Accepting members through June 2026 · Flatiron, New York
Concierge primary care · longevity

A primary-care doctor who actually has time to be one.

Meridian is a small, membership-based medical practice in Flatiron for adults who want one doctor — not a portal, not a pharmacy algorithm — looking after their whole health. We keep our roster under 300.

Schedule a call See how it works
Same or next day
60–90 min visits
24/7 direct line
Dr. Eliza Wren
"I see my patients more like friends than files." Dr. Eliza Wren · Founder
As referenced in
The New York Times · Goop · Well + Good · T Magazine · Tribeca Citizen
Our approach

Care the way it was meant to be.

We are out-of-network by choice, which means your membership — not insurance billing — is what pays for our time. That one structural change is what makes every other part of this possible.

i

Unhurried visits.

Every visit is 60 to 90 minutes, in a room that does not look like a clinic. We cover what actually matters, not a template checklist.

ii

Advanced diagnostics.

Comprehensive annual labs (55+ markers), continuous glucose monitoring on request, and full cardiac, metabolic, and hormonal panels — reviewed by a human.

iii

Direct access.

You have Dr. Wren's number. You text her. She replies. That is the entire mechanism — no portal, no messaging app, no front-desk gatekeeping.

iv

Longitudinal data.

We track every marker across years so trends get caught long before they show up as a diagnosis. We send you your own numbers in plain English.

v

Specialist coordination.

A specialist referral from us is a real introduction, not a faxed form. Our referral network is small on purpose. We know the people we send you to.

vi

A whole view.

We talk about sleep, stress, food, movement, and meaning with the same seriousness we talk about blood pressure. We think the distinction is a little silly.

A morning at Meridian The morning of a first visit
Why Meridian exists

Modern medicine isn't broken. It's rushed.

The average primary-care visit in America is 17 minutes. Half of that time, your doctor is typing. The average patient waits 26 days for an appointment. When she finally sees you, she has already seen eleven other people that morning.

None of that is her fault. It is a system built to reimburse volume, not attention. We opted out of it so we could practice medicine the way we were trained — slowly, with a whole person, in a room with a couch in it.

"Every patient I take on, I think of as a long relationship. That isn't a slogan, that is the entire design of the practice."
What we do

Primary care, and quite a bit more.

Meridian is full-scope primary care for adults, plus the preventive and longevity work most practices don't have time for. All included in membership unless noted.

Annual Longevity Physical

A 3-hour comprehensive exam covering cardiovascular, metabolic, hormonal, cognitive, and musculoskeletal baselines. 55+ lab markers plus advanced cardiac screening.

Included in membershipOnce per year

Acute & everyday care

Colds, UTIs, rashes, migraines, the scary bump you found last Tuesday. Same-day appointments, often a video call before you've finished your coffee.

Included in membershipUnlimited

Chronic condition management

Thyroid, autoimmune, GI, cardiometabolic, migraine, long-COVID, perimenopause. We co-manage with specialists when needed, never hand you off.

Included in membershipCo-managed

Hormone & metabolic work

Perimenopause, thyroid, testosterone, insulin sensitivity, GLP-1 management when appropriate. Done with conservative pacing and real follow-through.

Included in membershipOngoing

Advanced cardiovascular screening

Coronary calcium score, ApoB, Lp(a), CIMT, comprehensive lipid subfractionation. Once a year, in plain English, with a plan you can act on.

$480 add-onOnce per year

Nutrition, sleep, and training

In-house collaboration with a registered dietitian and a movement coach. Not a wellness upsell — a clinical plan when you need one.

First session includedReferral-based
Your doctor

Dr. Eliza Wren built Meridian because she could not practice medicine the way she wanted to, anywhere else.

Fifteen years in internal medicine, nine of them as a primary care physician at a major hospital system. She watched the visit shrink from 30 minutes to 17 to 12. In 2022 she left and opened Meridian with a roster of 28 patients she had quietly, carefully gathered.

Today the practice is full at 280. We admit in cohorts of ten, twice a year.

15 yrsIn internal medicine
280 / 300Current roster
2×/yrNew-patient cohorts
— E. Wren, MD
Dr. Eliza Wren in the consultation room
EW
Dr. Eliza Wren, MD Internal medicine · Columbia '09 · Weill Cornell residency
Membership

Three ways to join the practice.

