As access to highly trained physicians has declined, private medicine restores it — a direct, personal relationship with a doctor who has time.
Quick answer
Private medicine at Next Level is a membership-based model that gives you direct, unhurried access to two highly trained, experienced physicians — outside the constraints of the insurance system. With just 100–150 patients per doctor, you get the relationship, time and access that traditional medicine no longer allows.
| Model | Membership-based, cash / not insurance |
|---|---|
| Panel size | 100–150 patients per doctor |
| Access | Direct phone & secure text via Spruce |
| You keep | Your own insurance for hospital/specialty care |
| Location | Scottsdale, AZ · by appointment |
As medicine in America and the wider world has evolved, access to highly trained, skilled and experienced physicians has declined. Practices grow larger, visits grow shorter, and the personal relationship at the heart of good medicine gets squeezed out.
Private, membership-based medicine is the deliberate reversal of that trend. By limiting our practice and stepping outside the insurance treadmill, we can give you the time, attention and direct access that great care requires.

Appointments as long as they need to be — because we see far fewer patients.
Your physician by secure text and phone, not a call center.
A doctor who knows you, your history, and what matters in your life.
Virtual care and coordination across North America and abroad.
Discreet, confidential, membership-based care.
Conventional rigor plus integrative and precision options.
They overlap. Both are membership-based and prioritize access and relationship. Next Level goes further than most concierge practices by limiting to just 100–150 patients per doctor.
Yes. We are not insurance. Members keep their own coverage for hospitalization, surgery, ER and specialty care; membership covers in-office and integrative care.
Mainly: time and access. With a fraction of the usual patient load, we can truly know you, respond quickly, and coordinate every part of your care.
See what medicine feels like when your physician has time for you.