My DPC Story

Maryal Concepcion, MD

As the Direct Primary Care and Direct Care models grow, many physicians are providing care to patients in different ways. This podcast is to introduce you to some of those folks and to hear their stories. Go ahead, get a little inspired. Heck, jump in and join the movement! Visit us online at mydpcstory.com and JOIN our PATREON where you can find our EXCLUSIVE PODCAST FEED of extended interview content including updates on former guests!

  1. 2d ago

    How We Ran a Community Vaccine Clinic Without Billing Insurance: 84 Doses in a Day in Rural Direct Primary Care

    How do you run a community vaccine clinic when your Direct Primary Care (DPC) practice doesn't bill insurance? Dr. Maryal Concepcion and independent pharmacist Urvish share how Big Trees MD in rural Arnold, California gave 84 vaccines in one day, on a weekend, without billing a single insurance company. Recorded live in the clinic, so you will hear real life in the background. GET OUR FREE  Community Vaccine Clinic Playbook LITE: Direct Primary Care Edition Read the full write-up and 7-step checklist:  In this episode: - Why a DPC practice that doesn't take insurance runs a vaccine clinic: access - The model: the physician prescribes, the pharmacy dispenses and bills the vaccine without an administration fee, and the physician gives it at the clinic or at home - What to bring when you approach a pharmacist, and why to skip the phone line - How much notice a pharmacy needs (about a week) and how to plan for walk-ups - How billing sorts by Medi-Cal, Medicare Part B and commercial coverage - Small orders and 10 dose packs for kids under 3 - The Medicare Part D late enrollment penalty and other open enrollment questions - How two other DPC practices talk Medicare with patients - Why 2027 Medi-Cal work rules and six-month renewals make community clinics matter more - 7 steps to run your first community vaccine clinic Resources mentioned: - Big Trees MD: bigtreesmd.com - Halcyon Health Direct Primary Care (Dr. Emilie Scott and Dr. James Gaor) - Living Well Family Medicine, Lexington, SC (Dr. Feneisha Franklin) - The Toolkit, Medicare edition (Lean Startup Business Plan, $150 HSA rule, December 1 Medicare opt-out deadline): https://toolkit.mydpcstory.com - Can Patients Use an HSA for Direct Primary Care? The $150 Rule  - What Is Direct Primary Care?: https://www.mydpcstory.com/post/what-is-direct-primary-care - Medicare Part D late enrollment penalty: https://www.medicare.gov/part-d/costs/penalty/part-d-late-enrollment-penalty.html - Medi-Cal changes for 2027 (DHCS): https://www.dhcs.ca.gov/Medi-Cal/Pages/changes.aspx - Find a DPC practice: https://caringdirectly.com - Leave a voice message for the show: https://www.mydpcstory.com/contact LEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 CHIEF COMPLAINT COFFEE: chiefcomplaintcoffee.com  Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    How We Ran a Community Vaccine Clinic Without Billing Insurance: 84 Doses in a Day in Rural Direct Primary Care
  2. Oct 25

