fort Worth, TX | 120 | ~8,100,000 | ~67,500 residents | Moderate |
4 | Houston, TX | 114 | ~8,489,000 | ~74,500 residents | Moderate |
5 | Atlanta, GA | 96 | ~6,345,000 | ~66,100 residents | Moderate |
6 | West Palm Beach, FL | 92 | ~1,600,000 | ~17,400 residents | Higher |
7 | Nashville, TN | 74 | ~2,150,000 | ~29,100 residents | Lower |
What to Consider When Choosing a City
Larger metros like LA, NYC, DFW, and Houston usually provide the greatest number of choices and the widest range of specialties and price tiers. Smaller but affluent markets like West Palm Beach and Nashville often deliver a more personalized experience and slightly lower average pricing. Ultra-premium practices tend to concentrate in LA, NYC, and West Palm Beach.
Important Note About These Numbers
These numbers reflect the count of private medical practices currently listed on NextMD. NextMD has chosen to only list medical practices that operate as private medicine (concierge or Direct Primary Care) and are run by board-certified MD or DO physicians. We do not include nurse practitioner-led practices, cash-only urgent care, or traditional insurance-based primary care.
Population data sources:
2026 metro area population estimates are based on projections from Macrotrends.net, U.S. Census Bureau 2025 population estimates, and local demographic reports (including the Texas Demographic Center for Houston and Atlanta Regional Commission for Atlanta).
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