Dueling Pianos to Direct Primary Care: Dr. Brian Juan on Opening Metronome Family Medicine at Age 50
My DPC Story · September 20, 2026
In short
Dr Brian Juan said he went from 110 to 114 members before the podcast that morning, and that he joined the Chamber of Commerce. Dr Juan said he took the best-paying job he could get and asked at every interview about the retirement plan. Dr Juan said Luke Pittman spent three and a half hours with him doing a pro forma, and that afterward he thought he could apply for a small business loan. Dr Juan said he would estimate 30 to 40 percent of his members were people he already knew. Dr Juan said he started doing 90-minute intakes for some new patients.
Key points
Dr Juan said he took the best-paying job he could get, and that the corporate system was the only place he found with a retirement plan.
These guys, this corporate system was the only place that had one.
— Brian Juan, MD, guest on My DPC Story, September 20, 2026. Listen at 19:42 - Dr Juan said Luke Pittman spent three and a half hours doing a pro forma with him, after which he thought he could apply for a small business loan.
Dr Juan said about 30 to 40 percent of his members were people he already knew.
30 to 40% of these folks are people that I already knew.
— Brian Juan, MD, guest on My DPC Story, September 20, 2026. Listen at 36:57 Dr Juan said he started 90-minute intakes for some new patients.
so I started doing 90-minute intakes about a month in to this thing.
— Brian Juan, MD, guest on My DPC Story, September 20, 2026. Listen at 38:26