45+ specialties · Strictly medical
Medical Practice Specialties We Serve in California
Every specialty has its own economics, its own buyers, and its own multiples. We've valued practices across more than forty-five of them.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Why Specialty Expertise Changes the Number
A generalist appraiser values a dermatology practice and an urgent care clinic with the same template. That template can’t see that the dermatology practice’s cosmetic revenue deserves a different risk profile than its Medicare medical revenue, or that the urgent care’s value lives in its payer contracts and per-site volume rather than its equipment list. Across 500+ valuations and 45+ specialties, we’ve built the specialty-specific benchmarks — compensation data, expense norms, transaction comps, buyer appetite — that make a valuation precise instead of approximate.
Specialties We Serve
Choose your specialty to see how we value it, what drives its multiples, and who is buying in California right now.
Valuation & Brokerage
Ophthalmology
Surgical/optical revenue mix, ASC interests, premium IOL economics. Our core specialty.
Learn moreValuation & Brokerage
Dermatology
Cosmetic vs. medical mix, Mohs, pathology, PE consolidation.
Learn moreValuation & Brokerage
Family Medicine
Panel value, payer mix, provider leverage.
Learn moreValuation & Brokerage
Pediatrics
Panel demographics, vaccine economics, Medi-Cal dynamics.
Learn moreValuation & Brokerage
Primary Care
Value-based contracts, capitation, ACO participation.
Learn moreValuation & Brokerage
Pain Management
Procedure mix, site of service, compliance posture.
Learn moreValuation & Brokerage
Internal Medicine
Chronic care ancillaries, concierge potential.
Learn moreValuation & Brokerage
Plastic Surgery
Cash-pay mix, brand transferability, accredited ORs.
Learn moreValuation & Brokerage
Cardiology
Diagnostic ancillaries, OBL economics, hospital alignment.
Learn moreValuation & Brokerage
Psychiatry
Cash-pay and telehealth models, prescriber leverage, TMS.
Learn moreValuation & Brokerage
Urgent Care
Per-site volume, payer contracting, multi-site scale.
Learn moreDon’t see your specialty? We’ve valued practices in 45+ — from OB/GYN to gastroenterology. Ask us.
The Same Rigor, Specialty-Tuned
Whatever the specialty, the framework holds: normalized cash flow first, then the asset, market, and income approaches reconciled into a certified, USPAP-compliant conclusion. What changes by specialty is everything inside that framework — the right compensation benchmark for owner replacement, the comp set that’s actually comparable, the buyer universe that determines market appetite, and the risk factors that set the discount rate. That’s what these pages document, specialty by specialty.
Valuation and Brokerage, Both
Each specialty page links to two services: a certified valuation for any purpose — sale, buy-in, divorce, dispute, lending, estate — and sell-side brokerage when the decision is made. One advisor, both halves.
Want the numbers for your specialty?
One call gets you a straight answer on multiples, buyers, and timing.
Trusted by physicians across California
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
Specialty questions, answered
Almost certainly — the eleven listed are our most requested, not our limits. Our 500+ engagements span more than forty-five specialties; ask on the discovery call and we’ll tell you plainly whether we have the comparable data your specialty needs.
Substantially. Specialties with provider leverage, recurring revenue, and active institutional buyers command stronger EBITDA multiples than owner-dependent, referral-fragile ones. Applying a blended "medical practice multiple" to a specific specialty is one of the most common errors we correct in second opinions.
Yes, and we price it. Subspecialty mix changes revenue durability, buyer appetite, and replacement-physician cost — all three move value.
Completely. Dermatology and ophthalmology draw heavy PE interest; family medicine draws health systems and FQHCs; psychiatry draws behavioral health platforms. Knowing who actually buys your specialty is half of pricing it.
Your Specialty Has Its Own Market. We Know It.
500+ valuations across 45+ specialties.
All inquiries are kept strictly confidential.