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If you’ve been told DPC is the only sustainable way to build your cash-pay practice, this episode might offer a different perspective. Dr. Kara Pepper didn’t choose the DPC subscription model or concierge-style access, and yet, patients still line up.

Instead, she created a cash-pay practice built around per-visit pricing—one that gives her patients the freedom to come when they need support. As someone offering very specialized care, she knew her patients might need more attention early on, and she wanted her business to reflect that natural rhythm. She built a structure that’s fair to her patients while also creating space and sustainability for herself.

This episode is for any clinician whose work doesn't fit neatly into the DPC model. If you're offering specialized care, or you're in a niche where the subscription model doesn't feel quite right, you'll walk away from this conversation with a new understanding of what's possible in private-pay practice.

What You’ll Learn

• How Dr. Pepper scaled her cash-pay practice with a per-visit model that supports patient autonomy and protects her energy
• Why she felt the membership model was not the right fit for her practice
• How deep relationships built her referral base across 17 states
• How growing slowly created lasting sustainability
• Why per-visit pricing works especially well for specialty care

Dr. Kara Pepper

• https://karapeppermd.com/
• https://www.instagram.com/karapeppermd/

The Kli'nishen's Atelier
mkt@theklinishensatelier.com
www.theklinishensatelier.com

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In this episode, we sit down with Dr. Lyndsi Cress to break down what actually worked when she opened her DPC practice—and brought in 50 cash-pay patients in under 90 days.

This isn’t about going viral or hacking some secret marketing formula. Dr. Cress built trust early with a message-aligned website that did the heavy lifting before the first call. Then she backed it up with real-life connection: community Facebook groups, local networking, and meet-and-greets that helped her convert—without ever feeling “salesy.”

Her biggest sales breakthrough came when she stopped pitching features and started guiding real conversations. Instead of rattling off benefits, she listened for what patients actually wanted to know: “How does this work for me?” That mindset shift—from selling to serving—changed everything. Her calls and meet-and-greets started converting naturally, not because of polished scripts, but because her message was clear, her positioning was grounded, and her connection was real.

Main Takeaways:

• A website isn’t just about info—it’s your first sales conversation.
• Clear, strategic messaging pre-sells so you can focus on connection.
• You don’t need to be everywhere—you need to show up with clarity.
• In-person touchpoints (networking, meet-and-greets) still work.

Coral DPC / Dr. Lyndsi Cress

Little River, SC

The Kli'nishen's Atelier
mkt@theklinishensatelier.com
www.theklinishensatelier.com

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In this episode we sit down with Dr. Rebecca Berens, founder of Vida Family Medicine, to unpack the raw, real journey of launching a direct primary care practice from the ground up—with no patient panel, limited community ties, and a lot of trial and error. Dr. Berens shares how she navigated marketing as an introvert, why social media and Facebook groups became her secret weapon, and how her niche evolved naturally over time through authentic connections.

If you’ve ever questioned whether your slow growth means failure, or felt stuck trying to "pound the pavement" without results, this episode is your permission to breathe, pivot, and play the long game.

Main Takeaways:

• You don’t need to have your niche fully figured out to start; clarity comes with time.
• Social media groups (especially local ones) can be powerful patient pipelines—without feeling “salesy.”
• Networking is a learnable skill—even for introverts.
• Providing value in community forums can build long-term growth
• It’s normal (and smart) to change your strategy as your practice grows

Dr. Rebecca Berens

Vida Family Medicine

Houston, TX

The Kli'nishen's Atelier
mkt@theklinishensatelier.com
www.theklinishensatelier.com

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