Primary Care Physician — Concierge Practice

Bend, Oregon | Established Practice

Join a concierge internal medicine practice in Bend, Oregon, built over the last two decades by a physician who set out to do primary care differently. Fewer patients. Longer visits. Real relationships. Compensation tied to the practice you build, not the volume you push.

This is a unique opportunity for an internal medicine physician who is ready to step away from the 20-patient day, take ownership of their own panel, and practice the way they trained to practice. Get the benefits of concierge practice without the risk of doing it alone.

Why this practice is different

This is not a fixed-salary, RVU-driven role. It is also not a high-volume MDVIP-style operation. The founding physician chose to keep the panel small (about 150 patients per doctor), the membership premium high, and the time per visit long. The result is a practice where:

• Visits typically run an hour or longer
• Most days include only 5 to 6 patients
• 90% of care happens in-house, including dermatologic evaluation, EKGs, stress testing, and osteoporosis management
• 90% of patients renew their membership year over year
• 85% of new patients come from word-of-mouth referrals
• The waiting room sits empty by design — patients are seen on time, every time

Patients pay a premium because they are paying for access to their physician, not a triage layer. That is why this practice is physician-only. No PAs, no NPs. The patient signed up to see their doctor, and that is who they see, at least monthly.

A typical week

• Clinic Monday through Thursday, with start time at the physician's discretion
• 5 to 6 patient visits per day
• Friday is administrative time, used to catch up or extend the weekend
• Same-day and next-day appointments are standard
• Approximately 5 after-hours calls per month
• Weekend, holiday, and vacation coverage is shared across a rotating group of 6 trusted physicians

The lifestyle this affords is not theoretical. The founding physician built this practice around morning workouts, time with family, school drop-offs, and a clear stop point at the end of the day. That is not a perk. That is the operating model.

Patient care philosophy

This is a high-service, relationship-based model of medicine built around responsiveness, accessibility, and continuity. Physicians are expected to deliver the core services outlined in the MyMD Personal Medicine membership agreement, including:

• Same-day or next-day appointments whenever clinically appropriate
• Direct 24/7 physician accessibility for urgent patient needs
• Minimal or no-wait office visits whenever possible

While exceptions naturally occur, the expectation is that physicians remain highly accessible and responsive to patients through direct communication methods such as phone, text, or email.

This model is intentionally customer-service oriented. Patients join because they value personalized access, physician continuity, and a doctor who is willing to go the extra mile when needed. Success in this environment requires professionalism, flexibility, responsiveness, and a genuine commitment to patient advocacy and service.

Patient care model

Members are adults 18 and older, ranging from working professionals to retirees. The typical patient values long-term continuity, time with their physician, and a single point of accountability for their health.

Care delivered in-house includes:

• Preventative and longitudinal primary care
• Chronic disease management (cardiovascular, osteoporosis, metabolic, and more)
• In-office diagnostics, including EKG and stress testing
• Minor procedures and skin lesion evaluation
• Hospital coordination through referral-follow privileges (the physician visits and advocates for their patients during admissions, while admitting orders are handled by the inpatient team)

A real example of the work: a patient being prepped for knee surgery had a hospital pre-op team default into ordering thousands of dollars of unnecessary workup. Knowing the patient over six years made it possible to advocate, push back, and save him roughly $3,500 in tests he did not need. That kind of advocacy is the job.

Compensation philosophy

Up front, so the right candidates self-select: this is a shared-risk, profit share model instead of partnership-style model, not a guaranteed-salary role. Income is tied directly to the panel you build and the membership revenue it generates. There is no RVU treadmill, and there is no floor that rewards a physician for not building.

The economics:

• Membership tiers run approximately $8,000 per year for adult members, $16,000 for members 60 and older, and roughly double that for patients who require home visits

• Target panel size is approximately 150 active members

• A typical ramp adds about 2 new members per month, with a 90% retention rate

• Realistic ramp to a mature panel: roughly 5 years

• A mature panel sits comfortably above national medians for primary care compensation, with meaningful upside as the panel matures

  • A realistic expectation is between $400k- $500k annually after 5 years

Transitional support: Early-stage financial/salary support during panel development is something the founding physician is open to discussing with the right candidate.

If a long-term, guaranteed base salary is the most important factor in your next role, this is not the right opportunity. If building your own thriving practice with real autonomy and real upside is what you are after, this is exactly that.

Support and tools

• Front desk reception, Medical Assistant, and RN on staff
• Outsourced insurance billing handled by a dedicated billing partner
• eClinicalWorks EHR, with the ability to log into Epic for hospital coordination
• Established workflows for membership onboarding and annual renewal
• Hospital privileges in place at the local system

Growing your panel

The honest version: this is a multi-year build to a full panel, not a 12-month ramp. About 85% of new members will come from existing patients telling friends and family. The rest comes from the physician's own presence in the community.

Physicians who succeed in this model invest time in:

• Local networking (Chamber of Commerce, community events, professional groups)
• Educational talks and outreach
• Building a personal reputation in Bend over time

A meaningful portion of new prospective patients schedule a free, no-obligation consultation visit before joining. Roughly half of those convert to membership. The right physician treats those consults as the most important hour of their week.

The right candidate

• Board-certified or board-eligible in Internal Medicine (MD or DO)
• Strong clinical foundation and confidence practicing independently
• Comfortable owning a broad scope of adult primary care
• Genuinely committed to relationship-based, longitudinal care
• Willing to put themselves out there in the community
• Entrepreneurial mindset and a long-term outlook on career building

About Bend, Oregon

Bend offers a level of community, lifestyle, and access to the outdoors that has become rare on the West Coast. The patient base skews toward an established, well-resourced population that values prevention and personal attention, which is exactly the audience this practice was built to serve.

About the practice

Founded by a physician with over 20 years of experience spanning hospital medicine, traditional primary care, and concierge care, this practice was built deliberately, patient by patient, over two decades. The current opening is for a physician to grow their own panel alongside an established, respected operation, not to fill a pre-built panel.

The founding physician is looking for the right long-term partner, not the most candidates. If this resonates, the next step is a conversation.