Best Concierge Doctors in Seattle: How to Compare
There is no objective ranking of concierge practices, and any page that claims one is selling something. What there is: a small number of Seattle practices, a few published prices, and four questions that reliably tell you what a membership will actually deliver. This page lays out what each practice publishes as of August 2026 and how to read it. Kosmos Medical Group is one of the practices listed, and we have tried to describe ourselves the same way we describe everyone else, including who we are not right for.
What each Seattle practice publishes
Prices and panel figures below are taken from each practice’s own website in August 2026. Blank cells are not oversights: those practices do not publish the number.
| Practice | Model | Published price | Panel |
|---|---|---|---|
| MD² (Seattle, Bellevue) | Ultra-concierge | Not published | 50 families per physician |
| MDVIP affiliates (metro-wide) | National network, bills insurance | Published per physician, not centrally | ”Around 600 patients” per its site |
| MedNorthwest (Seattle) | Concierge, bills insurance | $310/mo member, $300 second adult, $90 child 11-20 | Not published |
| Seattle Premier Health | Concierge, membership basis | $335/mo, per its FAQ | ”10% that of traditional” panels |
| Discover Health (Bellevue) | Concierge, bills insurance | Not published | ”A few hundred patients” |
| Kosmos Medical Group (Madison Park) | Concierge, no insurance billing | $575/mo and $1,250/mo | 100 families per physician |
| Greenlake Primary Care (Seattle) | Direct primary care | $100/mo to age 26, $150/mo 27+ | Not published |
| Wise Patient Internal Medicine (Seattle) | Direct primary care | Not published | Not published |
Confirm any figure directly with the practice before you decide. Prices change and this page will not always be the first thing updated.
The four questions that actually separate them
1. How many patients or families does the physician carry?
This number determines everything else. Same-day appointments, unhurried visits, a doctor who answers at 9pm: all of it follows from the arithmetic of the panel. A physician responsible for 1,200 people cannot hold two hours for your annual visit no matter how much you pay, because the calendar does not have it.
Published Seattle panels run from 50 families at MD², to 100 families at Kosmos, to Seattle Premier Health’s “10% that of traditional primary care doctors,” to “around 600 patients” at MDVIP-affiliated practices, against a traditional panel of roughly 1,900 to 2,500 nationally.
2. Does the practice still bill your insurance after the fee?
Two practices at the same monthly price can produce very different annual costs.
MedNorthwest and MDVIP-affiliated practices charge a membership fee and continue to bill insurance for the medical care itself. Your total is the fee plus copays and deductible. Kosmos does not bill insurance for primary care and has opted out of Medicare, so there are no copays and no per-visit charges, and the tradeoff is that nothing is reimbursed.
Neither is better in the abstract. It depends on your plan and how often you see a doctor.
3. What is included, and what generates a separate bill?
The place this matters most is advanced testing. A membership that refers you out for a whole-body MRI at $1,000 to $2,500 depending on the provider, a coronary CT angiogram commonly $500 to $1,500 out of pocket, and a multi-cancer early detection blood test listed at about $950 is not cheaper than one that includes them, even if the monthly fee is lower.
Ask specifically: is the annual assessment a physical, or a diagnostic program? Are labs drawn in the office or sent out and billed to insurance? If imaging is recommended, where does it happen and who pays?
4. Who covers when your physician is away?
Solo concierge practices have a real answer to this and it is usually a colleague at another practice or a call service. Group practices can cover internally with a physician who can see your chart. Neither is disqualifying. You should just know which one you are buying.
Where Kosmos fits
Kosmos Medical Group is an independent concierge practice at 3130 E Madison St Suite 204, in Madison Park. Three physicians, Dr. Chris Dodd, Dr. James Bhaskar, and Dr. Carolan Constantine, each holding a panel of 100 families. Premium Care is $575 a month. Optimal Care, which adds the full advanced diagnostics program, is $1,250 a month. Children of members aged 15 to 29 can join for $200 a month.
