Early Medical.

What Early Medical actually is

A small, physician-owned concierge practice in Austin, Texas, founded by Peter Attia and operating now as the institutional home of his clinical work. The practice has been the subject of more thoroughly documented public methodology than any other on this list — the book Outlive, several hundred hours of podcast, and a structured longevity programme published in long-form.

The practice does not publish its price; CBS’s 60 Minutes reported in October 2025 that it runs as a six-figure programme per year. New-patient enrolment is currently closed, and prospective patients can register for the waitlist. The clinical practice lives at beingearlymatters.com; earlymedical.com now hosts Attia’s separate digital longevity programme.

The model

Early Medical is genuinely concierge in the older sense of the word: a small panel of patients per physician, ongoing access, longitudinal protocol design, structured quarterly reviews. The work happens across the year, not on the day. The diagnostic intake is comparable in depth to Biograph or YEARS at the cardiometabolic axis; it is meaningfully less imaging-led than either.

Apo B, Lp(a), lipoprotein particle counts, comprehensive metabolic, deep hormonal — these are the markers the practice obsessively tracks. CPET-grade VO₂ max with lactate threshold is run in-house. DEXA, CGM, calcium scoring are integral. Whole-body MRI is referred to external radiology partners.

On supervision and conflict

This is where Early Medical earns its score. A small physician group, well-resourced, low-volume: every new patient is assigned a dedicated physician, and CBS reported a panel of fewer than 75 patients. The doctor who reviews your intake is the doctor managing your year of care. There is no sales team. There are no in-house treatment products generating margin: pharmacology is prescribed at standard rates, infusions and injections are minimal, the financial flywheel is the membership itself.

We rank Early Medical’s conflict freedom marginally below YEARS — because ongoing treatment and pharmacology management are part of what the membership sells, even if conservatively — and meaningfully above the in-house treatment-revenue clinics that dominate the category.

Where it falls short

Two honest caveats.

The waitlist is the binding constraint. The practice states that it is at capacity and not accepting new patients. If you want this clinic, you are signing up for a wait that may resolve in months or quarters, not weeks.

The imaging stack is lighter than the ranking-leading clinics. Whole-body MRI is referred out; the work is cardiometabolic, not imaging-led. For the patient whose primary worry is a missed structural finding, Biograph or YEARS are better matches.

The verdict

If you are on the waitlist and a slot opens, take it. The clinical depth, the documented methodology, the absence of structural conflict, and the small-practice operating model are a combination almost no other clinic in this directory matches.

If you are looking now and want similar depth without the waitlist, Biograph is currently the closest substitute on the US side; YEARS on the European side.

The clinic you can read every methodology decision of in advance is, in this category, an unusual asset.

Questions readers ask about Early Medical

— 01

How much does Early Medical cost?

Pricing for Early Medical, as checked in September 2026: Membership (reported as six figures) at $100,000 per year.

— 02

Does Early Medical earn from the treatments it recommends?

Only to a limited degree, in our assessment. Membership concierge model. Treatments are managed within a small physician group; the doctors who diagnose also manage the year of care, but the practice is small enough that conflict pressure is structurally lower than at a treatment-product clinic. Early Medical scores 21/25 on conflict freedom.

— 03

Is Early Medical physician-led?

Yes. Medical leadership: Dr. Peter Attia, MD (Founder). Early Medical scores 25/25 on medical supervision.

— 04

How does Early Medical rank among longevity clinics?

Early Medical ranks #3 of 19 in the 2026 Longevity Clinics ranking, with 90/100 (Excellent). Excellent if you can get in. The waitlist is the binding constraint.