Medical Practice Attorney • Dexter, Michigan

Medical Practice Attorney in Dexter

By · Managing Partner
Last updated

Physician practice acquisitions carry a regulatory layer that standard business transactions do not. Corporate Practice of Medicine rules, Medicare and Medicaid provider number transfers, Stark Law compliance, and payor credentialing timelines all affect whether a deal closes cleanly and the practice keeps running. Our Dexter medical practice attorneys guide physicians buying and selling practices across Healthcare, Technology, Professional Services and the healthcare sector, with Managing Partner Alex Lubyansky personally involved in every engagement.

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Selective M&A Practice
Personal Attention
Senior Counsel on Every Deal

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What We Do

Alex Lubyansky handles medical practice acquisition law work for buyers and sellers in Dexter and across the country. Here is what that looks like:

  • Purchase agreement drafting and negotiation for physician practice acquisitions
  • Corporate Practice of Medicine (CPOM) compliance and MSO structuring
  • Medicare and Medicaid provider number transfer and CHOW filing coordination
  • Payor contract assignment, credentialing, and insurance panel transfer
  • Stark Law and Anti-Kickback Statute (AKS) regulatory diligence
  • Physician employment agreement, partnership buy-in, and non-compete negotiation
  • Staged acquisition structuring (51% initial purchase with remainder option)
  • Psychiatry, behavioral health, and specialty practice acquisition counsel

Who We Serve

We work best with people who know what they want and are ready to move:

  • Physicians buying into or acquiring the practice where they currently work
  • Physicians doing a staged buy-in (initial percentage with option for remainder)
  • Medical practice owners selling to a physician group, PE platform, or hospital system
  • Psychiatrists or psychotherapists buying or selling a behavioral health practice
  • Physicians negotiating a partnership buy-in or co-ownership structure
  • Private equity healthcare platforms acquiring physician practices

See If Your Deal Is a Fit

Tell us what you are working on. We respond within one business day.

Your information is kept strictly confidential and will never be shared. Privacy Policy

Our Process

A structured, methodical approach to medical practice acquisition law

1

Regulatory Landscape Review

We assess the CPOM posture, Stark and AKS exposure, CON requirements, and Medicare and Medicaid provider number transfer mechanics for your specific transaction before any term sheet is signed.

2

Deal Structure and MSO Design

Managing Partner Alex Lubyansky structures the acquisition to respect CPOM limits, optimize risk and tax treatment, and where needed designs an MSO or friendly-PC arrangement that preserves clinical independence while delivering the economic deal.

3

Healthcare-Focused Due Diligence

We conduct diligence across payor contracts, Medicare and Medicaid enrollment, compliance program maturity, malpractice history, physician employment agreements, and patient volume concentrations to surface risks before closing.

4

Purchase Agreement and Ancillary Documents

We negotiate the purchase agreement, physician employment or non-compete terms, transition services arrangement, and earnout provisions tied to clinical performance metrics specific to the practice type.

5

Closing and Clinical Continuity

We coordinate CHOW filings, payor credentialing timelines, and post-closing integration to ensure patient care and reimbursement continue without interruption from day one of your ownership.

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What Happens After You Submit

We don't take every matter. Here is what happens when you reach out.

1

Personal Review (Within 24 Hours)

Alex reviews your transaction details personally. No intake coordinators, no junior associates screening your submission.

2

Fit Assessment

We evaluate whether your deal aligns with our practice. Not every matter is a fit, and we will tell you directly if it is not.

3

Initial Conversation

If there is alignment, Alex schedules a direct call to discuss your transaction, timeline, and objectives.

4

Clear Engagement Terms

Before any work begins, you receive a written engagement letter with defined scope, timeline, and fee structure. No surprises.

Request Your Dexter Engagement Assessment

Alex Lubyansky handles every medical practice acquisition law engagement personally.

15+ years of M&A experience. Nationwide. One attorney on every deal.

Request Engagement Assessment

We review every transaction inquiry within one business day.

Your information is kept strictly confidential and will never be shared. Privacy Policy

Questions to Ask Any M&A Attorney Before Hiring

Use these before you call any firm, including ours.

1. "Who will actually handle my transaction?"

At many firms, a partner sells the work and a junior associate does it. Ask for the name of the attorney who will draft and negotiate your documents.

2. "How many M&A transactions has the lead attorney closed in the past 12 months?"

Volume indicates current, active deal experience, not just credentials from years ago.

3. "What is your experience with my deal size and industry?"

A $500K SBA acquisition and a $50M PE deal require different skill sets. Make sure the attorney has handled transactions similar to yours.

4. "Will you coordinate with my CPA, financial advisor, and broker?"

