Concierge Medicine in Miami | Executive Primary Care | PURE Executive Health & Wellness
Executive-Level Primary Care for Those Who Refuse to Settle
At PURE Executive Health & Wellness in Coral Gables, we practice medicine the way it should be — unhurried, thorough, and built around you.
This page is designed for executives, entrepreneurs, and high-performing professionals in Miami who demand a higher standard of primary care and value their time, privacy, and health outcomes. Our concierge model limits our physician panel to ensure every member receives the time, attention, and proactive care that their health demands and their schedule requires.
Why Traditional Primary Care Is Failing Executives
The average primary care physician in the United States manages a panel of 2,000 to 3,000 patients. The math is unforgiving: at that volume, each patient receives approximately 7 to 12 minutes per visit. Appointments are booked weeks in advance. Your physician — overwhelmed by administrative burdens, insurance requirements, and the sheer volume of patients — has little time to dig deeper than the presenting complaint.
For most people, this system is tolerable. For executives, entrepreneurs, and high-performing professionals whose decisions carry outsized consequences, it’s inadequate. Your health is not a commodity to be processed through a 10-minute slot. Primary care physicians help executives achieve better long-term health by reducing the burden of chronic conditions through preventive care, health education, early detection, and continuous monitoring. It’s the foundation that everything else — your business, your family, your legacy — is built upon.
7 min Average primary care visit length
24 days Average wait for a new patient appointment
2,500+ Patients per physician in traditional practice
60% of chronic conditions caught late in standard care
What Is Concierge Medicine?
Concierge medicine is a membership-based healthcare model and a personalized form of primary care often described as concierge care that fundamentally restructures the physician-patient relationship. By maintaining a deliberately small patient panel — typically 200 to 400 members versus thousands in conventional practice — your physician has the bandwidth to provide truly personalized, proactive, and accessible care and better serve as your first contact and ongoing coordinator within the health care system. In traditional primary care practices, the physician is often the first contact or entry point into the health care system.
This isn’t about luxury for luxury’s sake. It’s about creating the conditions under which excellent medicine can actually be practiced: enough time to listen, enough continuity to spot patterns, enough availability to intervene early, and enough trust to address the health concerns that executives often leave unspoken in a rushed 10-minute visit. Primary care is integrated, accessible care delivered by physicians and their health care teams who are accountable for most personal health needs.
The Research Supports the Model
Studies on concierge and direct primary care models consistently demonstrate that physicians in retainer-based practices report significantly reduced burnout, spend more time with each patient, and practice more preventive medicine. The model originated with MD² International in 1996, the company that launched it to provide luxury primary care with far smaller patient panels than traditional practices. By 2010, more than 5,000 physicians in the United States were practicing concierge medicine. Members benefit from faster access, deeper physician relationships, and care coordination that reduces fragmentation — all factors associated with better health outcomes and lower long-term healthcare cost, one reason direct primary care is often discussed alongside concierge medicine. Direct primary care typically offers comprehensive and preventive services through a direct financial relationship, with patients paying physicians directly rather than relying on insurance reimbursement, and it generally avoids the luxury features and higher fees associated with concierge practices.
What PURE Membership Includes
24/7 Direct Primary Care Provider Access
Reach your doctor by phone, text, or email — day or night. No answering services. In the retainer-fee concierge model, this kind of access helps support a more direct relationship with your personal physician.
Same-Day & Next-Day Appointments
With the concierge retainer model, you’re often seen that day for timely treatment — not in three weeks. No waiting rooms. No rushing. Appointments that start on time.
Extended Consultations
30 to 60-minute visits are the standard, not the exception. Enough time for doctors to address your concerns thoroughly and evaluate issues in the bigger picture of your health, not just the immediate complaint.
Comprehensive Annual Physical
A multi-hour executive health assessment including advanced labs, cardiovascular screening, cancer markers, and body composition — far beyond the standard annual checkup.
