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The Ultimate Guide: 5 Clear Signs You’re Ready to start your own Direct Primary Care (DPC) Practice in 2025

March 26, 2025 583 comments

“I didn’t go to med school to do this.”
 If that thought has crossed your mind more than once lately, you’re not alone, and you’re not overreacting. This is your guide to if you are ready to start your own Direct Primary Care (DPC) practice.


More than 47% of physicians reported burnout symptoms in early 2025, according to the latest Medscape Report. While this represents an improvement from previous years, primary care physicians continue to face mounting pressures from documentation requirements, compressed appointment windows, and insurance complexities. Yet amidst these challenges, an increasing number of doctors are discovering a revolutionary solution: Direct Primary Care (DPC).

As of 2025, there are approximately 2,060 Direct Primary Care practices spanning 48 states and Washington, DC., and this is a substantial increase from 1600 practices reported in 2021.

The DPC movement is gaining significant momentum, with the market expected to grow at a 4.3% CAGR from 2023 to 2032. This growth is driven by both physician interest and patient demand for more personalized care. Recent surveys show that 9% of family physicians now operate DPC practices, up from just 3% in 2022, indicating a dramatic shift in how primary care is being delivered.

Direct Primary Care vs. Concierge Medicine: Understanding the Difference

Before diving into the signs, it’s important to understand that DPC is distinct from concierge medicine. While both models offer enhanced access to care, DPC focuses on keeping costs down by avoiding insurance overhead, while concierge practices typically charge higher fees for premium services. This makes DPC more accessible to a broader range of patients while still allowing physicians to practice medicine on their own terms.

So how do you know if you’re ready to trade in the system for something of your own?

Here are 5 signs that it might be time to leave employed medicine and start your own DPC practice.

1. You Spend More Time Clicking Boxes Than Connecting with Patients

Modern primary care often feels more like paperwork than people. The average primary care doctor now spends 16 minutes per patient, and more than half of that time is consumed by EHR documentation, according to a 2020 Annals of Internal Medicine study. The study found that chart review (33%), documentation (24%), and ordering (17%) accounted for most of the time spent on EHRs.

If you’re regularly staying late to finish charts or feeling like you’re “performing” care rather than practicing it, this isn’t just burnout it’s a symptom of a system misaligned with your values.

DPC flips the script. No insurance billing. No 7-minute visits. Just real conversations, proactive care, and time to think.

2. You’re Ready to Trade Security for Autonomy (With a Smart Financial Plan)

Are you tired of decisions being made for you? Formularies, productivity targets, referral policies, they’re all designed to optimize the system, not necessarily patient outcomes.

In contrast, DPC puts autonomy back into the hands of physicians. You choose how many patients to see, how long to spend with each one, and what care looks like, without asking permission from administrators. Direct Primary Care is personalized healthcare delivery in a patient centered medical practice setting which prioritizes physician autonomy.

The transition to DPC often means exchanging a steady paycheck for entrepreneurial opportunity. However, the financial picture is increasingly positive. Recent data shows successful DPC physicians can earn $217,000-300,000 annually once their practice matures, while maintaining significantly better work-life balance. The key is smart panel management – most DPC practices thrive with 400-600 patients, compared to the 2,000-2,500 typically required in traditional practices.

3. You’ve Started Thinking Like a Founder

You notice inefficiencies in your clinic. You wonder what the per-patient revenue really is. You’re researching EMRs that aren’t tied to billing codes. You’ve even mapped out a hypothetical clinic in your head. You are not included in making decisions and most days feel like a cog in the wheel.

Your frustration is turning into the vision of what it SHOULD be and what it CAN be.

Founders don’t just leave something, they’re pulled toward building something better. They have a vision on differentiating themselves. It is not an easy road to take but in many cases it is worth taking. And the DPC model is built for builders: lean overhead, membership-based pricing, scalable over time.

Direct Primary Care is a prime example of healthcare entrepreneurship. It is driven by the right mindset and focused effort.

4. You’re Willing to Trade a Paycheck for Purpose, at Least Temporarily

In reality, going independent often means short-term financial trade-offs. You may give up a salary (and benefits) in exchange for slower initial growth. But many DPC physicians report reaching sustainable income levels within 12–24 months, especially those who control panel size and manage costs wisely. Direct Primary Care closely aligns with value-based primary care.

More importantly, they report dramatically higher satisfaction. A 2022 Physicians Foundation survey found that only 33% of physicians in traditional practice would recommend medicine as a career, while among DPC physicians, informal surveys suggest over 80% would. This satisfaction is driven by physician autonomy, patient centered medical practice and the ability to build relationships and drive results for patients through personalized healthcare delivery.

You don’t have to be wealthy to make the jump, but you do have to be motivated by more than money. DPC is healthcare entrepreneurship and like any other field, it requires more than medical skills.You also have to develop your business skills, do your research and be ready to build a practice based on your vision.

5. You’re Actively Seeking Stories of Those Who’ve Done It

If you’re reading this, you’re likely already Googling “how to start a DPC practice” or lurking in physician Facebook groups about going independent.

That curiosity is a signal.

When you’re drawn to success stories, asking questions, watching YouTube tours of small clinics, or listening to podcasts from other DPC docs, it’s not a whim. It’s preparation.

