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 practice. We welcome both experienced outpatient physicians and newly graduating residents who are interested in building a long-term, relationship-focused primary care practice.

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 from an accredited medical school.
• Successful completion of an ACGME-accredited U.S. residency in Internal Medicine or Family Medicine.
• Board-certified or board-eligible in Internal Medicine or Family Medicine.
• Active, unrestricted Arizona medical license or eligibility for Arizona licensure.
• Interest in providing comprehensive outpatient primary care within a Direct Primary Care model.

Preferred:

• Several years of outpatient primary care experience
• 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 experienced primary care physician who enjoys taking care of patients but is looking for a different way to practice medicine, we would welcome the opportunity to speak with you.

Pay: $90,000.00 - $300,000.00 per year

Benefits:

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

Application Question(s):

• Are you interested in building a long-term DPC patient panel with compensation increasing as membership grows?
• Have you completed an ACGME-accredited U.S. residency in Internal Medicine or Family Medicine?
• Are you board-certified or board-eligible in Internal Medicine or Family Medicine?
• Do you hold an active Arizona MD/DO license, or are you eligible to obtain one?

Work Location: In person

Salary : $90,000 - $300,000