Medical Practice Attorney • New York, New York

Medical Practice Attorney in New York

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 New York medical practice attorneys guide physicians buying and selling practices across Finance, Technology, Healthcare 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 New York 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 New York 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 New York 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 New York?
During your confidential initial consultation in New York, we'll discuss your medical practice acquisition law needs, review your current situation, assess potential challenges specific to New York, 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 New York?
Yes, we represent clients nationwide while maintaining a strong presence in New York. 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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The New York M&A Market

New York is the undisputed capital of M&A deal-making, home to the largest concentration of investment banks, private equity firms, and corporate acquirers in the world. Lower middle-market deals in the $1M-$50M range are driven by professional services consolidation, healthcare practice roll-ups, and technology company acquisitions. The city's dense business ecosystem creates fierce competition for quality targets, with PE-backed platforms actively seeking add-on acquisitions across the tri-state area.

Top M&A Sectors in New York

  • Professional Services
  • Healthcare
  • Technology
  • Financial Services
  • Media & Entertainment

Deal Environment

New York's deal flow is the highest in the nation, but competition from well-capitalized PE firms means sellers often receive multiple offers. Buyers need experienced counsel to structure competitive bids while protecting their downside.

Why Acquire in New York

The New York metro area has over 200,000 businesses with employees, creating one of the deepest acquisition target pools in the country. The region's talent density and infrastructure make post-acquisition integration smoother than most markets.

New York Legal Considerations

New York's Bulk Sales Act (UCC Article 6) has been repealed, but buyers must still conduct thorough due diligence on successor liability under state tax law, as the Department of Taxation can hold buyers liable for a seller's unpaid taxes.

Why New York Clients Work With Us

Our deep experience with New York's complex regulatory environment and relationships with local SEC offices, FINRA, and NASDAQ make us the ideal partner for securities transactions in the city.

Local Market Context

New York M&A Market

New York-Newark-Jersey City, NY-NJ-PA MSA · MSA population 20.1M

MSA Population (2024)

20.1M

U.S. Census Bureau

Top Industry Concentration

  1. 1 financial services and investment banking
  2. 2 media and entertainment
  3. 3 professional and business services

New York is the dominant US M&A market, anchored by financial services, private equity, and investment banking concentration on Wall Street. The metro drives the largest deal volumes by dollar value of any US city, with heavy mid-market and large-cap activity across financial services, media, technology, and real estate. Cross-border deal flow is substantial, given the metro's role as the primary gateway for international capital entering US markets.

Major New York Employers and Deal Anchors

  • JPMorgan Chase
  • Goldman Sachs
  • Citigroup
  • Bloomberg
  • Verizon
  • NYU Langone Health

Transit and Logistics

JFK, LaGuardia, and Newark Liberty airports provide major international air connectivity. Port of New York and New Jersey is the largest port on the East Coast. Dense transit infrastructure supports professional service concentration in Manhattan.

Recent New York Deal Signal (2024-2025)

Private equity deal activity in the New York metro remained elevated in 2024-2025, with notable middle-market financial services and technology platform consolidations driven by firms headquartered in Midtown Manhattan.

Source (accessed 2026-04-27)

Local Regulatory Notes for Medical Practice Acquisition Law

New York City imposes additional local business taxes; New York State has active antitrust enforcement posture from the AG office independent of federal review.

New York Legal Considerations for Medical Practice Acquisition Law

Non-Compete Laws

Enforceable with three-pronged reasonableness test

Filing Requirements

Entity mergers and conversions require filing with the New York Department of State. Tax clearance certificates are required for asset purchases (Form AU-196.10). New York City requires separate business filings for city-level taxes. Foreign entities must obtain authority to do business.

Key New York Considerations

  • New York City imposes its own General Corporation Tax (8.85%) and Unincorporated Business Tax (4%), effectively doubling the state-level tax burden for NYC-based businesses
  • Commercial rent tax applies to certain tenants in Manhattan below 96th Street, which can affect the valuation of acquired businesses with Manhattan leases
  • New York's Department of Financial Services (DFS) regulates financial services, insurance, and banking acquisitions with extensive review requirements

New York Bar Authority

New York State Bar Association. Voluntary bar. The Appellate Division of the New York Supreme Court handles attorney admission; NYSBA membership is voluntary.

Bar association website

New York Federal and Business Courts

Federal districts: S.D.N.Y., E.D.N.Y., N.D.N.Y., W.D.N.Y.

Business court: New York Supreme Court Commercial Division (established 1995) Established November 1995 following Chief Judge Judith Kaye task force. Commercial Division operates in New York County (Manhattan) and 10 other jurisdictions statewide including Nassau, Kings, Suffolk, Westchester, Albany, Erie, Monroe, Onondaga, Queens, and Richmond counties.

New York M&A Market Context

New York City is the top U.S. M&A market by deal volume, with Wall Street serving as the center of large-cap and private equity M&A transactions across all industries.

Watchpoints

Common New York Medical Practice Acquisition Law Pitfalls

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

1

New York non-compete enforcement and earn-out exposure

State legal framework

Enforceable with three-pronged reasonableness test

"An LOI is permission to look under the hood. Nothing more."
Alex Lubyansky · Alex LinkedIn Published (Notion library)
2

New York local regulatory exposure

Local regulatory

New York City imposes additional local business taxes; New York State has active antitrust enforcement posture from the AG office independent of federal review.

3

New York regulatory framework attorneys flag at LOI

State statute

Securities regulated by New York Attorney General Investor Protection Bureau under the Martin Act (General Business Law art. 23-A). The Martin Act gives the NYAG among the broadest securities enforcement powers of any state; Blue Sky notice filings required for Reg D. New York also has Bulk Sales Act (UCC Art. 6) implications for asset transactions.

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 New York

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

Scarsdale medical practice attorneyserving BronxvilleGreat Neck medical practice attorneymedical practice attorney in RyeManhasset medical practice attorneymedical practice attorney in Los AngelesSan Francisco medical practice attorneymedical practice attorney in Chicago

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

Related Services in New York

Statewide and Nearby Markets

Helpful Resources

Attorney perspective on medical practice attorney matters in New York

Alex Lubyansky, Managing Partner at Acquisition Stars
"This is a life principle of mine. I'm very slow to say yes. I'm very fast to say no. The discipline is qualify, qualify, qualify, qualify, qualify. Be patient. If after that process there's a good person on the other end, real desire, and what I think of as a calm EKG of the process, then it makes sense to keep going forward. If there are red flags early... emotional volatility, a lack of clarity, a lack of funding... I've done this long enough that I just don't want to be involved. I'm in a position where I don't need to accept new clients. I choose to. The freedom to walk away from a bad deal earlier is the most underrated tool an M&A attorney has, and it's the one that protects both the client and the firm."
Alex Lubyansky, Senior Counsel On alignment (principle) (Leo Landaverde M&A Podcast)

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 New York 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.