How a Physician (MD/DO) Starts a Practice in Virginia

MDs and DOs in Virginia have full prescribing and procedural authority within their license. Aesthetic procedures fall within general medical practice scope; specialty board certification is not required to practice aesthetic medicine, though it is generally expected by patients and insurers.

You can employ NPs and PAs in your Virginia practice. Virginia does not strictly enforce CPOM, so a wider range of ownership structures is available.

Physicians have unrestricted ability to own a medical practice in Virginia.

Aesthetic medicine falls within the unrestricted MD/DO license scope in Virginia. No additional state credential is required, though most patients now expect specialty training (AAFE, AAAM, IAPAM) and many liability carriers require documented hands-on course completion.

Virginia maintains some Corporate Practice of Medicine restrictions but with practical workarounds. PLLC and PC are common structures; standard LLC is permitted in many practice models.

Most physician-led practices in Virginia can open the doors for $40,000–$120,000 depending on real-estate footprint, equipment scope, and whether the practice starts solo or with staff. The realistic launch timeline from "I am ready to start" to "I am seeing my first paying patient" is 90–150 days for most clinicians, longer if the entity structure requires physician partnership negotiation.

That spread tracks with the breakdown taught in the My Practice Academy Practice Blueprint — entity formation, banking, EHR, malpractice, equipment financing, marketing, first-90-days operational rhythm. The course is built by Faisal Darwiche, NP, who has launched and operated three independent practices.