M&A transactions require a team. Your attorney should work with your other advisors, not in a silo.

5. "How do you handle post-closing disputes?"

Reps, warranties, and indemnification claims surface months after closing. Ask whether the firm handles post-closing litigation or refers it out.

6. "What is your fee structure, and what drives cost?"

Ask how the engagement is scoped, what is included, and what factors drive cost increases. Defined scope with a retainer gives the clearest cost picture.

Frequently Asked Questions

Common questions from Dexter clients

What does a medical practice attorney do?
A medical practice attorney handles the legal and regulatory side of buying or selling a physician practice. This includes structuring the deal to comply with Corporate Practice of Medicine rules, conducting diligence on payor contracts and Medicare enrollment, negotiating the purchase agreement and physician employment terms, and coordinating provider number transfers. At Acquisition Stars, Managing Partner Alex Lubyansky personally handles every physician practice transaction.
What is a staged acquisition of a medical practice?
A staged acquisition is a common structure where the buyer acquires an initial ownership percentage, often 51%, with a contractual right or obligation to purchase the remaining interest over time. This structure lets the buyer begin building equity while the seller transitions gradually, and it can align incentives around patient retention and practice performance. The legal documents must carefully address buy-in price, trigger conditions, and each party's rights during the interim period.
How does Corporate Practice of Medicine affect a physician practice acquisition?
Most states restrict ownership of medical practices to licensed physicians. When a non-physician buyer is involved, the deal typically requires a Management Services Organization structure that separates the clinical entity from the business operations. In strong CPOM states, the structure must hold up under state scrutiny while still delivering the economic deal the parties negotiated. We design structures that work in your specific state.
What happens to Medicare and Medicaid enrollment when a practice is sold?
Medicare and Medicaid provider numbers and enrollment do not automatically transfer to a new owner. Depending on the transaction structure, the buyer may need to file a Change of Ownership (CHOW) with CMS, apply for new enrollment, or reassign billing privileges. The timing of these filings directly affects cash flow after closing. We build the provider number transition into the deal timeline so reimbursement does not stall.
Can a physician buy the practice they currently work at?
Yes, and it is one of the most common physician practice transactions we handle. The physician already knows the patient base, the payor mix, and the operations, which simplifies due diligence but creates its own negotiating dynamics. Key issues include how the practice is valued relative to the physician's existing compensation, how a transition period is structured if the selling physician stays on, and how non-compete terms are written to reflect the physician's prior relationship with the practice.
What can I expect during an initial consultation in Dexter?
During your confidential initial consultation in Dexter, we'll discuss your medical practice acquisition law needs, review your current situation, assess potential challenges specific to Michigan, and outline a clear path forward. We'll explain our process, answer your questions, and determine if we're the right fit for your needs.
Do you work with companies outside of Dexter?
Yes, we represent clients nationwide while maintaining a strong presence in Dexter. Our managing partner handles medical practice acquisition law matters across all 50 states, coordinating with local counsel where state-specific requirements apply.

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M&A Market: Dexter & the Ann Arbor Metro

Ann Arbor's M&A market is uniquely driven by the University of Michigan's massive research enterprise ($1.6B+ in annual research spending), which generates a continuous pipeline of biotech, healthcare IT, and deep-tech spinoffs reaching acquisition maturity. The city has become Michigan's premier tech startup hub, with companies in autonomous vehicles (from the Mcity testing ground), AI/ML, medical devices, and SaaS emerging from the university's commercialization ecosystem. Ann Arbor's proximity to Detroit's automotive industry adds a layer of mobility-tech and connected vehicle deal activity.

Top M&A Sectors Near Dexter

  • Biotechnology & Life Sciences
  • Healthcare IT & Digital Health
  • Autonomous Vehicles & Mobility Tech
  • SaaS & Enterprise Software
  • Medical Devices & Diagnostics

Deal Environment

Ann Arbor's deal market is characterized by high-quality, IP-rich businesses that attract national strategic and financial buyers. Competition for proven biotech and health IT companies is intense, though earlier-stage spinoffs and services businesses offer more moderately priced entry points. The university's tech transfer office and local accelerators like Ann Arbor SPARK provide early visibility into emerging deal opportunities.

Why Acquire in the Ann Arbor Area

Ann Arbor offers access to University of Michigan's elite engineering, medical, and business talent at a fraction of Silicon Valley's cost, and the city consistently ranks among America's most educated metros. Acquiring here positions buyers in a self-reinforcing innovation ecosystem where university research, hospital system demand, and startup talent create compounding value.

Michigan Legal Considerations

Michigan's non-compete statute requires agreements to be 'reasonable' in duration, geographic scope, and type of activity restricted, and acquirers of university spinoffs should note that the University of Michigan retains certain IP rights through its technology transfer agreements, making thorough intellectual property due diligence essential for any acquisition with university-licensed technology.

