Open library

Guides

Practical knowledge for opening, running, and growing a medical practice in the DMV. Written for doctors, not search engines.

• Operations

  How to pass NPI verification without the 90-day delay

  The exact steps that reduce NPI Type 1 and Type 2 application timelines from 90 days to under 21. Built from the experience of new DMV practice owners — and the most common reasons applications get held.

  8 min read

• Operations

  Lease vs. buy: office space for a first-time practice owner

  The financial math, the strategic case, and the DMV-specific factors that change the answer. Built from physicians who have done both — and one who has done both at the same time.

  11 min read

• Vendor selection

  Seven questions to ask before signing with an equipment vendor

  The conversations that separate a smooth equipment installation from a four-month nightmare. Assembled from DMV physicians who have signed with the wrong vendor at least once.

  9 min read

• Renovation

  What a medical buildout actually costs in 2026

  DMV-specific cost breakdown — by category, by specialty, and the line items most new owners underestimate. Built from contractor and physician interviews across Washington D.C., Maryland, and Virginia.

  11 min read

• Opening a clinic

  Office Opening 101: a DMV doctor's checklist

  From signing the lease to your first patient — the milestones, the costs, and the conversations to have before each one. Built from peer interviews across Washington D.C., Maryland, and Virginia.

  12 min read