You don’t have to have all the answers yet, but if you’re in research mode, you’re likely further down the path of value-based primary care in the form of Direct Primary Care, than you think.

DPC Is More than a Model, It is a Mindset

Globally, models like Direct Primary Care echo systems seen in places like the Netherlands and the UK, where strong general practice systems are the foundation of healthcare, and where GPs enjoy significantly more autonomy, often serving as trusted, long-term guides for patients.

DPC is one way to reclaim that here in the U.S., to rebuild relationships, restore meaning, and reimagine primary care one patient at a time.

Major healthcare trends for 2025 point toward increased focus on patient experience, personalized care delivery, and integrated health solutions – all core elements of the DPC model. By eliminating the constraints of traditional practice, DPC allows physicians to rebuild primary care the way it should be: relationship-based, prevention-focused, and truly patient-centered.

Whether you’re feeling the weight of burnout or simply seeking a more fulfilling way to practice medicine, the DPC model offers a proven path forward. The question isn’t just whether you’re ready to make the change – it’s whether you’re ready to be part of healthcare’s future.

Thinking About Making the Leap?

You’re not alone. At Sporo Health, we support physicians building new models of care that prioritize access, autonomy, and equity.

Stay tuned for our next post: “Starting a DPC Practice: What They Don’t Tell You in Med School.”


Or drop us a note because your next chapter might be closer than you think.

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    BPC-157 is a synthetic peptide derived from a naturally occurring protein in the abdomen. It is well-known for its regenerative results on muscles, tendons, ligaments, and the digestive tract. It helps tissue repair, reduces inflammation, promotes angiogenesis (formation of recent blood vessels), and aids in intestine well being and healing. Restoration Mix combines 4 powerful peptides to speed up healing and reduce discomfort throughout the body. This synergistic formulation helps tissue regeneration, soothes inflammation, and enhances restore across muscles, joints, pores and skin, and even the intestine.
    Due to its anti-inflammatory properties, most of its effects can be noticed in sufferers with autoimmune diseases which may be normally characterized by irritation. Maybe the anti-inflammatory effects are more prominently seen in the human gastrointestinal tract, as human trials involving kpv have proven that it might possibly potentially deal with inflammatory bowel ailments (IBD). The major function of KPV is powerful, targeted irritation reduction. Researchers are exploring peptide-based treatments for varied pores and skin conditions, together with burns, continual wounds, and inflammatory skin issues. KPV peptide is thought for its anti-inflammatory and immune-modulating effects. This makes it helpful for wound healing and inflammatory pores and skin conditions. GHK-Cu peptide, on the opposite hand, binds to copper and enhances collagen manufacturing.
    These advanced delivery techniques guarantee effective cellular uptake and internalization, thereby enhancing the therapeutic efficacy of KPV Peptide. The peptides in Guttides work within the body to aid the body’s pure restore processes, in all probability speeding up restoration times and supporting you to get back to your routine with ease. This peptide is considered highly effective for anyone managing continual infection, mainly those that feel the impact of day by day wear and tear on their joints, muscular tissues, or pores and skin. When these two are combined as intestine peptides BPC-157 + KPV, they create a potent method aimed at addressing a range of wellness objectives.
    But like any highly effective compound, they arrive with potential unwanted facet effects and considerations that shouldn’t be missed. Preliminary data recommend melanocortin pathways involved with KPV may affect fats oxidation—though it’s delicate. When used with different agents like GLP-1 agonists or thyroid meds, KPV can cut back inflammation-driven weight retention. KPV promotes quicker healing of wounds and irritation by dampening local irritation and modulating immune response.
    KPV helps balance the immune response by reducing excessive immune exercise without suppressing the system totally. Using GLOW could possibly be engaging for those seeking to boost pores and skin well being, pace up restoration from accidents, or just help overall tissue regeneration and anti-aging processes. Yet one other examine was carried out to research the consequences of KPV on corneal epithelial wound therapeutic in rabbits.
    The antimicrobial results spread broadly together with the physiological range. Alpha-MSH peptides in small concentrations lowered the practicality of C.albican yeast formation. If KPV sounds like something you’d wish to discover, you’re not alone. Extra and more individuals are turning to peptide therapies as a half of a holistic method to wellness. KPV can be given in numerous ways—through injections, oral supplements, and even creams—depending on what works best for you.

    References:

    https://www.lizyum.com/@janessacamden7

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  580. Throughout the awesome scheme of things you actually secure an A+ just for hard work. Where you actually confused us was on your particulars. As people say, details make or break the argument.. And that could not be much more accurate here. Having said that, let me tell you just what did give good results. Your authoring can be very convincing and that is possibly the reason why I am making an effort to comment. I do not really make it a regular habit of doing that. Second, while I can see a leaps in logic you make, I am definitely not sure of how you appear to unite the points which help to make the conclusion. For right now I will, no doubt subscribe to your point but hope in the foreseeable future you link your dots much better.

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  583. That statistic about physician burnout – over 47% – is really striking and highlights why exploring alternatives like DPC is so important; I also found some interesting related insights on https://seed3d.ai. Is there a typical timeline for making the transition to a DPC practice?

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