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“At first glance, these models seem exclusive, but they’re really evidence of where medicine is heading. They’re revealing new ways to make care more thoughtful, relational, and enduring — for both patients and physicians.”
— Editor-in-Chief, Concierge Medicine Today, October 2026
For the media: clear numbers, honest context.
Concierge Medicine Today has covered concierge and membership-based medicine as a trade publication since 2007. Our research, polling and commentary have been cited by national media, medical journals and health care publications. This desk gives reporters the most current sourced figures, pull quotes, FAQs and attribution guidance in one place.
Every figure below names its source and year and carries an evidence-type label. Where data are thin or contested, we say so. Concierge medicine and direct primary care are different models, and we report them separately.
The five questions we get most
01How many concierge physicians are there?
The CMT Concierge Estimate 2026 puts the field at about 3,000 to 6,000 concierge physicians in roughly 2,000 to 4,500 practice sites, with every step of the method published. It builds on a December 2025 Health Affairs study, which found that about 60% of the 3,036 membership medicine sites it identified in 2023 (concierge and DPC combined) were concierge, roughly 1,800 sites by CMT's analysis, and which its authors call an undercount. No official count exists. See the method in Brief No. 28
02Is the field growing?
Yes, though no study reports concierge growth on its own. Membership medicine as a whole (concierge and DPC combined) grew 83% in practice sites and 78% in clinicians from 2018 to 2023 in the Health Affairs data. MDVIP, the largest concierge network, reports 100 consecutive quarters of growth and more than 1,400 affiliated physicians (February 2026). Corporate-affiliated membership practices grew about 576%.
03What does it cost patients?
There is no public, methodology-disclosed average for concierge fees. Direct primary care has one: $98.46 a month on average in a 2024 survey of 465 DPC practices by the Direct Primary Care Alliance. Since January 2026, HSA funds can pay qualifying DPC fees up to $150 a month. Brief No. 29
04What do critics say?
The most-cited study (Journal of Health Economics, 2023) found patients affected by a physician's switch to concierge care had large spending increases and no average change in mortality, and that selection into concierge care tracked income more than health. CMT covers the critique and its limits in Brief No. 26.
05Which specialties are adopting it?
Primary care remains the core, led by family and internal medicine, with growing interest from cardiology, women's health, pediatrics and other specialties. See the CMT reader poll below, which describes respondents rather than the whole field.
Two membership models, often reported as one
Concierge medicine and direct primary care both charge a membership fee, so headlines often treat them as the same thing. They differ in how they are paid, what they cost, how they relate to insurance and Medicare, and how tax rules treat them. Combining them distorts the numbers for both.
| Concierge medicine | Direct primary care (DPC) | Source | |
|---|---|---|---|
| How it is paid | Membership or retainer fee, and the practice usually continues to bill insurance, including Medicare | Monthly or annual fee; operates outside insurance billing | Johns Hopkins summary of Health Affairs study, 2025 |
| Typical fee | Annual retainers in the thousands of dollars, sometimes much more; no public, methodology-disclosed average exists | Average $98.46 a month (465 practices, 2024 data) | Johns Hopkins summary; DPC Alliance via Medical Economics |
| Medicare | Physicians who stay enrolled may charge the fee only for services and amenities Medicare does not cover | Typically does not bill Medicare; physicians who see Medicare patients outside Medicare generally must opt out | HHS OIG alert, 2004; Lamb McErlane, 2025 |
| HSA payment (from 2026) | Generally outside the new rule if the practice bills insurance or charges more than $150 a month | Qualifying arrangements payable from an HSA up to $150 a month ($300 family) | IRS Notice 2026-5 |
| Share of combined practices | About 60% (2023) | About 40% (2023) | Physicians Practice, on the Health Affairs study |
Hybrid practices, which run a membership tier alongside a traditional panel, fall between the two and are counted inconsistently. CMT reports them separately.
The reference point for concierge medicine numbers since 2007
Concierge Medicine Today has covered this field as an independent trade publication since 2007, and its estimates have been cited in national coverage, including Becker's Hospital Review. Authority comes from method, so CMT now holds its own figures to these rules:
- Concierge counted on its own. CMT reports concierge, DPC and hybrid separately, and combined totals only as totals.
- Units named. Physicians, all clinicians, practices and sites are never mixed in one number.
- Method published. Every CMT figure carries its sources, dates and uncertainty. The 2027 CMT Census follows the standard in Brief No. 28.
- Independent research cited, including critics. CMT reports peer-reviewed findings whether or not they flatter the field (Brief No. 26).
- Corrected in the open. When a figure changes, CMT says what changed and why.
Key figures, with sources
In roughly 2,000 to 4,500 practice sites; best single figure about 4,000 to 4,500 physicians. Built from Health Affairs data in four published steps, with each assumption labeled. Concierge only; direct primary care is counted separately.