All members receive the same clinical care. The tiers differ in frequency of proactive outreach and what is bundled in.

Foundational

Individual

For one adult who wants a real primary care relationship, without the upsell.

$3,800/ year
≈ $316 / month
  • Unlimited visits & virtual care
  • Annual longevity physical
  • 55+ marker lab panel
  • 24/7 direct line to Dr. Wren
  • Same or next-day scheduling
Request a call
No insurance billing · PPO superbills provided
Most chosen Proactive

Longevity+

Our most popular tier — for adults who want their doctor ahead of the curve, not behind it.

$6,400/ year
Save $420 vs. add-ons
  • Everything in Individual
  • Advanced cardiac screening (CAC, ApoB)
  • Continuous glucose monitoring, if clinically indicated
  • Semi-annual planning visit
  • Dietitian & movement coach sessions
  • VO₂ max & body composition baseline
Request a call
Typical wait: 4–8 weeks
For two

Household

One plan, two adults. For couples who'd like their care coordinated under a single doctor.

$6,900/ year
Save $700 vs. two individual plans
  • Everything in Individual, ×2
  • Joint annual-planning visit
  • Shared clinical note, if preferred
  • Priority over solo-tier waitlist
  • One cardiac screening included
Request a call
Dependents ages 18+ only
What members say

The only thing we've ever paid for is a better doctor's office.

★★★★★
I used to dread my yearly physical. Now it's the appointment I look forward to most, which is a sentence I never thought I'd write. Dr. Wren caught a pre-diabetic trend in my labs that four previous doctors had rounded as 'borderline'. Eighteen months later, the trend has reversed.
SM
Sophia M.Member since 2023 · Gramercy
★★★★★
I text my doctor at 8pm on a Sunday about a weird headache. I get an answer in twenty minutes. That one fact alone makes the membership pay for itself twice over. It has also changed my nervous system.
JR
Jonathan R.Member since 2022 · Flatiron
★★★★★
We came in for a perimenopause consultation I had been trying to get for two years. Dr. Wren spent ninety minutes with me, walked me through a treatment plan that my prior OB wouldn't even discuss, and followed up with me — herself, not a staffer — twice in the first month.
AK
Adrienne K.Member since 2023 · Upper East Side
★★★★★
I'd been putting off finding a "real" doctor in New York for six years. Meridian feels like what I thought medicine was supposed to be when I was a kid. Competent, quiet, kind. I've referred six friends.
DH
David H.Member since 2024 · West Village
Frequently asked

Answers to the real questions.

Anything we haven't covered? Email us: hello@meridianhealth.nyc

Do you take my insurance?

We are out-of-network with all commercial insurance. We are not a Medicare provider. We will provide a detailed superbill at each visit — most PPO plans reimburse a portion. Your membership itself is a flat annual fee that covers our time and access, separate from any diagnostic or lab fees, which are billed to your insurance where possible.

What is actually included in the annual fee?

All primary care visits (in-person and virtual), direct access to Dr. Wren by phone and text, your annual longevity physical, annual comprehensive lab panel, same-day scheduling, specialist coordination, and written care plans. Advanced screenings (CAC, CGM, full hormone panels) are included in Longevity+ or available as add-ons on the Individual plan.

What is not included?

Specialist fees, hospitalization, imaging done outside our office, emergency room visits, prescription medications, and anything performed outside the practice. We will always tell you what something costs before it is ordered.

How many patients does Dr. Wren take on?

We cap the practice at 300 total members. For reference, a typical primary care physician in the US carries 2,300. This cap is the entire business model — without it, the rest of this falls apart.

Is this a functional medicine practice?

Not in the strict sense. We are conservative, evidence-based primary care that happens to take prevention, nutrition, and sleep seriously. We do not sell supplements, run unvalidated tests, or use language that hasn't cleared a peer-reviewed journal.

How do I become a member?

A 20-minute phone call with Dr. Wren, at no cost and no obligation. If it feels like a fit on both sides, we schedule an initial visit and your membership begins. New members are admitted twice a year in cohorts of ten.

— a small, very personal waiting list

Become a patient of the practice.

We have room for a few more people this cohort. A short phone call with Dr. Wren is always the first step — no forms, no pitch, no pressure.

Schedule your call → Email the practice