Dr. Patrick McEneaney has grown his private practice group Northern Illinois Foot & Ankle Specialists, to 16 offices with 19 physicians. He shares his journey from residency to establishing a successful podiatry practice in the Chicago area. He discusses the challenges and strategies involved in expanding his practice, including the importance of location and patient demographics. Dr. McEneaney also delves into the complexities of billing and coding, the pros and cons of private practice, and the nuances of acquiring and valuing other practices. His insights provide valuable guidance for those considering a career in private practice. In this conversation, Dr. Patrick McEneaney discusses various aspects of running a successful medical practice, including the intricacies of practice acquisitions, the importance of understanding insurance negotiations, and the financial strategies involved in acquiring new practices. He emphasizes the significance of hiring new doctors with a structured contract, the role of private equity in medicine, and the value of fellowship training. Dr. McEneaney also highlights the need for adaptability in the medical profession to thrive amidst changing dynamics.