Defensibility First
A valuation is only as good as its weakest assumption. Every conclusion we issue is built to survive IRS review, courtroom cross-examination, and buyer diligence.
Strictly medical. Certified. Independent.
About Nechay Advisors
A valuation and brokerage firm built exclusively for physicians — led by a Certified Valuation Analyst who has appraised more than 500 medical practices and surgery centers.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Alexey Nechay, CVA
Principal & Certified Valuation Analyst
Why Nechay Advisors Exists
Most doctors are flying blind on value. Physicians spend decades building practices worth seven figures, yet most have never seen a credible appraisal of what they own. When a private equity offer lands, a partner wants to buy in, or a divorce demands a number, they’re forced to negotiate the biggest transaction of their careers with no benchmark.
Alexey Nechay built the firm to fix that. With a B.S. in Health Care Administration from California State University, Long Beach, and years spent valuing and brokering medical practices, Alexey saw the same pattern repeatedly: generalist brokers who didn’t understand business valuation or physician compensation, and big valuation firms whose fees and timelines didn’t fit a solo or small-group practice. He earned the Certified Valuation Analyst (CVA) credential from NACVA and focused the practice on one thing — medical practices and ASCs, valued to USPAP standards.
Today Alexey has completed 500+ valuations across 45+ specialties and 35+ states, from solo ophthalmology offices to multi-site surgery centers. The rebrand from Nechay Appraisals to Nechay Advisors reflects what clients kept asking for: not just the number, but help acting on it — brokerage, negotiation support, and deal structuring from the same advisor who built the valuation.
The Principal — Alexey Nechay, CVA
- Certified Valuation Analyst (CVA), National Association of Certified Valuators and Analysts
- B.S. Health Care Administration, California State University, Long Beach
- Member: American Society of Appraisers; National Association of Certified Valuators and Analysts; National Society of Certified Healthcare Business Consultants; American Academy of Ophthalmic Executives; American Society of Ophthalmic Administrators
- Licensed California Real Estate Broker (CA DRE #01984748)
- Every report personally prepared or reviewed by Alexey — no junior-analyst hand-offs
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
What We Believe
Strictly Medical
Specialization is the product. We don’t value restaurants on Tuesday and your cardiology group on Wednesday. Medical practices and ASCs, full stop.
Plain-English Numbers
You shouldn’t need a finance degree to understand your own appraisal. We walk every client through the report — and we’ll get on the phone with your accountant, attorney, or bookkeeper, too. Clients consistently mention this in reviews.
Independence
Our opinion of value doesn’t bend toward whoever is paying. That’s exactly why courts, lenders, and buyers accept our reports.
Have a question about your situation?
A short confidential call with Alexey is free — and usually clarifies your next step immediately.
What Clients Say
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
Questions about working with us
Alexey Nechay, CVA, personally. You work directly with the credentialed appraiser from discovery call to final report — and he remains available for questions after delivery, including calls with your CPA or attorney.
USPAP (Uniform Standards of Professional Appraisal Practice) is the recognized standard for professional appraisals in the U.S. Compliance means documented methodology, supportable assumptions, and an independent conclusion — the difference between a report the IRS or a court accepts and one they reject.
Yes. Discovery, document collection, and interviews are handled remotely or on site as needed. We serve physicians statewide, and our experience spans 35+ states.
Yes. We provide buy-side advisory for physicians acquiring practices or buying into partnerships — including second opinions on valuations prepared by the other side.
Work With an Advisor Who Speaks Both Medicine and Money
500+ physicians have trusted us with the number that matters most.
All inquiries are kept strictly confidential.