Medical Practice Attorney • Philadelphia, Pennsylvania

Medical Practice Attorney in Philadelphia

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 Philadelphia medical practice attorneys guide physicians buying and selling practices across Healthcare, Biotech, Finance 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 Philadelphia 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 Philadelphia 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 Philadelphia 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 Philadelphia?
During your confidential initial consultation in Philadelphia, we'll discuss your medical practice acquisition law needs, review your current situation, assess potential challenges specific to Pennsylvania, 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 Philadelphia?
Yes, we represent clients nationwide while maintaining a strong presence in Philadelphia. Our managing partner handles medical practice acquisition law matters across all 50 states, coordinating with local counsel where state-specific requirements apply.

Need Specific Guidance?

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The Philadelphia M&A Market

Philadelphia's M&A market is anchored by healthcare (home to more medical schools than any other US city), pharmaceutical manufacturing, and financial services. The region's strength in cell and gene therapy - centered around the University of Pennsylvania and CHOP - creates cutting-edge biotech acquisition targets. The city's industrial legacy means a deep pool of established manufacturing and distribution businesses available for acquisition.

Top M&A Sectors in Philadelphia

  • Healthcare & Life Sciences
  • Pharmaceutical Manufacturing
  • Financial Services
  • Education
  • Industrial Manufacturing

Deal Environment

Philadelphia offers access to high-quality targets at valuations 15-25% below comparable New York businesses, making it attractive for PE firms and strategic acquirers seeking value. The region's aging business owner demographics suggest accelerating deal flow in the coming years.

Why Acquire in Philadelphia

Philadelphia's location between New York and Washington DC, combined with significantly lower operating costs, makes acquired businesses well-positioned for growth across the entire Northeast corridor.

Pennsylvania Legal Considerations

Pennsylvania does not have a specific non-compete statute - courts evaluate reasonableness on a case-by-case basis using common law standards, and the state's Bulk Sales Act has been repealed, simplifying asset purchase transactions.

Local Market Context

Philadelphia M&A Market

Philadelphia-Camden-Wilmington, PA-NJ-DE-MD MSA · MSA population 6.2M

MSA Population (2024)

6.2M

U.S. Census Bureau

Top Industry Concentration

  1. 1 life sciences and pharmaceuticals
  2. 2 healthcare systems
  3. 3 financial services

Philadelphia's M&A market is anchored by life sciences and pharmaceuticals, financial services, and healthcare systems. The metro is home to a large concentration of pharmaceutical and biotech firms, making it one of the most active life sciences M&A markets outside of Boston and San Francisco. Wilmington, Delaware's presence within the MSA adds a corporate domicile dimension, as many companies incorporated in Delaware are managed from the Philadelphia metro.

Major Philadelphia Employers and Deal Anchors

  • Comcast
  • Jefferson Health
  • Penn Medicine
  • AmerisourceBergen (Cencora)
  • GSK (US HQ)
  • Lincoln Financial

Transit and Logistics

Philadelphia International Airport serves the metro. The Port of Philadelphia handles bulk cargo. The metro sits at the midpoint of the Northeast Corridor Amtrak rail line between New York and Washington.

Recent Philadelphia Deal Signal (2024-2025)

Life sciences consolidation remained active in the Philadelphia metro through 2024, with biotech and specialty pharmaceutical acquisitions by large pharma buyers a consistent theme. Cencora (formerly AmerisourceBergen) continued its acquisition strategy in pharmaceutical distribution.

Source (accessed 2026-04-27)

Local Regulatory Notes for Medical Practice Acquisition Law

Pennsylvania Securities Commission oversees Blue Sky filings. Delaware corporate law applies to most M&A transactions regardless of where parties are physically located, given Delaware incorporation prevalence.

Pennsylvania Legal Considerations for Medical Practice Acquisition Law

Non-Compete Laws

Enforceable with reasonableness test. Reformation available. Continued employment is sufficient consideration.

Filing Requirements

Entity mergers and conversions must be filed with the Pennsylvania Department of State. Tax clearance certificates (from the Department of Revenue and Department of Labor & Industry) are required for asset purchases. Annual reports are required for foreign entities (decennial reports for domestic corporations).

Key Pennsylvania Considerations

  • Pennsylvania's CNIT rate of 8.99% is among the highest in the nation, though the phase-down to 4.99% by 2031 will significantly improve competitiveness and should be factored into multi-year deal models
  • Philadelphia imposes its own Business Income and Receipts Tax (BIRT) with a gross receipts component (0.1415%) and net income component (5.99%), creating a significant added tax for Philadelphia-based businesses
  • Pennsylvania's Keystone Opportunity Zones offer substantial tax abatements that can be highly valuable in acquisitions of businesses operating in designated areas

Pennsylvania Bar Authority

Pennsylvania Bar Association. Voluntary bar. The Pennsylvania Supreme Court handles attorney admission separately via the Pennsylvania Board of Law Examiners.

Bar association website

Pennsylvania Federal and Business Courts

Federal districts: E.D. Pa., M.D. Pa., W.D. Pa.

Business court: Pennsylvania Court of Common Pleas Commerce Case Management Program (established 2000) Commerce programs operate in Philadelphia County (first commerce program court) and Allegheny County (Pittsburgh). Handles complex commercial and business disputes.

Pennsylvania M&A Market Context

Pennsylvania M&A is concentrated in Philadelphia (pharmaceuticals, financial services, healthcare) and Pittsburgh (technology, healthcare, energy), with significant mid-market deal activity statewide.

Watchpoints

Common Philadelphia Medical Practice Acquisition Law Pitfalls

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

1

Pennsylvania non-compete enforcement and earn-out exposure

State legal framework

Enforceable with reasonableness test. Reformation available. Continued employment is sufficient consideration.

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

Philadelphia local regulatory exposure

Local regulatory

Pennsylvania Securities Commission oversees Blue Sky filings. Delaware corporate law applies to most M&A transactions regardless of where parties are physically located, given Delaware incorporation prevalence.

3

Pennsylvania regulatory framework attorneys flag at LOI

State statute

Securities regulated by Pennsylvania Securities Commission (psc.pa.gov). Pennsylvania follows a comprehensive securities act with merit review authority for certain public offerings; Blue Sky notice filings required for Reg D.

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 Philadelphia

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

serving Bryn MawrGladwyne medical practice attorneyserving Waynemedical practice attorney in Radnorserving HaverfordMt. Lebanon medical practice attorneymedical practice attorney in Fox ChapelSewickley medical practice attorney

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

Related Services in Philadelphia

Statewide and Nearby Markets

Helpful Resources

Attorney perspective on medical practice attorney matters in Philadelphia

Alex Lubyansky, Managing Partner at Acquisition Stars
"Rollover equity is a minority investment in a company you no longer control, bought at the highest valuation that company will probably ever see."
Alex Lubyansky, Senior Counsel On structuring (principle) (Alex LinkedIn Backlog (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 Philadelphia 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.