Pain Management · Confidential brokerage
Sell Your Pain Management Practice in California
Buyers pay premiums for pain practices that can prove they run clean. We build that proof into the process from day one.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Positioning Beats Apologizing
Every pain practice sale eventually meets the compliance conversation. Sellers who wait for diligence to raise it negotiate downhill; sellers who open with documented prescribing patterns, medical-necessity audit results, and clinically coherent ancillary utilization flip the dynamic — risk questions become differentiation. Our process starts with the certified valuation and builds a compliance-forward data room before any buyer sees a number, then markets confidentially to the interventional platforms, health systems, and ASC-aligned buyers active in California pain.
Deal Dynamics Specific to Pain
- The ASC question first. If you hold surgery center units, buyers will want them priced into — or carved out of — the deal. We value both assets and negotiate the package deliberately (see selling your ASC).
- Referral durability commitments. Buyers underwrite your referral network's survival; transition involvement, surgeon relationship handoffs, and reasonable post-close clinical commitments protect price.
- Indemnity and escrow scope. Pain deals carry heavier reps-and-warranties negotiation than most specialties. The valuation's documented risk posture is your leverage for narrower escrows.
- Structure. Asset purchases dominate, but equity structures appear in platform deals with rollover. After-tax modeling decides, not convention.
Who's Buying
Interventional pain platforms continue consolidating California; hospital systems acquire for spine and surgical alignment; ASC operators buy procedure volume. Each prices your practice differently — a competitive process, run quietly, finds the spread.
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.
Selling a practice buyers will scrutinize hard?
Get positioned before you get diligenced.
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
It means the multiple is provisional and the review is where it shrinks. Pre-empting that review with our compliance-forward data room converts "subject to" into a number that holds — or tells you early which buyer to deprioritize.
Often yes, with care: the buyer needs case flow certainty, your partner needs distribution durability, and the agreements between practice and center must be at market rates. We structure exactly these splits.
Tight. Blind profiles, NDAs before identity, staged disclosure, and a no-marketplace policy. In a specialty where rumors move referrals, process discipline is worth real money.
Run Clean. Sell Strong.
Compliance-forward pain practice exits, valuation first.
All inquiries are kept strictly confidential.