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Rivertown Pediatrics of Staten Island (New York)

Vladimir Barayev, MD

Year Opened: 2021

What inspired you to open your own pediatric DPC? I wanted to be able to provide better care by spending more time with patients.

Did you experience any hurdles (psychological, financial, logistical, or other) to starting your own DPC practice? The biggest challenge I have is how to market myself. I am more of a shy person and I don’t do well in front of a camera. So in the beginning it was hard to get patients. My non-compete from my previous employer didn’t help either.

What is a typical day or week like for you? I typically see 5-10 patients per week.

Are you happy with your profitability and earnings? Not yet, but it’s getting better.

What have been the greatest challenges to running your own DPC? Recruiting patients.

What have been the greatest rewards of running your own DPC? Knowing without a doubt that I am helping families in ways I was never able to help in the past.

What lessons did you wish you knew sooner? Never ever ever pay for marketing!

Are you able to take time off when you need/want it? Yes.

Tell us a story about a patient or family for whom DPC made a special impact (in a HIPAA-compliant way, of course). I was caring for a nonverbal aggressive autistic child. I was able to help coordinate testing, do at-home blood draws, and coordinate with specialists to give personalized and unparalleled care.

Anything else you’d like to share with other pediatricians thinking of following the DPC path? Your passion for helping has to be very strong, even greater than your expectation of earning money early on if you wish to have enough motivation to keep going. Most people may not understand why you don't accept insurance but in the end you know it is in their best interest.

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