    Laid Off to House-Call Pediatric DPC in Dallas | Dr. Tonya McDonald

    Dallas pediatrician Dr. Tonya McDonald was laid off with 21 other physicians and opened Radiance Pediatrics, a house-call direct primary care practice, in 2019. Seven years and hundreds of kids later, she shares how she built it for less than the cost of a used car, how COVID doubled her practice, and how she uses Texas’s free CPAN network for pediatric mental health. In this episode: How her own pediatrician, the first Black pediatrician in Beaumont, Texas, shaped how she talks to kidsRunning a clinic in a Dallas medical desert, and why metrics have to fit the communityGetting laid off, non-competes, and choosing DPC when every other door closedHouse calls, 90-minute newborn visits, and $225/month pricing in an urban marketPartnering with midwives, chiropractors and other DPC physiciansUsing CPAN for therapy referrals and psychiatric medication guidanceCaring for patients to age 26 and coaching their handoff to adult carePractical advice for physicians worried about job security WEBSITE: Radiance Pediatrics: https://www.radiancepeds.com/The Gold Standard Health, Dr. Kelsey Walker: https://www.tgshealth.com/Dr. Walker’s My DPC Story episode: https://www.mydpcstory.com/post/launching-the-gold-standard-health-dr-kelsey-walker-s-direct-primary-care-experienceParadigm Family Health, Dr. Staci Benson: http://www.paradigmfamilyhealth.com/Texas CPAN (for clinicians): https://www.childrens.com/for-healthcare-professionals/refer-a-patient/provider-resources/cpan | 1-888-901-CPANFind a DPC near you: https://thedpcdirectory.comLeave a voice message: https://www.mydpcstory.com/contactLEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 CHIEF COMPLAINT COFFEE: chiefcomplaintcoffee.com  Get $250 off registration at HLTH with code H26MYDPCSTORY - and join Maryal at Healthcare's #1 Innovation Event. Las Vegas Nov 15th-18th. Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

  3. Oct 18

    Navigating Medicare Open Enrollment Challenges by Empowering DPC Physicians

    Medicare Open Enrollment: A DPC Physician’s Toolkit for 2027 Changes Today we discuss why Direct Primary Care (DPC) practices still field urgent calls during Medicare open enrollment when patients’ coverage changes affect care outside the DPC clinic.  Host Maryal Concepcion introduces the Fall 2026 Medicare Toolkit and gives a five-question CMS-based quiz covering 2027 updates:  Find out what the Part D out-of-pocket maximum is with a deductible and an option to spread costs via the Medicare Prescription Payment Planwhen a Medicare Advantage plan ends, patients have until the end of February to choose a new plan and 63 days after the plan ends to buy Medigap without health questions. See the TOOLKIT for more on this.HSA funds - can they pay for Medigap premiums? What happens to your HAS when you are on Medicare. More drugs gain negotiated prices (25 total) in 2027and new plans must honor active treatment for 90 days. Get free patient downloads, quizzes and more at CaringDirectly.com patient resources and clinic map listings. DOWNLOAD OUR FREE MEDICARE EDITION OF THE TOOLIT, OUR MAGAZINE ALL ABOUT DPC! 00:00 What Is Direct Primary Care 00:53 Open Enrollment Calls Hit DPC 01:54 Toolkit And Medicare Pop Quiz 02:11 Quiz Q1 Part D Costs 02:43 Quiz Q2 Plan Ending Window 03:26 Quiz Q3 HSA And Medigap 03:58 Quiz Q4 Negotiated Drug Prices 04:21 Quiz Q5 Continuity Of Care 04:44 Score Yourself And Get Toolkit 05:37 Survival Guide And Dates 06:07 Patient Resources Caring Directly 07:47 Add Your Clinic To The Map 08:04 Translations Contact And Wrap Up LEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    Navigating Medicare Open Enrollment Challenges by Empowering DPC Physicians
  4. Oct 11

    Opening a DPC Practice After Training Through COVID: Dr. Nada Farooqui, MD of RAWQ Medicine