Cite as: Concierge Medicine Today. CMT Concierge Estimate 2026. CMT Research Brief No. 28. October 2026. See the method
Evidence types: Clinical Trial Evidence Population Data Practice Insight Industry Research Policy and Law. Labels describe the type of evidence, not its value. CMT original marks Concierge Medicine Today's own data and analysis. Shaded rows describe direct primary care, a different model.
| Figure | What it measures | Source and year | Label |
|---|---|---|---|
| 3,000 to 6,000 physicians | CMT Concierge Estimate 2026: U.S. concierge physicians, in roughly 2,000 to 4,500 practice sites; method published | Concierge Medicine Today, Research Brief No. 28, Oct. 2026 | Industry ResearchCMT original |
| ~1,800 sites | Concierge practice sites, 2023: 60% of the 3,036 membership medicine sites identified (likely undercount) | CMT analysis of Zhu et al., Health Affairs, Dec. 2025 | Population DataCMT original |
| 1,400+ physicians; 430,000+ members | One national concierge network, MDVIP | MDVIP press release, Feb. 2026 | Industry Research |
| 3,036 sites; 7,021 clinicians | Membership medicine practice sites and clinicians, concierge and DPC combined, 2023 (likely undercount). Not a concierge count. | Zhu et al., Health Affairs, Dec. 2025 | Population Data |
| +83% / +78% | Growth in membership medicine practices / clinicians, concierge and DPC combined, 2018 to 2023 | Zhu et al., Health Affairs, Dec. 2025 (summary) | Population Data |
| 23% → 40% | Share of clinicians in membership medicine practices (concierge and DPC combined) who are NPs or PAs, 2018 to 2023 | Zhu et al., Health Affairs, Dec. 2025 | Population Data |
| 898 vs. 2,303 | Patients per physician, retainer vs. traditional practice | Alexander et al., J Gen Intern Med, 2005 | Practice Insight |
| $98.46 / month | Direct primary care, a different model: average DPC membership fee (465 practices). Not a concierge fee. | Direct Primary Care Alliance, 2024 data (Medical Economics) | Practice Insight |
| $150 / month | Maximum qualifying DPC fee payable from an HSA (individual; $300 family), from Jan. 2026 | IRS Notice 2026-5 | Policy and Law |
| 41.7 million | HSA accounts at the end of 2025 | Devenir, April 2026 | Industry Research |
| 41.9% | U.S. physicians reporting at least one burnout symptom, 2025 | American Medical Association, April 2026 | Practice Insight |
CMT's earlier field estimates. “8,000 to 12,000 practices” is best read as covering all membership medicine (concierge, DPC and hybrid practices with a membership tier), and “fewer than 2% of physicians” remains true but loose; concierge physicians are roughly 0.3% to 0.6% of U.S. physicians under the CMT Concierge Estimate 2026. Neither earlier figure was published with a method. For concierge alone, please cite the CMT Concierge Estimate 2026. Method (Brief No. 28)
CMT reader poll: specialties represented CMT original
Physician readers practicing in concierge medicine who answered CMT's online poll between 2014 and 2024 (300 respondents). Self-selected; describes respondents, not all concierge physicians. Margin of error about ±6 points if the sample were random.
*Shown as respondents selected it. Osteopathic medicine is a degree (DO) rather than a specialty, so this group may overlap with others. Cite as: “Source: Concierge Medicine Today, LLC, reader poll of 300 concierge physicians, 2014 to 2024 (not representative).”
Quotes from the Editor-in-Chief
Attribute to Michael Tetreault, Editor-in-Chief, Concierge Medicine Today. Physician quotes within them come from CMT conversations with practicing concierge physicians.
Showing our math
“For nearly two decades, everyone guessed how big this field is, including us. The guessing is over. In any industry, authority belongs to whoever shows their math. So we're showing ours.”
Editor-in-Chief, Concierge Medicine Today
Why they thrive
“The physicians who thrive in concierge medicine share four traits: curiosity about patients, humility as leaders, gratitude for those they serve, and a heart for their community. At the end of the day, healthcare isn't just about medicine; it's about people. One longtime concierge physician told us that most doctors enter medicine to know their patients, not just to treat them. ‘When you actually have time to listen,’ he said, ‘you rediscover why you became a doctor in the first place.’ Patients may forget the paperwork or the plan, but they'll never forget how you made them feel.”
Editor-in-Chief, Concierge Medicine Today
Known, not processed
“Concierge practices are typically known for their focus on prevention and the close relationships between physician, staff and patient. One longtime physician told us, ‘I don't need to pull up a chart to remember who someone is. I know their story, their family, their goals.’ That's what makes this model different. It's personal, not transactional. Healthcare may be a process, but the patient should never feel processed.”
Editor-in-Chief, Concierge Medicine Today
The fulfillment factor
“Fewer patients doesn't mean less care; it means more intentional care. When we ask experienced concierge physicians what changed for them, they rarely talk about revenue or time off. They talk about joy. As one physician told us at our industry conference, ‘When the doctor's fulfilled, the patient benefits too. You can't fake that kind of energy in an exam room.’ Small studies suggest physicians in membership models report less burnout. We'd like to see larger, independent studies confirm it.”
