I'm a concierge internal medicine physician based in Boca Raton, and a fair portion of my practice is patients in Palm Beach Gardens and the surrounding communities of northern Palm Beach County. If you're looking at concierge options up here, here's what the model actually looks like and what it changes about how you use medicine.
What concierge medicine changes
Traditional primary care physicians carry 2,000 to 3,000 patients and need to see 25 to 30 a day to stay solvent. That's the math behind rushed 7-minute visits and three-week waits for appointments. It's not a doctor problem. It's a structural one.
In my practice, the panel is capped at 50. When you call, you reach me, not a phone tree or a medical assistant triaging messages. Same-day or next-day appointments are the norm when you need one. Visits run 30 to 60 minutes, which is enough time to get past the immediate concern and into what's actually going on with your health. You have my cell phone. Text or call any hour and you reach me directly.
The patients I see from Palm Beach Gardens are often in a similar category: people who've decided that the traditional system isn't working for what they actually need from medicine.
What I handle
I'm board-certified in Internal Medicine and I cover the full range of adult primary care:
- Annual physicals that run 60 to 90 minutes and include a cardiovascular risk read, metabolic workup, cancer screening calibrated to your risk profile, and a real lifestyle conversation
- Management of chronic conditions (diabetes, hypertension, thyroid disorders, heart disease), with adjustments made in real time based on home monitoring data rather than six-month intervals
- Acute visits when you're sick, including same-day house calls
- Preventive care including immunizations, screenings, and risk reduction
- Specialist coordination, with direct handoffs and follow-through after visits
- Hospital involvement if you're admitted, including direct communication with the admitting team
The specialist coordination is where concierge care earns its keep for most patients. When you need a cardiologist, orthopedist, or GI specialist, I handle the referral directly, give the specialist the relevant history, and stay in the loop on what they find. It's one unified plan instead of four disconnected opinions.
How Palm Beach Gardens patients use the practice
My office is in Boca Raton. For Palm Beach Gardens patients, the drive down I-95 is straightforward, and a lot of visits happen at home anyway. House calls are included in the membership and I cover northern Palm Beach County, including Palm Beach Gardens, North Palm Beach, Jupiter, and the surrounding communities.
A meaningful portion of my Palm Beach Gardens patients are seasonal residents. Snowbirds from the Northeast and Canada who spend winters here. Concierge works especially well for this population. I coordinate with your physician back home, maintain one unified record, and I'm reachable during your Florida months and through the off-season by text or email. For adult children back in New York, New Jersey, or Toronto, having a local physician who knows their parent and is actually available changes the level of worry.
Whether this makes sense for you
Concierge isn't universally the right answer. For healthy patients with simple needs, a traditional primary care plan or a direct primary care practice can be a better use of money. Where concierge tends to earn out:
- Chronic conditions that need active management
- A demanding schedule that doesn't tolerate three-week waits or half-day medical appointments
- Aging parents whose care you're coordinating
- A pattern of frequent ER or urgent care visits that better primary care would prevent
- Seasonal residency that requires continuity across two states
How the billing works
My practice is private-pay. I don't bill insurance. The membership covers everything I deliver personally: visits, access, coordination, the annual physical, house calls. You keep your insurance for everything that happens outside my office (labs, imaging, specialists, prescriptions, hospital care).
If you want to talk through whether my practice is the right fit for your situation, reach out. I'll answer questions directly and give you an honest read on whether concierge makes sense for how you use medicine, or whether a different model would serve you better.