    Opening a DPC Practice After Training Through COVID: Dr. Nada Farooqui, MD of RAWQ Medicine Dr. Nada Farooqui, MD trained in family medicine at the height of the pandemic. Her unopposed residency taught her to do everything. Then she sat through job interviews where someone else defined her scope. After a few years in wound care and hyperbarics, one Direct Primary Care summit settled it. Dr. Farooqui is the founder of RAWQ Medicine, a Direct Primary Care practice opening this fall in Hillsborough, New Jersey. The name comes from an Arabic word for water that has settled and turned clear, which is what she wants her patients to feel about her practice. She joins Maryal with the lease, the membership agreement and the EHR all about to be signed, so you hear the opening stage exactly as it feels. In this episode: Growing up with a mother who still practices full time in the Bronx, and how that old-school family doctor shaped the physician she wants to beTraining during the pandemic, losing her attending and mentor to COVID, and why she is fighting for physicians as much as for patientsThe moment at her first DPC summit when it clicked: these are my peopleHow her family planned the finances: the household budget first, a year of projected cashflow, and where she chose to spend (lawyer, CPA, lease, EHR) versus save (website, headshots, social media)Flat-fee wound care for non-members, home visits, and a pay-it-forward fund for sponsored membershipsGetting the word out before opening day: five nights at the town fair, the library, her mosque, and local physicians and pharmacists who offered to help for freeHer 60-minute first visit, which opens with, “What are your concerns?” instead of a checklistHer advice for the next doctor opening: know your vision first, because it answers every other questionResources: RAWQ MedicineFind or add a physician-led Direct Primary Care practice: CARING DIRECTLYFree startup checklist and the Physician Owner’s Planner: mydpcstory.comOpening your own practice, or stuck on a step? Leave a voicemail at mydpcstory.com/contact. Tell Maryal your question, your challenge or the win you are proud of, and you might hear it on a future episode. Want more stories like this one? Sign up for the My DPC Story newsletter at mydpcstory.com so you are the first to know when the next Toolkit Magazine drops. If this episode moved you, please leave a five-star review on Apple Podcasts. Follow @mydpcstory and find episodes, free resources and the Toolkit Magazine at mydpcstory.com. LEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 CHIEF COMPLAINT COFFEE: chiefcomplaintcoffee.com  Get $250 off registration at HLTH with code H26MYDPCSTORY - and join Maryal at Healthcare's #1 Innovation Event. Las Vegas Nov 15th-18th. Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

  5. Oct 4

    Six Years in Direct Primary Care: Hiring an RN, Fighting Misinformation, and DPC Finances

    What does a Direct Primary Care practice look like six years after opening? In this annual anniversary episode of My DPC Story, Dr. Maryal Concepcion catches up with Dr. Christina Mutch and Dr. Mutch of Defiant, Dr. Lauren Hughes of Bloom, and Dr. Deepti Mundkur of My Happy Doctor. They all opened their practices in 2020. These doctors get real about growing a DPC practice. They talk about adding an RN who changed everything, bringing on a fourth physician, and writing SOPs for the first time in year six. They also share what a full panel really means when you stop comparing yourself to averages on social media. The conversation then turns to medical misinformation. These physicians explain how they talk with patients about vaccines, TikTok wellness trends, and "scamfluencers." The goal is to meet people where they are without talking down to them. They also share why DPC doctors have a unique responsibility to educate their communities. For any physician worried that the money won't work, this episode gives practical financial advice. Topics include state loan forgiveness programs, starting small with low overhead, raising your prices, and building a financial tech stack. Dr. Mundkur also shares why treating your first year like a "DPC fellowship" can change your mindset. Finally, each doctor shares what they protect outside of medicine, from Orange Theory and school calendars to jazz saxophone, gardening, parrots, and Italian lessons. Because the goal of Direct Primary Care isn't to build yourself a new cage. In this episode: How adding an RN for triage, refills, and hospital follow-up became a "level unlock"Using AI-generated chart prep summaries and a shared inbox to protect clinical timeWhy 150 to 200 patients per physician works for one practice, and why there is no single "right" panel sizeHiring a fourth physician and creating SOPs six years inRunning a solo house-call practice and partnering with local pharmacies for exam spaceHow to talk to patients about misinformation with authenticity instead of data dumpsWhy nuance isn't clickbait, and how to communicate risk so patients can act on itFinancial tips: loan forgiveness, low startup overhead, raising prices, and tools like Ramp, Digits, and GustoSetting guardrails so DPC doesn't become your new golden handcuffsResources mentioned: DPC Mindset Retreat with Dr. Maryal Concepcion and Dr. Deepti MundkurFind a DPC physician: thedpcdirectory.comFree startup checklist and the Physician Owner's Planner: mydpcstory.comLeave a voice message for the show: mydpcstory.com/contactIf this episode helped you, please leave a five-star review on Apple Podcasts so more physicians can find these stories. LEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 CHIEF COMPLAINT COFFEE: chiefcomplaintcoffee.com  Get $250 off registration at HLTH with code H26MYDPCSTORY - and join Maryal at Healthcare's #1 Innovation Event. Las Vegas Nov 15th-18th. Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

