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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/

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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

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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

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If you’ve been tweaking your website, posting more on Instagram, or constantly wondering why growth feels slow—it might not be a marketing problem. It might be a clarity problem.

In this episode, Dr. Sonia Singh shares how she built a value-driven micro practice in Houston by leaning into exactly who she wanted to serve—and designing every part of her business around that clarity. We talk about the mindset shifts, brand decisions, and pricing pivots that helped her grow a practice that’s not just full—but deeply fulfilling.

✨ You’ll walk away with:

• A real-world look at how clarity drives patient growth—without fancy funnels or ads
• How Dr. Singh designed a practice that reflects who she is (and why that’s what patients trust)
• A breakdown of her pricing decisions and why she raised her rates early on
• The tech and automations that keep her lean and solo—without sacrificing care
• How to build visibility through trust, not just tactics

If you’re building something honest, intentional, and a little different—this episode is your reminder that clarity creates momentum.

Dr. Sonia Singh
Juniper Modern Primary Care
Micropractice Mama

→ Follow Dr. Singh on Instagram

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Launching a direct primary care practice during a pandemic is one thing—doing it with a toddler at home and a newborn just two weeks old? That’s Dr. Jade Norris’s origin story. With zero chance of traditional networking, she turned to Instagram to attract her first patients—and it worked. In this episode, Dr. Norris breaks down how her strategy evolved with each stage of growth: from organic social media as her foundation, to word-of-mouth and Google reviews, to now scaling with employer partnerships.

If you’re a private-pay clinician wondering how to market smarter—not harder—this is your behind-the-scenes look at a practice that grew on grit, strategy, all from the palm of her hand.

What You’ll Learn:

• How Instagram became her launchpad—and what content brought in her first 50 patients
• Why COVID, a toddler, and a newborn made social media her only realistic strategy at the time
• How she phased out urgent care shifts as her DPC grew
• What triggered the shift from social media to referrals and Google reviews
• Her exact pivot into corporate partnerships—and how she sells to businesses
• The mindset she uses to rewrite her strategy with every stage of growth

Dr. Jade Norris
Physician/Founder of Nspire Primary Care
nspireprimarycare.com
Instagram

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What if your private practice could run smoothly without a front desk, endless phone calls, or a single team member? In this episode, I talk with Dr. John Kim, a physician who’s built a fully automated, staff-free practice while still working a full-time hospital position. He shares the systems, mindset, and boundaries that have allowed him to serve patients across multiple states—without burnout. If you’re looking for a minimalist, sustainable way to practice medicine on your own terms, this conversation is your roadmap.

What You’ll Learn:

• How Dr. Kim set up an automated workflow that handles patient communication, scheduling, and payments
• The platforms and tech tools he uses
• Why discipline and boundaries are essential to making a staff-free model work
• How automation helps filter for ideal patients and create a more efficient care experience
• Lessons on balancing a full-time job with a passion-driven private practice
• The importance of long-tail SEO
• How to start small, grow slowly, and be become profitable

www.yoonhangkim.com / www.directintegrativecare.com

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Feeling overwhelmed by patient overload? Insurance-based care demands more and pays less—leaving clinicians exhausted, undervalued, and stuck in a cycle that feels impossible to escape. Kayla Nettleton found a way out by creating an exit plan that worked for her—and in this episode, you’ll get ideas and inspiration for creating yours.

Inside, we cover:
✅ When it's time to leave insurance behind
✅ The mindset shifts that can make this transition possible
✅ Why private-pay lets you work less while earning more
✅ The key steps to designing an exit plan that fits your practice and goals
✅ Ways to attract cash-pay patients who value your care

If you’re ready to take control of your practice and build an exit strategy that works for you, this episode is your guide.

Kayla Nettleton

Instagram @kaylanettleton_lcsw

Connect with Kayla

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You know you're a great clinician, but if patients can't find you, they can't choose you. Marketing your private-pay practice shouldn’t feel like shouting into the void—it should feel like connecting with the people who need you most. In this episode, Dr. Paul Thomas shares the simple, repeatable strategies he used to grow from a solo office to a multi-location direct patient care practice—without gimmicks and without expensive ads.

What you’ll take away:
✅ How to get seen and trusted by the right patients—without feeling like you’re “selling”
✅ The secret to consistency (and why showing up imperfectly is better than not showing up at all)
✅ How employer contracts can become a game-changer for growth
✅ Why community outreach and media can elevate your practice faster than social media alone
✅ The branding shift that helps you move from “just another healthcare provider” to the provider patients seek out

If you’re tired of feeling invisible, this episode is your roadmap to marketing with confidence and clarity.

Dr. Paul Thomas

Plum Health | https://www.plumhealthdpc.com/

Startup DPC | https://www.startupdpc.com/

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