Internal Medicine · Confidential brokerage
Sell Your Internal Medicine Practice in California
Your Medicare-rich panel is exactly what today's buyers want. Selling it well means making more than one of them say so.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
The Buyer Spread Is the Opportunity
For an internal medicine practice with a managed Medicare panel, the spread between the weakest natural offer (local asset-value purchase) and the strongest (value-based or concierge-platform economics) is wider than in almost any primary care segment. Capturing that spread takes process: a valuation that documents panel depth, CCM/AWV revenue durability, and transferability; a confidential outreach list spanning systems, value-based platforms, medical groups, concierge operators, and physician buyers; and parallel negotiation that lets each buyer's math compete.
What We Negotiate Hard in IM Deals
- Panel transition economics. Buyers price attributed-patient continuity; your transition months are worth real consideration, and we structure them as paid terms.
- The recurring-revenue premium. Documented CCM and wellness-visit streams justify pricing above visit-volume math — but only when the data room proves durability. We build that proof.
- Post-close clinical role. Many internists want three to five more years at reduced intensity; buyers often want exactly that. We negotiate scope, schedule, and compensation alongside price, not after it.
- Records, coverage, and call. Custody, hospitalist handoffs, and call obligations are deal terms with money attached — handled explicitly.
Succession Inside the Practice
An associate or junior partner buying in over time — anchored by independent valuation and SBA-financeable terms — remains a strong path, particularly where legacy and staff continuity matter. We run it head-to-head with external options.
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, private equity platforms, and FQHCs. We negotiate competing offers and structure the sale to protect your net proceeds.
What would a value-based buyer pay for your panel?
Probably more than you've been told. Let's find out.
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
For managed Medicare panels, value-based and platform buyers generally lead; for commercially weighted practices, systems and groups. The honest answer comes from running them against each other — which is the process.
That's often the most marketable version of your deal: buyers get continuity, you get liquidity plus a defined, lighter role. We negotiate the wind-down arc into the agreement.
NDA-gated disclosure, blind initial profiles, off-site or after-hours meetings, and data handled through us. Staff learn when you announce — with a retention story already negotiated.
Sell the Annuity You Built
Recurring revenue deserves competitive bidding.
All inquiries are kept strictly confidential.