MD LTD logo
Concierge
Internal Medicine

MD LTD

Quick Facts

Membership Price RangeBasic Plan: $200/month | Premium Plan: $300/month
Practice TypeConcierge
LocationSan Francisco
DoctorsLeslie Squires M.D., Internal Medicine
Year Founded2003
Panel Size150 patients per doctor
Telehealth TypeSecure video visits and direct messaging via Spruce App
HousecallsYes
Telehealth AvailableYes

About

At MD LTD, Dr. Leslie A. Squires delivers internal medicine and primary care to adults in San Francisco. He launched the practice around 2003, placing him among the city's earliest concierge medicine pioneers. The practice operates from the Sutter/CPMC Davies Campus, with on-site parking, advanced imaging, laboratory facilities, and specialist access nearby.

MD LTD caps its membership at 150 patients. Members reach Dr. Squires directly on his personal cell phone. The practice handles after-hours and weekend appointments, house calls, and remote video visits through the Spruce App. Clinical focus spans preventive care, hypertension, diabetes, cancer screening, STD treatment, and HIV care. Dr. Squires holds a hospital affiliation with Sutter/CPMC Medical Center and serves as a founding member and preferred provider with Brown and Toland Medical Group, IPA.

Details

Address

45 Castro Street, Suite 338, San Francisco, CA 94114

Membership

$200/monthly

Membership Details

The MD LTD program involves a service agreement and fee. The fee affords the practice the luxury of offering the time needed to deliver the very best in care. It is not a substitute for insurance. Patients continue to need their medical coverage. Regulations prevent participation by patients with HMO plans. Negotiable plans available based on affordability. Membership limited to 150 patients.

Telemedicine
House Calls
Max 150 patients per doctor

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Frequently Asked Questions

MD LTD offers a basic plan at $200 per month and a premium plan at $300 per month. The practice also offers negotiable plans for patients who need flexibility based on their financial situation. The membership fee covers the time and access that make personalized care possible. It does not replace health insurance, so members need to maintain their own medical coverage.

No. Regulations prevent patients with HMO plans from participating in the MD LTD membership program. Patients with other types of insurance coverage may enroll. If you have questions about your specific plan, contact the practice directly to discuss eligibility.

MD LTD caps its membership at 150 patients. That limit allows Dr. Squires to give each member the time and attention their care requires.

Yes. Members reach Dr. Squires directly on his personal cell phone. The practice also offers after-hours and weekend appointments for situations that cannot wait until the next business day.

Yes. The practice uses the Spruce App to provide direct messaging, remote consults for skin issues, allergies, colds, cough, flu, UTIs, and more. Members also have access to secure video visits and prescription refill requests through the app. Remote care supplements in-office visits when your condition fits that format.

Yes. Dr. Squires makes house calls for members who need care at home. Contact the practice to arrange a visit based on your situation.

Each member receives a comprehensive physical exam and consultation annually as part of the membership. The exam gives Dr. Squires a detailed picture of your overall health and supports proactive management of ongoing conditions.

Yes. MD LTD includes validated parking in the on-site garage at the Sutter/CPMC Davies Campus. The location also provides access to advanced imaging, laboratory services, and specialty care within the same medical center.

Dr. Squires manages a broad range of adult health concerns. His clinical focus includes hypertension, diabetes, cancer screening, STD treatment, and HIV care. He also handles general primary care and serves as the first point of contact for new or undiagnosed health concerns. His long-standing relationships with top San Francisco specialists support referrals when additional expertise is needed.

Prospective members can call or email the practice to learn more and discuss enrollment. The practice accepts a limited number of members, so reaching out early is the best first step.

Practice last updated March 21, 2026