Primary Care · Confidential brokerage
Sell Your Primary Care Practice in California
The buyer who values your attributed panel will outbid the one who counts your exam rooms. We make sure both are at the table.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Sell to the Math That Favors You
The same primary care practice can receive an asset-value offer from a local physician and a per-member-economics offer from a value-based platform — sometimes an order of magnitude apart. Which math applies depends on which buyers you reach and how your practice's story is told. Our process opens with the valuation, builds the data narrative around your strongest economics — attributed lives, quality performance, panel durability — and markets confidentially to systems, platforms, medical groups, FQHCs, and physician buyers in parallel.
Negotiation Points Unique to Primary Care
- Attribution continuity. Buyers price attributed lives staying attributed; we negotiate transition involvement and patient communication plans that protect the count — and your consideration tied to it.
- Contract assignment. Payer and ACO contract transferability shapes structure (asset versus equity) and timing. We map it before marketing, not during diligence.
- Earnout design. Value-based buyers often propose earnouts on panel or quality metrics. We negotiate metrics you influence, baselines that are honest, and caps on downside.
- Your clinical future. Stay and lead, stay and wind down, or exit at close — each path prices differently, and we put your preference into the process design from day one.
The Quiet Alternative: Internal Succession
A capable associate plus SBA financing plus a certified valuation still makes a clean, legacy-preserving exit. We model it against external offers so the comparison is real, not sentimental.
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.
Got a platform offer in your inbox?
Find out what a competitive process would do to it.
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
They're real interest and openers, not endpoints. Platform outreach prices anchor low and improve under competition. Responding through a structured process — rather than alone — is usually worth multiples of the advisory cost.
Context sells: we present multi-year performance with cause and recovery documented. One soft year framed honestly costs little; one discovered by diligence unframed costs a retrade.
Frequently that's the buyer's preference — particularly for platforms underwriting panel continuity. Post-close employment terms, compensation, and schedule become deal points we negotiate alongside price.
Make Buyers Compete on Your Strongest Math
Valuation-led primary care exits.
All inquiries are kept strictly confidential.