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.
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
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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)