We do not list businesses for sale. This page is for buyers: what medical practices actually sell for, what to check, how deals are financed, and where listings appear. Register below to hear when we publish new data for buyers.
- Sourced value range for your trade and state
- The buyer types most likely to call you
- 3 fixes that move your multiple + a PE-offer checklist
After purchase we email you a short questionnaire, then your brief as a PDF. 14-day money-back guarantee. TradeExit Guide is not a business broker or appraiser. Refund policy
The market at a glance
What medical practices sell for
| Deal size / buyer | Price or multiple | Source |
|---|---|---|
| Main Street sales, 2021-2025 (sold) | 1.46x-2.94x SDE (median 2.05x) |
What to check before you make an offer
- Key metric: Collections, payer mix, provider count and productivity (wRVUs), ancillary revenue, referral sources
- Upside sign: Multiple producing providers so patients are not tied to the seller
- Upside sign: Commercial payer contracts that will carry over
- Red flag: Revenue concentrated in the selling physician
- Red flag: Heavy Medicare/Medicaid exposure to reimbursement cuts
- Red flag: Compliance gaps a buyer will find in diligence (billing, coding)
Transfer issues that can stop a closing
| Issue | What to know | Source |
|---|---|---|
| Corporate practice of medicine (California example) | California law gives corporations no professional rights in medicine (B&P Code 2400), so lay buyers use management-services structures with a physician-owned practice entity. | California Business and Professions Code 2400 - corporations have no professional rights (medicine) |
| Medicare enrollment | On a change of ownership, the parties must file enrollment updates; CMS may deactivate billing privileges if the new owner does not submit an application within 30 days (42 CFR 424.550). | 42 CFR 424.550 - Medicare billing privileges and changes of ownership (eCFR) |
| DEA registration | Not transferable without DEA's written consent (21 CFR 1301.52). |
How buyers finance these deals
Most Main Street acquisitions are financed with an SBA 7(a) loan plus buyer equity, often with a seller note. Under SBA SOP 50 10 8 the buyer generally needs a 10% equity injection, a seller note can count toward it only if it is on full standby, and earn-outs are not allowed in SBA-financed changes of ownership. Model the note with the seller financing calculator.
Who you are competing with
For larger medical practices, you will often bid against organized acquirers - we document 4 of them, from primary sources, on who is buying medical practice businesses. Individual buyers usually win smaller deals where a platform would pay an add-on multiple.
Where medical practice listings appear
Buying medical practice businesses? Register your interest
Get notified when we publish new data on off-market medical practice businesses and acquirers. We do not list businesses for sale, and we cannot promise that any will become available to you.
Own a medical practice and thinking of selling?
See a sourced value range for your business in 60 seconds - no email needed.
- Sourced value range for your trade and state
- The buyer types most likely to call you
- 3 fixes that move your multiple + a PE-offer checklist
After purchase we email you a short questionnaire, then your brief as a PDF. 14-day money-back guarantee. TradeExit Guide is not a business broker or appraiser. Refund policy
Frequently asked questions
How much does a medical practice cost to buy?
BizBuySell’s median sale price for medical practices sold 2021-2025 was $500,000. Price depends mostly on documented earnings (SDE).
Can I use an SBA loan?
Usually yes for Main Street deals. Under SBA SOP 50 10 8, expect a 10% equity injection; a seller note can count toward it only on full standby, and earn-outs are not permitted in SBA change-of-ownership loans.
Do you have listings?
No. We do not list businesses or broker deals. Listings appear on marketplaces such as BizBuySell and through brokers; see our broker reviews.
Sources
- BizBuySell Valuation Benchmarks - Medical Practice (accessed 2026-09-23)
- BizBuySell - Business valuation multiples by industry (sold Q3 2021-Q2 2026) (accessed 2026-09-23)
- California Business and Professions Code 2400 - corporations have no professional rights (medicine) (accessed 2026-09-23)
- 42 CFR 424.550 - Medicare billing privileges and changes of ownership (eCFR) (accessed 2026-09-23)
- 21 CFR 1301.52 - DEA registration transfer rules (eCFR) (accessed 2026-09-23)
- SBA SOP 50 10 8 key changes (Whiteford client alert) (accessed 2026-09-23)
- LRM Lender Consultants - SBA change of ownership under SOP 50 10 8.1 (accessed 2026-09-23)