Direct Primary Care Physician – Internal Medicine or Family Medicine

The Pilot Clinic is an independent, physician-owned medical practice in Goodyear, Arizona, seeking a board-certified or board-eligible Internal Medicine or Family Medicine physician to join our growing Direct Primary Care (DPC) practice. We welcome both experienced physicians and newly graduated residents who are passionate about delivering high-quality, relationship-based primary care. This opportunity offers clinical autonomy, a manageable patient panel, and the ability to build a rewarding, long-term career in a practice focused on patient access, continuity, and personalized care.

This position is designed for a physician who enjoys primary care but wants a more sustainable way to practice medicine: a smaller patient panel, longer visits, greater clinical autonomy, minimal insurance-related administrative burden, and the ability to build meaningful long-term relationships with patients.

Physicians are not compensated based on RVUs, coding, or high-volume visit production. Instead, compensation grows with the physician’s active Direct Primary Care panel, with a mature panel capped at approximately 600 members.

Responsibilities

• Provide comprehensive outpatient primary care to an assigned Direct Primary Care panel
• Manage preventive care, acute medical concerns, and chronic medical conditions
• Build strong long-term relationships with patients
• Provide direct patient communication through visits, phone, and secure messaging
• Participate in shared after-hours physician coverage
• Collaborate with clinical and administrative staff
• Practice evidence-based medicine
• Perform in office-based procedures according to training and interest

Practice Model

Our Direct Primary Care model emphasizes:

• Maximum panel of approximately 600 patients
• Longer, less-rushed appointments
• Same- or next-day access when clinically appropriate
• Direct physician-patient communication
• Minimal insurance-related administrative burden
• Established staff, office, EHR, equipment, billing, and membership infrastructure
• Flexible physician scheduling
• Focus on preventive medicine, cardiometabolic health, chronic disease management, and comprehensive outpatient care

Depending on experience and interest, physicians may also perform office-based procedures such as joint injections, dermatologic procedures, point-of-care ultrasound, IV fluids, and other minor procedures. Physicians are not expected to perform procedures outside their training or comfort level.

Qualifications

Required:

• MD or DO degree
• Board certified or board eligible in Internal Medicine or Family Medicine
• Eligible for unrestricted Arizona medical licensure
• Strong clinical judgment and communication skills
• Commitment to comprehensive outpatient primary care

Preferred:

• Several years of outpatient primary care experience
• Interest in Direct Primary Care or other patient-centered practice models
• Comfort managing a broad range of adult primary care conditions
• Interest in building a long-term patient panel
• Office procedure experience is helpful but not required

We are particularly interested in physicians who have experienced traditional primary care and are looking for a more sustainable, relationship-focused model of medicine.

Compensation

W-2 compensation is tied to the physician’s active Direct Primary Care panel and increases as the panel grows.

Annual salary ranges from $90,000 to $300,000 based on active DPC panel size, with the maximum salary tier reached at a mature panel of 551–600 active members.

During the initial panel-building stage of 0–50 active members, compensation is $100 per hour for scheduled clinical and approved administrative time. Scheduled hours during this phase are based on panel size, patient-care demand, and practice needs. As the patient panel grows, scheduled clinical time will increase accordingly.

Once the panel exceeds 50 active members, compensation transitions to the panel-based salary structure and increases progressively as the physician’s panel grows.

Panel size is based on active DPC memberships and averaged over time to reduce compensation changes from short-term fluctuations.

Benefits

• W-2 employment
• 401(k) with 4% employer match
• Paid time off
• Sick leave
• Paid federal holidays observed by the practice
• $1,500 annual CME/professional development allowance
• Malpractice insurance
• Flexible scheduling
• Clinical and administrative staff support
• EHR and practice technology
• Exam rooms, medical equipment, and practice infrastructure
• Membership administration and billing support
• Shared after-hours physician coverage

Long-Term Opportunity

The Pilot Clinic is building a physician-led Direct Primary Care organization serving Goodyear and the surrounding West Valley communities.

For the right physician, this is intended to be a long-term professional opportunity rather than simply another employed primary care position.

Physicians who remain with the practice long term may also become eligible for performance-based profit sharing tied to the success of their Direct Primary Care panel and clinical work.

About The Pilot Clinic

The Pilot Clinic is an independent physician-owned medical practice based in Goodyear, Arizona. Our Direct Primary Care program provides relationship-focused primary care through a membership model emphasizing accessibility, preventive medicine, chronic disease management, longer appointments, and direct physician-patient communication.

The practice also provides aviation medical services. Aviation medicine experience is not required for this position.

If you are an Internal Medicine or Family Medicine physician seeking greater clinical autonomy, meaningful patient relationships, and an opportunity to practice medicine without the pressures of traditional fee-for-service healthcare, we encourage you to apply. Whether you are beginning your career or looking for a more fulfilling way to practice, The Pilot Clinic offers the opportunity to grow professionally while helping shape the future of primary care.

Benefits:

• 401(k)
• 401(k) matching
• Flexible schedule
• Malpractice insurance
• Paid time off
• Professional development assistance