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My DPC Story: Daily Summaries Delivered
by Maryal Concepcion, MD
As the Direct Primary Care and Direct Care models grow, many physicians are providing care to patients in different ways. This podcast is to introduce you to some of those folks and to hear their stories. Go ahead, get a little inspired. Heck, jump in and join the movement! Visit us online at mydpcstory.com and JOIN our PATREON where you can find our EXCLUSIVE PODCAST FEED of extended interview content including updates on former guests!
Latest Episodes
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- Yesterday52 min
Dueling Pianos to Direct Primary Care: Dr. Brian Juan on Opening Metronome Family Medicine at Age 50
Dr. Brian Juan toured with rock bands and played dueling piano bars for more than a decade before he became a family doctor. Three months into Metronome Family Medicine, his solo Direct Primary Care practice in Longmont, Colorado, he talks about what it actually took to make the leap. Dr. Brian Juan spent most of his 20s and 30s on the road, first touring with rock and jam bands, then playing dueling pianos in bars around Boulder and Denver. His dad was a Filipino immigrant physician who ran ...
- 5 days ago34 min
What Should a DPC Physician Pay Themselves? 10 Numbers Every Direct Primary Care Owner Must Know with Nate Goodman, CPA
What should a direct primary care physician actually pay themselves? On this episode of My DPC Story, Dr. Maryal Concepcion sits down with Nate Goodman, CPA, founder of Goodman CPA, the accounting firm that works exclusively with direct primary care and direct specialty care practices. Nate is also a DPC patient. His family's experience with direct primary care in the Black Mountains of North Carolina is why his firm stopped taking non-direct care clients in 2024. Together they walk through 1...
- 1 weeks ago34 min
Growing a Rural DPC Practice in Year 8: How Dr. Klaucke Built Patient Trust, Avoided Burnout, and Scaled Team-Driven Care
Dr. Jillian Klaucke, MD, FAWM. Board-certified family physician at Sandpoint Premier Direct Primary Care, Idaho. Wilderness medicine fellow. Eight years into Direct Primary Care, Dr. Klaucke shares what actually works running a rural family medicine practice without insurance. Her practice runs on three pillars: teamwork, accountability, and patient safety. Teamwork means working with patients as partners. When imaging is needed, someone follows up to confirm it happened. Accountability means...
- 2 weeks ago1h 0m
From GameStop to DPC Owner: Dr. Sarai Ambert-Pompey on Telehealth, EHR Vetting & Trust-Based Care
Dr. Sarai Ambert-Pompey opened Libélula Primary Care in Boise, Idaho. "Libélula" is Spanish for dragonfly, chosen for transformation. One year in, she joins Dr. Maryal Concepcion to talk about what changed when she left the VA for Direct Primary Care. Her path is unconventional: CompUSA and GameStop, Sony PlayStation reviewer training, oncology research at OHSU, then internal medicine residency in Boise. At the VA she joined a Primary Care Center of Excellence and helped launch the Boise Clin...
- 3 weeks ago28 min
How to Choose an EHR for Your DPC: What I Learned Switching After Almost 5 Years
One month shy of five years. That is how long Big Trees MD ran on the electronic health record it opened with, and this month, that ended. Not because Dr. Maryal Concepcion went looking for something shinier, but because the terms under which her patients' data lived changed, and she could not accept them. In this solo episode, Dr. Concepcion documents the switch in real time from her rural Direct Primary Care practice in Arnold, California, which she owns with her husband, Dr. Jeremiah Fillo...
- 4 weeks ago48 min
How to Start a State DPC Alliance: Direct Primary Care in New York with Dr. Laura Petrescu
When Dr. Laura Petrescu opened Athena Direct Primary Care & Lifestyle Medicine, she was the only Direct Primary Care physician in the Rochester, NY metropolitan area. Health system leadership thought she was out of her mind. Colleagues told her nobody would pay a membership on top of insurance. The advice everywhere was the same: New York is too restrictive, and DPC will not work here. Today there are seven or eight DPC practices in the Rochester area, and Dr. Petrescu has founded the New...
- Aug 16, 20261h 14m
DPC and HSAs: The $150 Rule and How to Opt Out of Medicare | Dr. Phil Eskew
Direct Primary Care no longer disqualifies patients from HSA eligibility. As of January 1, 2026, DPC membership fees are a qualified HSA expense at or below $150 per month for one person and $300 for a family. Above $150 you are not in violation. You are in the same gray zone DPC lived in for a decade, and the tax position belongs to the patient and their accountant, not to you. Dr. Phil Eskew (DO, JD, MBA) of DPC Frontier joins Dr. Maryal Concepcion to break down what changed and what it mea...
- Aug 9, 20261h 6m
How to Grow DPC With Employers Without Losing Autonomy | Dr. Kyle Rickner, Primary Health Partners
Dr. Kyle Rickner heard about Direct Primary Care in a side room at the AAFP National Conference in October 2014 and committed to it 50 minutes later. Today Primary Health Partners cares for employee lives in 30 states, and it started with a patient named Jason who owned a 22 person company and handed Dr. Rickner a check covering every employee for a full year, six weeks after opening. In this episode, Dr. Rickner talks with Dr. Maryal Concepcion about what it takes to build a DPC practice tha...
About My DPC Story
As the Direct Primary Care and Direct Care models grow, many physicians are providing care to patients in different ways. This podcast is to introduce you to some of those folks and to hear their stories. Go ahead, get a little inspired. Heck, jump in and join the movement! Visit us online at mydpcstory.com and JOIN our PATREON where you can find our EXCLUSIVE PODCAST FEED of extended interview content including updates on former guests!
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