Dr. Niran Al-Agba still dictates into a tape recorder and files paper charts in the Silverdale, Washington practice her father opened in 1971. She carries roughly 3,000 patients, documents a visit in about one minute, and works around 20 hours a week. She also gave Medicaid 24 hours to reverse a rate cut, and it did.

A 10 mile non-compete stopped Dr. Christa Springston from even making house calls from her own home, so she took a protractor to the map and opened Health Springs Direct at 10.02 miles. She works out of one 12 by 17 foot room in an executive suite outside Atlanta, and folds FAA flight physicals for airline pilots into the membership.

Dr. Neeti Kapur opened her DPC practice with telemedicine while she searched for clinic space. Here is how she did it, step by step, plus the full episode.