  6. Sep 27

    Medicare Opt-Out for DPC Doctors: AAFP Resolution 504 Explained with Dr. Shannon Connolly

    Under current Medicare rules, a physician who opts out of Medicare for their DPC practice can't bill Medicare anywhere else. That means no hospitalist shifts, no SNF work and no hospice. AAFP Resolution 504, introduced by the New Mexico chapter, asks the AAFP to advocate for a partial opt-out by practice setting. The Congress of Delegates votes on it in October. Dr. Shannon Connolly is co-owner of Open Arms Direct Primary Care in Southern California, a past CAFP president and a CAFP delegate to the AAFP. She joins Maryal to explain what the resolution says and why every DPC doctor should pay attention, whether or not you're an AAFP member. In this episode: Why DPC is at a tipping point, with DPC doctors now more than an estimated 11% of AAFP membershipHow the "all-in or all-out" opt-out rule makes DPC doctors choose between their practice and their hospital, SNF or hospice roles, and why that reduces access for patientsWhat happens if Resolution 504 passes: from the Congress of Delegates to a commission, the board and the AAFP policy compendiumWhy wording matters, including the "one employment setting" language and why practice owners need a say in itHow to start advocating even if you're not a health policy expertUsing the AAFP, the DPC Coalition and your state chapter togetherDr. Connolly's call to action: advocacy is an investment in the environment your business depends onResources: Resolution 504 and background on the My DPC Story blog (no AAFP login needed): AAFP's July 2026 letter for the record on direct contracting: LINKOur earlier episode on Medicare opt-out with Dr. Phil Eskew: LINKDPC Coalition: dpcare.org Note: The DPC Alliance does not engage in policy as the DPC Coalition does. Have thoughts on Resolution 504? Leave a voicemail at mydpcstory.com/contact. As chair of the AAFP Direct Primary Care Member Interest Group, Maryal will bring your comments to the AAFP. Want more Medicare and DPC policy updates? Sign up for the My DPC Story newsletter at mydpcstory.com so you're the first to know when the next Toolkit Magazine drops. This episode is not sponsored by the AAFP. Follow @mydpcstory and find free resources, the Physician Owner's Planner and more at mydpcstory.com. LEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 CHIEF COMPLAINT COFFEE: chiefcomplaintcoffee.com  Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

  7. Sep 23

    She Asked Us to Convince Her. Challenge Accepted.

    Today a DPC physician in Iowa, 25 months into her DPC practice, emailed us with three decisions she's weighing, and one challenge: "If there are still spots, convince me to come." Challenge accepted. In this mini My DPC Story episode, Drs. Clodagh Ryan and host Maryal Concepcion answer her directly and walk through how the Illinois DPC Summit (open to DPC docs in ALL STATES!) meets each of the three things she's actually asking: "Help me look at the books." Friday morning's session, The Business You Have Never Run — Dr. Joel Schumacher and Dr. Clodagh Ryan open their real numbers in front of the room, not a pretty presentation of averages. Then Saturday, the whole room builds a cash rate sheet together including labs, imaging, dispensing. Bring YOUR numbers and leave seeing your practice more clearly!"Close the panel or grow?" Saturday's growth clinic. You bring the decision that's stalling you and the room works it with you! There are no formal lectures with slides. ZERO. You sit with physicians who capped, who grew, who did one and then the other, and you get to ask them why. "Buy or keep renting?" Not a session title but exactly what the open breakouts are for. Maryal went from telemedicine home visits, to renting, to a lease-to-own she took over in 10 months.40 physicians. That's the cap. Small groups, a speaker at every table, dinner Friday night at Topgolf. You're not sitting in a row watching someone present at you. Refreshingly, you're talking, for two days, with fellow DPC Physicians who've already made the decisions you're weighing right now. To the doctor in Iowa: thank you for writing. 25 months of DPC is no easy feat, and you're right at the decisions that shape the next 10 years. Registration closes September 25. Go to caradirectcare.com/summit to grab one of the last seats. To our DPC colleague in Iowa, we hope to see you in IL! LEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    She Asked Us to Convince Her. Challenge Accepted.
  8. Sep 20