We are probably right for you if: you want a physician who knows your history and has time to think about it, you value advanced screening done systematically each year rather than referred out, you want urgent problems handled by a physician who knows you, or you want one practice caring for parents and adult children together.
We are probably not right for you if: your priority is the lowest possible monthly cost, in which case direct primary care does more of what you want for less; if you need a practice that bills Medicare for primary care, since we have opted out; or if you want a doctor available for episodic problems and no annual program, which is a reasonable thing to want and not what we are built for.
Where the women’s health practices differ
Concierge practices vary widely in whether women’s health is a genuine focus or a line on a services page. If that is what you are shopping for, ask who leads it and what training they have. At Kosmos it is led by Dr. Carolan Constantine, and you can read about menopause and perimenopause care, hormone replacement therapy, and what it means to work with a female concierge doctor.
A note on directories and “best of” lists
Most concierge directory sites are paid placements, and the ranking reflects who bought a listing rather than who is good. That includes lists that name us. Use directories to find out who exists, then interview two or three practices directly. Thirty minutes with a physician tells you more than any page, including this one.
If you want to start with us, schedule a call. If you decide another practice fits you better, that is a good outcome too.
Your physicians
Three physicians. 100 families each.
What members say
The relationship is the difference.
5.0 stars on Google
“I have been part of multiple practices in town and have had a hard time getting through to my physician, especially when I do not feel well. That changed the moment I joined Kosmos.”
“We feel incredibly fortunate to have found Dr. Dodd at Kosmos as my husband’s concierge physician. The level of care, attention, and responsiveness he provides is truly exceptional.”
“I highly recommend Kosmos and Dr. Bhaskar. The experience is a refreshing departure from the traditional clinic model. With a fraction of the patient load you would find at a typical practice, the level of care, attention, and accessibility is exceptional.”
FAQ
Common questions.
- The Seattle area's concierge and membership primary care practices include MD² (Seattle and Bellevue), MDVIP-affiliated physicians across the metro, MedNorthwest in Seattle, Seattle Premier Health, Discover Health in Bellevue, and Kosmos Medical Group in Madison Park. Direct primary care practices such as Greenlake Primary Care and Wise Patient Internal Medicine offer a lower-cost membership model that is related but not the same. Practices differ most in panel size, whether they bill insurance in addition to the membership fee, and whether advanced diagnostics are included.
- Ask four questions of every practice. First, how many patients or families does the physician carry, since that determines appointment availability and visit length. Second, after the membership fee, does the practice still bill your insurance for office visits. Third, what is included in the fee and what generates a separate bill, particularly imaging and advanced testing. Fourth, who covers when your physician is unavailable. Price is the least useful comparison because most practices do not publish one and those that do are not selling identical services.
- MD² publishes the smallest, at 50 families per physician, and does not publish a fee. Kosmos Medical Group publishes the next smallest at 100 families per physician, at $575 or $1,250 per month. Seattle Premier Health states that each doctor limits their panel to 10 percent of a traditional practice, and MDVIP says its affiliated doctors limit their practices to around 600 patients. MedNorthwest and the Seattle direct primary care practices do not publish a panel figure, and Discover Health says only that its physicians care for 'a few hundred patients.'
- Published Seattle prices in August 2026 run from about $310 per month at MedNorthwest and $335 per month at Seattle Premier Health to $575 and $1,250 per month at Kosmos Medical Group. Ultra-concierge practices do not publish fees, and industry guides put that tier at $15,000 to $40,000 a year. MD² and Discover Health ask prospective patients to call; MDVIP publishes fees only on each physician's own page. Direct primary care practices in Seattle publish roughly $100 to $150 per month.
- Kosmos is a good fit if you want a physician with a panel of 100 families, no insurance billing for primary care, and advanced annual diagnostics available as part of membership. It is not the right fit if your priority is the lowest possible monthly cost, if you need a practice that bills Medicare for primary care, or if you want episodic care rather than a structured annual program. In those cases a hybrid concierge practice or direct primary care is the better answer.
Speak with our physicians.
Thirty minutes with a physician, not a salesperson. If another practice is the better fit for you, we will say so.