Personalized Wellness Strategy
Your physician develops an individualized health roadmap for health promotion and overall well-being, addressing nutrition, exercise, sleep, stress management, and preventive interventions for disease prevention specific to your risk profile.
Specialist Coordination
When you need a specialist, your physician personally coordinates the referral, communicates your history, and follows up on results as part of a broader, continuous care relationship that also connects you to specialty services — eliminating the gaps that plague fragmented care.
Telemedicine Consultations
Travel-friendly care. Whether you’re in New York, London, or Aspen, your physician is accessible via secure video for consultations, prescription management, and health questions.
Advanced Wellness Services
Members have priority access to PURE’s full suite of services: IV therapy, hormone optimization, peptide therapy, hyperbaric oxygen sessions, and advanced diagnostics.
Concierge Medicine vs. Traditional Primary Care
| Experience | Traditional primary care practices | PURE Concierge Medicine |
|---|---|---|
| Appointment Wait Time | 2–4 weeks | Same day or next day |
| Visit Duration | 7–12 minutes | 30–60 minutes |
| Physician Access After Hours | Answering service / emergency room | Direct phone/text to your doctor |
| Annual Physical Depth | 15-minute insurance-covered checkup | Multi-hour comprehensive assessment |
| Lab Panel Scope | Basic CBC & metabolic panel | 50+ marker advanced panel |
| Specialist Coordination | Patient manages independently | Physician-coordinated referrals & follow-up |
| Preventive Strategy | Reactive — treats symptoms | Proactive — personalized prevention plan |
| Telemedicine | Limited or unavailable | Available anytime, anywhere |
| Patient Panel Size | 2,000–3,000 patients | Limited membership panel |
Beyond Primary Care: PURE’s Advanced Services
What makes PURE unique in the Miami concierge landscape is the depth of services available under one roof. Your concierge physician doesn’t just manage your primary care — they orchestrate your complete health optimization, with direct access to advanced modalities that most practices refer out.
Executive Physical Program
Multi-hour comprehensive health assessments with cardiovascular screening, cancer markers, DEXA body composition, and cognitive evaluation.
Hormone Optimization
Physician-supervised testosterone, estrogen, thyroid, and adrenal optimization using bioidentical hormones with regular lab monitoring.
IV Therapy & NAD+
Medical-grade IV infusions for recovery, immunity, cognitive enhancement, and cellular repair — including NAD+ protocols for longevity.
Peptide Therapy
Targeted peptide protocols including BPC-157, CJC-1295/Ipamorelin, and Thymosin Beta-4 for tissue repair, growth hormone optimization, and recovery.
Metabolic Health
Advanced metabolic assessment including insulin sensitivity, lipid particle analysis, and personalized nutrition strategies for optimal body composition.
Preventive Care & Screening
Age-appropriate cancer screening, cardiovascular risk stratification, and genetic testing to identify risks before they become diagnoses.
Who Chooses Concierge Medicine at PURE
Our membership reflects Miami’s diverse executive community — individuals who, in recent years, have shown growing interest in this model because they invest in what matters and refuse to compromise on the things that count.
CEOs & Founders
Leaders whose performance and availability are critical to their organizations. Time is their scarcest resource — they need a physician who respects it.
Attorneys & Finance Professionals
Professionals in high-pressure fields where cognitive performance, stress management, and reliable health support are non-negotiable.
International Business Leaders
Frequent travelers who need a physician accessible across time zones, familiar with their complete health history, and capable of coordinating care globally.
Families
Families seeking a single physician relationship that provides continuity, coordination, and the peace of mind that comes from truly personalized care.
Why PURE Executive Health & Wellness
Miami has several concierge providers. What distinguishes PURE is the integration of advanced wellness services within the concierge relationship — and a philosophy that views health not as the absence of disease but as the foundation of performance.
