Private MD
Verified listingPricing
Monthly program
$149–$449/mo
✓ Medication included
Copied from the clinic's own published pricing on their site, checked 2026-10-11. Prices change — confirm with the clinic before you book.
About Private MD
What is Private MD?
Private MD is a concierge and direct primary care practice in Folsom, California. Its main work is internal medicine for a small panel of patients who pay a monthly membership on top of the insurance they already carry. Nishant Sahni, MD, MS is the prescribing physician. He is board-certified in internal medicine and has more than 20 years of experience, including former faculty roles at Mayo Clinic and the University of Minnesota. The office is at 1024 Iron Point Road, Folsom, CA 95630, phone (916) 512-1912.
Alongside primary care, the practice offers GLP-1 weight management with semaglutide and tirzepatide, hormone therapy for men and women, peptide therapy, and longevity care that includes cardiovascular screening, Cleerly heart imaging, genetic testing, home visits and record review. In its own words: "unhurried, attentive, and deliberately small." In-person visits are in the Folsom and Granite Bay area, with video visits across California. It does not offer emergency or urgent care. Its Google rating is 5.0 from 6 reviews.
This listing is for its Folsom office at 024 Iron Point Rd.
What does it cost?
The Signature membership is $349 a month, or $299 a month paid in two installments ($1,794 twice a year). The founding rate is locked for 12 months. There is a one-time $250 enrollment fee, which covers gathering your records, taking a full history and building your baseline. Membership is month to month with no long-term contract, and you can cancel. The Executive level is by invitation. The practice accepts Medicare, and covered care is billed to Medicare. Labs can go through your insurance or at the practice's wholesale price.
GLP-1 medication is listed at typically $149 to $449 a month cash-pay, depending on the drug and the manufacturer program. The practice says GLP-1 is included in both membership plans for patients who are clinically indicated, but it does not make clear whether that medication cost is part of the membership fee. It does not publish a consultation fee or clinic hours.
What should you ask before you book?
Ask whether the membership fee covers the GLP-1 medication, or whether the $149 to $449 is billed on top. Ask which pharmacy fills the prescription and whether the medication is brand-name, since the practice says it prescribes brand medications only. Ask who writes and renews each prescription, and what follow-up visits and metabolic lab work cost beyond the membership.
For peptide therapy, the practice lists the program but does not describe it in detail here, so ask what it involves and which medicines it uses. Also ask about the consultation fee, the clinic hours, and whether the $250 enrollment fee is refundable if you cancel early.
Who is it a good fit for?
This is a good fit if you are an adult who wants one physician to hold your history and you are comfortable paying a monthly membership on top of insurance. It is not the right choice if you need urgent or emergency care.
Sources: privatemd.clinic, privatemd.clinic/glp1, privatemd.clinic/trt
Services Offered
What we confirmed
Read off Private MD’s own website on 2026-10-11. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “Physician-supervised weight loss with semaglutide and tirzepatide.” source
- ✓Hormone therapy — listed on their site as “Physician-supervised TRT prescribed and monitored by a board-certified internist.” source
- ✓Longevity / anti-aging — listed on their site as “Concierge internal medicine and longevity care in Folsom and the greater Sacramento area” source