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What if your clinic could earn revenue without you in the room? Dr. Tea Nguyen sits down with podiatrist and business coach Dr. Sarah Neitzel to break down exactly how she built a profitable medical nail spa alongside her private practice — and what it takes for other physicians to do the same.

They cover structuring two separate LLCs, hiring nail technicians, startup costs, and how to identify which tasks you should stop doing yourself. If you've ever thought about adding a cash service to your practice, this one's for you.

Dr. Sarah Neitzel is a board-certified podiatric surgeon and founder of Visionary Practice Solutions, a coaching program helping physicians across specialties build thriving, independent practices. She owns both a podiatry clinic and a medical nail spa in Silverdale, Washington.

Connect with her: 

LinkedIn: https://www.linkedin.com/in/sarah-neitzel-dpm/
Website: https://www.visionarypracticesolutions.com/
Facebook: https://www.facebook.com/Dr.SarahVPS/
Instagram: https://www.instagram.com/dr.sarah.coaching

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For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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In this episode, I sit down with Dr. Ronen Elefant, Founder and CEO of ACES National Surgical Team, to break down how direct surgical care is reshaping access, pricing, and the patient experience. 

From trauma surgeon and hospital leader to national innovator, Dr. Elefant shares how bundled pricing, existing surgery centers, and physician autonomy are creating a simpler, more transparent system for patients and surgeons alike.

A powerful look at what happens when you remove insurance from the equation and rebuild care around the patient.

Connect with him:

• Website: ACES National Surgical Team
• LinkedIn Profile: https://www.linkedin.com/in/ronenelefant
• Instagram:  @ronenelefant
• Youtube: https://www.youtube.com/@ACESSurgicalteam
• Tiktok: @ronen.elefant

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For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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If you’re a physician building your own practice and questioning your pricing, boundaries, or worth—this episode is for you. In EP 219, I unpack how imposter syndrome, scarcity mindset, and fear of rejection shape decisions in practice ownership and direct care. You’ll see why undercharging and overgiving are not strategy issues, but money mindset patterns. 

Learn how shifting beliefs and strengthening boundaries leads to real, sustainable growth. 🎧 Build a practice that reflects your value. 

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For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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Thinking about going 100% direct care or starting with a hybrid model? In this episode, I share my personal journey from an insurance-based practice to fully direct care. I break down the pros and cons of each approach, explain the financial and operational considerations, and offer guidance on when a direct care model works best. 

Learn how to simplify your practice, protect revenue, attract the right patients, and build a patient-centered business you love—without the stress of insurance. 

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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In this episode, I share 5 strategies I’ve used to succeed in any physician coaching program and get real results. I talk about setting intentions, committing effort, and taking action. I also reveal how I built my thriving direct care practice, left insurance behind, and designed the Direct Care Society Launch Course to help specialists create a simple, profitable, and sustainable private practice. 

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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In this episode, I tackle five common misconceptions that keep doctors stuck in the insurance-based model. I share how to clear mental clutter, overcome limiting beliefs, and take action to build a simpler, more profitable, and fulfilling direct care practice—where you set your prices, choose your patients, and focus on what you love about medicine without the friction of insurance. 

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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Busy doesn’t always mean profitable. In this episode, lets break down three common mistakes that quietly sabotage direct care practices: undercharging, neglecting the full patient experience, and underutilizing simple technology. 

Learn how to shift your pricing, create meaningful patient touchpoints, and stay top of mind—so you can build a practice that’s both sustainable and fulfilling. 

•  Ethical Selling replay available for a limited time:  watch it here

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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Thinking about leaving employment to start your own practice? I break down what every physician needs to know first—from reviewing non-compete clauses to choosing between insurance-based and direct care models. I also share the three essential skills—marketing, operations, and ethical communication—that will help you launch a practice that matches the lifestyle and patient care you truly want, giving you freedom, fulfillment, and clarity in your next career move. 

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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Feeling stuck in your direct care practice? Maybe leaving insurance isn’t “working” the way you thought it would. I get it—this isn’t just about logistics; it’s about identity. In this episode, I break down the four things that could be holding your practice back: controlling overhead, getting more people to know you, refining your offer, and shifting your mindset to step fully into direct care. 

Plus, I share journal prompts and practical strategies to help you reclaim your energy, grow revenue, and build a practice that actually works for you. 

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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Confused about high ticket packages vs. memberships in private practice? This episode breaks down the key differences and when to use each for maximum revenue stability and better patient care. 

Learn how to structure premium offers, avoid common pricing mistakes, and build a sustainable direct care medical practice with smarter business strategy and recurring revenue models. 

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here. 

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com