    Dueling Pianos to Direct Primary Care: Dr. Brian Juan on Opening Metronome Family Medicine at Age 50

    Dr. Brian Juan toured with rock bands and played dueling piano bars for more than a decade before he became a family doctor. Three months into Metronome Family Medicine, his solo Direct Primary Care practice in Longmont, Colorado, he talks about what it actually took to make the leap. Dr. Brian Juan spent most of his 20s and 30s on the road, first touring with rock and jam bands, then playing dueling pianos in bars around Boulder and Denver. His dad was a Filipino immigrant physician who ran a small practice out of the family's basement in rural New Jersey, so medicine was always somewhere in the background. It wasn't until a bar owner called him one day in 2007 and told him not to bother coming in, because they were putting in a mechanical bull instead of pianos, that he actually went back to school. He was 33. In this episode, host Dr. Maryal Concepcion catches up with Dr. Juan three months into running Metronome Family Medicine, his solo Direct Primary Care practice in Longmont, Colorado, built around midlife vitality and longevity. They get into what actually kept him at his corporate job for nine years, and it wasn't inertia, it was real financial fear. They cover the savings buckets system that finally got him to leave, the pro forma he built in one night with another DPC physician, and how his years as his old clinic's go-to guy for AI documentation tools are shaping the practice he's building now. And yes, they get into the music too. In this episode: Growing up inside a Filipino immigrant physician's basement practice in rural New Jersey, throat swabs, wart removals, the whole dealChoosing a band over med school when "doctor" was basically the only acceptable answer growing upA decade-plus on the road, rock and jam bands in his 20s, then years as a dueling pianist around Boulder and DenverThe 2007 phone call that ended his music career, when the bar replaced the pianos with a mechanical bullGoing back to school at 33, starting with intro chemistry, then medical school at the University of ColoradoThe student debt, foreclosure, and bankruptcy that shaped every decision that came afterNine years in corporate medicine and the real reason he stayedWhat finally made leaving possible: a financial planner and a savings buckets systemBuilding the pro forma that got him a small business loan he still hasn't touchedRunning 500 AI scribe notes in a pilot that asked for ten, and what that taught him about his own tech stack90-minute new patient visits, InBody body composition scans, and relearning how to take a manual blood pressurePrecepting medical students in a Direct Primary Care clinic through CU's Longitudinal Integrated CurriculumThe boundaries that keep it sustainable: no calls after 5pm, weekly hikes with his wife, actually writing music againHis 25-year collaboration with Colorado Rock and Roll Hall of Fame bluesman Otis Taylor, and why he still plays with Docs That RockLEARN MORE: My DPC Story WOMEN'S SUMMIT 2027 CHIEF COMPLAINT COFFEE: chiefcomplaintcoffee.com  Get $250 off registration at HLTH with code H26MYDPCSTORY - and join Maryal at Healthcare's #1 Innovation Event. Las Vegas Nov 15th-18th. Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

5
out of 5
115 Ratings

About

As the Direct Primary Care and Direct Care models grow, many physicians are providing care to patients in different ways. This podcast is to introduce you to some of those folks and to hear their stories. Go ahead, get a little inspired. Heck, jump in and join the movement! Visit us online at mydpcstory.com and JOIN our PATREON where you can find our EXCLUSIVE PODCAST FEED of extended interview content including updates on former guests!

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