Dermatology · Confidential brokerage
Sell Your Dermatology Practice in California
The platforms have bought hundreds of practices. This is probably your first sale. We help you get it right.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Selling Into a Mature PE Market
Dermatology consolidation is a decade old, which changes the seller's playbook. Early-cycle platforms paid for geography. Today's buyers pay for quality: extender leverage, cosmetic durability, clean compliance, growth runway. Our process positions your practice on exactly those strengths. We establish your practice's normalized cash flow, set a defensible asking price, and approach the platform, regional, and physician buyers whose models actually fit your practice, confidentially and in parallel.
Where Dermatology Deals Are Won or Lost
- The reset and the rollover. Platform offers turn on post-close compensation and equity terms more than headline multiple. We model all-in, multi-year economics for every offer side by side.
- The aesthetic book's transferability. Buyers discount cosmetic revenue that depends on you personally. Employed injectors, patient retention you can show in the numbers, and solid non-solicit agreements defend it. We put that evidence together before buyers ask for it.
- Mohs continuity. If Mohs surgery drives a large share of your revenue and you are the surgeon, buyers will tie part of the price to you staying on through an earnout or employment terms. Those terms are negotiable when you see them coming.
- The entities. Many practices sit alongside a med spa, a pathology lab, or the real estate. Deciding exactly what is included in the sale before going to market prevents the diligence surprises that lower the price late in the deal.
Alternatives to the Platform Exit
Associate buy-outs and local group mergers remain live options in dermatology, particularly for owners who care about legacy and staff continuity. With SBA-financeable pricing anchored by our valuation, a physician buyer can be more competitive than sellers expect. We run the paths in parallel; the numbers and your priorities pick the winner.
From valuation to close — our three-step process
- 1
Confidential Consultation
A private, no-obligation conversation about your goals, your timeline, and what a successful exit looks like. We share an informed perspective on the current market for practices like yours, and you decide whether to move forward.
- 2
Valuation & Positioning
We perform a valuation of your practice, normalizing earnings and weighing real transaction data, to arrive at an asking price that reflects its fair market value. We then position the practice for the buyer types that fit your goals.
- 3
Confidential Marketing & Sale
We market the practice confidentially, under NDA, through our buyer network and targeted outreach to physician groups, hospital systems, and private equity platforms. We negotiate competing offers and structure the sale to protect your net proceeds.
Wondering what platforms would really pay?
We'll model it from your actual numbers, confidentially.
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
Frequently asked questions
Multi-provider extender leverage, cosmetic revenue backed by returning patients, EBITDA above the platform's add-on threshold, and clean entity structure. Practices missing one of these still sell. Knowing the gap before marketing lets us price and position around it.
Very, if run properly. Blind profiles first, NDAs before your identity is revealed, staged release of information, and no public marketplace listings. Dermatology is a small, well-connected specialty where word travels fast. Our process is built for that.
That comes down to numbers. We compare what the practice would sell for today against what each growth move would realistically add by the time you want to sell. Sometimes eighteen months of hiring another provider raises the price meaningfully. Sometimes the market today is better than the plan tomorrow.
Sell to the Right Buyer, Not the First One
Valuation-led dermatology exits.
All inquiries are kept strictly confidential.