More Than a Doctor — A Health Partner
At PURE, your physician is your doctor and primary care provider, knowing your health history, your goals, your stressors, and your schedule, with care centered on the whole person, not just isolated symptoms. When you call, they answer. When you need to be seen, you’re seen that day. When a new symptom arises during a business trip, they’re available by phone or video to assess, advise, and act. This isn’t healthcare as a transaction — it’s healthcare as a relationship, built on trust and sustained by consistent, unhurried attention.
Frequently Asked Questions
What is concierge medicine?
Concierge medicine is a membership-based healthcare model where you pay an annual or monthly retainer, or retainer fee, for enhanced access to your physician. In exchange, your doctor maintains a significantly smaller patient panel — typically 200-400 members versus 2,000-3,000 in traditional practices — and typically has the training and availability to provide more comprehensive ongoing attention, allowing longer appointments, same-day availability, 24/7 direct access, and a depth of preventive concierge care that conventional insurance-driven medicine cannot provide.
How is concierge medicine different from traditional primary care?
In traditional primary care, physicians manage panels of 2,000-3,000 patients, resulting in 7-12 minute appointments, weeks-long wait times, and a reactive approach focused on treating illness rather than preventing it. Traditional primary care is delivered by physicians and their health care teams, which may include nurse practitioners and physician assistants. Those physicians may come from backgrounds such as internal medicine or family medicine. Concierge medicine inverts this model: smaller panels mean more time per visit (30-60 minutes), same-day or next-day appointments, direct phone and text access to your physician, and a proactive focus on optimization and prevention.
Does concierge medicine replace health insurance?
No. Your concierge membership covers your primary care relationship — enhanced access, preventive care, and physician availability. You should still maintain health insurance for hospital stays, specialist referrals, surgical procedures, hospitalizations, and catastrophic coverage, and it is not a substitute for Medicare or other major coverage programs. Many of our members find that the proactive care they receive actually reduces their overall healthcare costs by catching issues early and avoiding emergency situations.
What is included in a PURE membership?
PURE memberships include 24/7 direct physician access via phone, text, and email; same-day and next-day appointments; comprehensive annual executive physicals; advanced diagnostic panels beyond standard insurance-covered labs; personalized wellness planning; coordination with specialists; telemedicine consultations; and access to our full suite of advanced services including IV therapy, hormone optimization, and peptide therapy.
Why do Miami executives choose concierge medicine?
Miami’s executive community values time, privacy, and performance. Concierge medicine aligns with how successful professionals approach everything else — with intention and investment. Our members include CEOs, founders, attorneys, other physicians, and high-net-worth individuals who recognize that their health is their most valuable asset and that reactive 7-minute visits are inadequate for maintaining the performance level their careers demand.
Can I use my health insurance with concierge medicine?
Yes. Physicians who provide this level of primary care complete specialty training, including residency, before practicing independently. While the membership retainer itself is not typically covered by insurance, many of the services provided — including labs, diagnostics, and specialist referrals — can be billed to your insurance. Our team assists with insurance coordination and billing coordination to maximize your benefits while ensuring you receive the elevated level of care our membership provides.
Your Health Deserves More Than 7 Minutes
Experience medicine designed around the way you live and lead. Schedule a complimentary consultation to explore PURE membership and discover what truly personalized healthcare feels like.
References
- Carlasare LE. Defining the Place of Direct Primary Care in a Value-Based Care System. WMJ. 2018;117(3):106-110. PMID: 30193018
- American Academy of Private Physicians. Concierge Medicine Trends Report. 2024.
- Merritt Hawkins. 2022 Survey of Physician Appointment Wait Times.
- Tai-Seale M, McGuire TG, Zhang W. Time Allocation in Primary Care Office Visits. Health Serv Res. 2007;42(5):1871-1894.
- Musich S, Wang S, Hawkins K, Klemes A. The Impact of Personalized Preventive Care on Health Care Quality, Utilization, and Expenditures. Popul Health Manag. 2016;19(6):389-397.