Michigan Legal Considerations for Medical Practice Acquisition Law

Non-Compete Laws

Enforceable under statutory framework (MARA). Reformation available.

Filing Requirements

Entity mergers and conversions are filed with the Michigan Department of Licensing and Regulatory Affairs (LARA), Corporations Division. Annual reports are required. Certain regulated industries require separate filings.

Key Michigan Considerations

  • Michigan's automotive industry creates unique M&A considerations, including complex supply chain contracts, UAW labor agreements, and environmental liabilities at manufacturing sites
  • Michigan's Antitrust Reform Act provides a statutory framework for non-competes that differs from the common-law approaches of neighboring states
  • Michigan Renaissance Zone benefits (tax-free zones) may be relevant to acquisitions of businesses operating in designated areas

Michigan Bar Authority

State Bar of Michigan (mandatory unified bar). Unified/integrated bar. Membership required to practice law in Michigan.

Bar association website

Michigan Federal and Business Courts

Federal districts: E.D. Mich., W.D. Mich.

Business court: Michigan Business Court (established 2013) Established via 2012 legislation requiring circuit courts with three or more judges to create a specialized business docket. Business court dockets operate in Wayne, Oakland, Macomb, Kent, Genesee, Ingham, Kalamazoo, and other counties.

Michigan M&A Market Context

Detroit metro is the historic automotive supply chain M&A hub; Michigan also generates significant deal activity in automotive technology, healthcare, and advanced manufacturing.

Watchpoints

Common Dexter Medical Practice Acquisition Law Pitfalls

These are the items we see derail medical practice acquisition law transactions in the Dexter market. Each one is rooted in current statutory law, recent legislative changes, or recurring patterns from the deals Alex has handled.

1

Michigan non-compete enforcement and earn-out exposure

State legal framework

Enforceable under statutory framework (MARA). Reformation available.

"Sign a weak LOI, and you'll spend months watching your deal terms erode."
Alex Lubyansky · Alex LinkedIn Published (Notion library)
2

Michigan regulatory framework attorneys flag at LOI

State statute

Securities regulated by Michigan Department of Licensing and Regulatory Affairs (LARA) Corporations, Securities and Commercial Licensing Bureau (michigan.gov/lara). Michigan follows the Uniform Securities Act; Blue Sky notice filings required for Reg D.

3

Common medical practice acquisition law mistake from the field

From Alex Lubyansky

Seller financing is a huge buzzword. Run analytics on where your inbound comes from and you'll see it. Speak publicly about seller financing and you will attract a massive amount of interest. The trouble is, the same buzzword attracts unqualified buyers. People without intent. People without funding. People without the ability or desire to actually move forward. I love the idea, and I love the possibility of a creative structure. But it's far less likely than the internet would have you believe. The unicorn opportunity that's completely seller financed, runs hands off, and flips at a massive multiple in months... that math doesn't really make sense. You see it constantly online because it works as a way to attract a large amount of interest. Just not necessarily qualified interest.

Guides and Resources

In-depth guides to help you prepare for your transaction

M&A Legal Services

Full-service M&A counsel from letter of intent through closing.

Read guide

Due Diligence Checklist

A structured approach to legal, financial, and operational due diligence.

Read guide

LOI vs Purchase Agreement

Understanding the binding and non-binding elements of each document.

Read guide

Why Deals Fail

Common deal-killers and how experienced counsel helps prevent them.

Read guide

Other Medical Practice Attorney Service Areas Near Dexter

Acquisition Stars represents clients across Michigan and nationwide. Alex Lubyansky handles every engagement personally.

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Don't see your city? View all Medical Practice Attorney service areas or contact us directly.

Related Services in Dexter

Statewide and Nearby Markets

Helpful Resources

Attorney perspective on medical practice attorney matters in Dexter

Alex Lubyansky, Managing Partner at Acquisition Stars
"Short emails come from people who still believe the deal is going to close."
Alex Lubyansky, Senior Counsel On diligence (principle) (Alex LinkedIn Drafts (AJ-Work))

15+ years of M&A and securities transaction experience Senior counsel on every engagement Admitted in Michigan, practicing nationwide

Reviewed by Alex Lubyansky on . Read full bio

Ready to Talk About Your Dexter Deal?

Alex Lubyansky handles every engagement personally. Tell us about your transaction and we will let you know if there is a fit.

Request Engagement Assessment

Tell us about your deal. We review every submission and respond within one business day.

Your information is kept strictly confidential and will never be shared. Privacy Policy

One attorney on every deal. Nationwide. 15+ years of M&A experience.