Manhattan’s longevity medicine ecosystem benefits from proximity to world-class academic medical centers. Mount Sinai, NYU Langone, and Weill Cornell provide referral networks and research collaborations that enhance private practice capabilities. Physicians can access cutting-edge imaging, specialized testing, and subspecialist consultations that would be impossible in smaller markets.

For comparison with East End options, see our Hamptons Executive Wellness Guide. Many Manhattan practitioners extend services to Hamptons clients during summer months.

Clinic Tiers and Pricing

Ultra-Premium ($50,000-150,000+/year)

The most comprehensive longevity programs include everything: full-body MRI screening, advanced cardiovascular assessment with coronary calcium scoring and CT angiography, VO2 max testing, DEXA body composition scans, 200+ biomarker panels, cognitive assessment, genetic testing, and personalized protocols with quarterly optimization visits. These practices follow models pioneered by Peter Attia.

At this tier, patients receive direct physician cell phone access, same-day appointments when needed, and care coordination across all specialists. The physician personally reviews imaging and lab results rather than delegating to staff. Annual assessments span multiple days with extensive consultation time.

Executive Health ($15,000-50,000/year)

Comprehensive annual assessments with ongoing access throughout the year. Includes advanced testing beyond standard physicals, personalized protocols for nutrition and exercise, and regular check-ins to track progress. Most Manhattan concierge practices operate at this level, serving 100-300 patients per physician.

Executive health programs typically include extended visit times (60-90 minutes vs. 15 minutes), 24/7 physician access for urgent issues, and coordination of specialist referrals. Testing packages vary but usually include comprehensive metabolic panels, cardiovascular risk assessment, and cancer screening appropriate for age and risk factors.

Accessible Longevity ($5,000-15,000/year)

Basic concierge access plus enhanced testing beyond standard insurance-covered medicine. This tier offers a good entry point for those new to optimization who want to experience concierge medicine before committing to premium programs. Patient loads are higher, typically 300-500 per physician, but access remains superior to traditional practices.

What to Look For

• Physician Training: Board certification in internal medicine or family medicine plus longevity-specific training through organizations like A4M or IFM
• Testing Capabilities: In-house advanced diagnostics vs. external referrals—in-house capabilities reduce friction and improve turnaround
• Protocol Philosophy: Evidence-based approaches grounded in peer-reviewed research vs. experimental interventions with less supporting data
• Access Model: Direct physician contact or team-based care—understand who you’ll actually be communicating with
• Supplement Conflicts: Does the practice sell supplements? This can create conflicts of interest worth understanding

Finding the Right Practice

Manhattan’s longevity medicine market lacks transparency. Practices rarely publish pricing, and quality varies significantly. Referrals from trusted peers remain the most reliable way to find excellent physicians. Ask successful executives in your network who they see and why they chose that practice.

Consider scheduling consultations with multiple practices before committing. Most will offer introductory calls to discuss their approach and determine fit. The physician-patient relationship in longevity medicine spans years—choosing carefully upfront prevents costly switches later.