Editor-in-Chief, Concierge Medicine Today
Small in size, big in purpose
“Concierge and membership medicine are still a small slice of American primary care, but they're growing fast: independent researchers counted about 83% more practices in 2023 than in 2018. As one veteran concierge physician told us, ‘You can't measure this movement only by numbers. You measure it by the physicians who've decided to practice medicine thoughtfully, relationally and sustainably.’ We try to stay realistic, not evangelistic.”
Editor-in-Chief, Concierge Medicine Today
Holding up a mirror
“Concierge medicine didn't create the primary care shortage. It made it visible. One longtime doctor told us, ‘The system didn't break overnight. It's been eroding for decades. Concierge medicine just held up a mirror.’ The fair question, and one this field has to answer with data rather than slogans, is what happens to patients who don't join. We publish the critics' research alongside our own for that reason.”
Editor-in-Chief, Concierge Medicine Today
Proving what's possible
“Concierge medicine is often criticized as catering only to the affluent, and that critique deserves a serious answer. One longtime concierge physician sees the model as a testing ground: ‘Every innovation starts in a focused setting before it becomes accessible. Someone has to prove it, refine it, and build the roadmap so others can follow.’ The goal isn't to keep healthcare narrow. It's to learn what works and make it broader, smarter and more sustainable.”
Editor-in-Chief, Concierge Medicine Today
Beyond primary care
“Ten years ago, concierge medicine was mostly a primary care story. Today we hear from cardiologists, endocrinologists, OB-GYNs, gastroenterologists and oncologists exploring the model. Excellence in healthcare isn't only clinical skill; it's dignity, attention, timeliness and clear communication. Patients don't see those as extras. They see them as expectations.”
Editor-in-Chief, Concierge Medicine Today
The best doctor for the world
“The questions physicians ask us most are: Can this work for me? How do I tell my patients? What happens to my workload? Underneath each one is a deeper question. It's no longer about being the best doctor in the world. It's about being the best doctor for the world, for your patients and for your local community.”
Editor-in-Chief, Concierge Medicine Today
What physicians and patients ask us
Which specialties fit, and why?
“The specialties that fit best aren't defined by procedures but by relationships. Anywhere patients need time, clarity and ongoing management, such as cardiology, women's health, pediatrics and oncology, the model can work. More specialists have entered over the past decade, though because this is a business model rather than a specialty, exact counts are hard to come by.”
Editor-in-Chief, Concierge Medicine Today
How long does it take to prepare?
“In our experience, the runway is often 12 to 18 months. The first steps aren't contracts or spreadsheets. They're clarity: know your why, talk with your family, build a trusted advisory team including a healthcare attorney and accountant, and learn from colleagues who've made the switch and aren't evangelistic about any one model. Write down your questions and get them answered by qualified experts.”
Editor-in-Chief, Concierge Medicine Today
Is there an ideal career stage?
“We've seen it work at every stage. Early career is usually the hardest. Mid-career physicians often want to reclaim balance and go deeper with patients. Late-career physicians often want to finish well at a sustainable pace. One physician told us, ‘I still work long hours, I just use my time differently now, and I'm a lot happier, and so are my patients, team and family.’”
Editor-in-Chief, Concierge Medicine Today
What makes it different for patients?
“Time, dignity and attention. Concierge physicians have historically cared for far fewer patients; a national survey found about 898 patients per retainer physician vs. 2,303 in traditional practice. Smaller panels make care feel more personal and less transactional. The mission is to remove every unnecessary obstacle for the patient.”
Editor-in-Chief, Concierge Medicine Today
How to cite Concierge Medicine Today
We care about accuracy. Figures reflect the best information available at publication, and health care trends move quickly. Please cite the original source named beside each figure above. For CMT's own data and analysis, marked CMT original, cite Concierge Medicine Today. CMT estimates are labeled as estimates, with their methods published.
“According to Concierge Medicine Today (CMT), the industry's trade publication since 2007…”“Source: Concierge Medicine Today, LLC, [poll name], [number] respondents, [dates]. Not representative.”“Concierge Medicine Today estimates about 3,000 to 6,000 concierge physicians in the U.S. (CMT Concierge Estimate 2026).” Please don't describe combined concierge and DPC totals as concierge figures.“Concierge Medicine Today, CMT Research Brief No. [X], [title], [month year].” with a link to the brief.“In an interview with Concierge Medicine Today…”“The Concierge Medicine Forum (CMF), the industry's annual medical education gathering.”Link to ConciergeMedicineToday.org. Questions about sourcing: editor@conciergemedicinetoday.org
Concierge Medicine Today, LLC (CMT) does not provide medical, legal, tax, financial or other professional advice. All content is for general informational purposes for health care professionals, leaders and media. Nothing CMT publishes is an endorsement of any individual, organization, product or service. CMT is not liable for errors, omissions or interpretations of the information on this site or in its publications, or for actions taken in reliance on it.
As a trade publication, CMT sources responsibly, cites clearly and presents information with fairness and context. The concierge medicine landscape includes many models, experiences and viewpoints, including critics', and we report them. Pull quotes are the Editor-in-Chief's commentary and are labeled as such.
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