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No insurance required

Real Medical Care
Without Insurance

One flat monthly fee for ongoing care. No surprise bills. No insurance headaches.

Finally, a simple, affordable way to see a doctor when you need one — without worrying about deductibles, copays, or denied claims.

No insurance required
No copays
No surprise bills
Direct access to your doctor
Your Physician

Dr. Ivan Goldsmith, MD

Board-Certified Physician | Concierge Medicine

Concierge doesn't mean expensive — it means predictable. Instead of paying premiums, deductibles, and surprise bills, you pay one flat monthly fee for ongoing care.

Dr. Ivan Goldsmith is a board-certified physician with over three decades of experience delivering exceptional medical care to discerning patients who value access, privacy, and continuity. With a distinguished background in internal medicine, pediatrics, and executive clinical leadership, Dr. Goldsmith is known for his thoughtful, comprehensive approach to complex medical care.

Throughout his career, Dr. Goldsmith has served as Medical Director and owner of multiple healthcare organizations, guiding multi-site practices and providing care in both private and mobile settings.

At First Choice Medicine Concierge, Dr. Goldsmith offers a highly personalized, relationship-driven medical experience. Patients receive direct physician access, unhurried appointments, and proactive health guidance tailored to their individual goals. His practice is designed for those who expect discretion, availability, and a level of care that goes beyond traditional primary medicine.

Dual Board-Certified in Internal Medicine & Pediatrics
Over 30 years of clinical experience
Advanced certifications in Bariatric & Anti-Aging Medicine
DOT Medical Examiner certified
Former Medical Director of multi-site practices
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Dr. Ivan Goldsmith, MD

Concierge doesn't mean expensive.
It means predictable care.

First Choice Medicine Concierge gives you real medical care for a predictable monthly fee — designed for people who want straightforward access to a doctor without navigating the insurance system.

This Is For You If You:

Real care, real access — no red tape.

Don't have health insurance
Have a high deductible
Are self-employed or between jobs
Want to avoid surprise medical bills
Are tired of putting off care because of cost

If that sounds like you, you're in the right place.

What You Get With Membership

Comprehensive care designed around your life.

Direct doctor access

Reach your physician by phone, text, or secure messaging.

Same-day or next-day appointments

No waiting weeks just to be seen.

Longer, unhurried visits

Appointments focused on you — not rushing to the next patient.

Telemedicine included

Care when you need it, even if you can't come in.

Clear, upfront pricing

You know the cost before you walk in.

How It Works

1

Choose a membership plan

Pick the plan that fits your needs and budget.

2

Pay one flat monthly fee

That's it. No hidden charges or surprise costs.

3

Get ongoing access to medical care

See your doctor whenever you need to.

No claims. No approvals. No confusion.

Why People Choose First Choice Medicine

Traditional healthcare is unpredictable.

Insurance plans change. Bills pile up. Costs are unclear.

We built First Choice Medicine Concierge as a simple alternative — real care, clear pricing, and direct access.

Ready to Get Started?

Healthcare shouldn't be complicated — or scary.

Call (702) 448-1100

Cancel anytime. No long-term contracts.

Quick Health Check

Answer a few questions and find out how First Choice Medicine Concierge can help you live healthier.

How would you rate your overall health?

Do you currently have a primary care doctor?

What's your biggest health concern right now?

How long has it been since your last check-up?

What's preventing you from seeing a doctor regularly?

Great news! Based on your answers, we can help.

Based on your answers, you could benefit from personalized concierge care!

A team member will reach out within 24 hours.

Schedule Your Consultation