Helping Independent Practices Compete, Scale, and Win on Their Own Terms with Paul Vigario

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Episode Overview:

Too many independent practices are being sold not because they failed, but because they never had the systems to succeed on their own terms.

Paul Vigario is tackling this reality as founder and CEO of SurfCT.

For over 25 years, Paul has helped more than 12,000 practices generate over $36 billion in healthcare revenue by combining visionary brand development, intelligent technology, and intentional patient experience design.

His work proves that private practices don't need to consolidate to compete. They need the opportunity and guidance to modernize.

From transforming a $2 million endodontics office into a $20 million national brand to helping doctors build automated, scalable legacy practices, Paul brings a blueprint for what independent healthcare can become.

Join us to discover how SurfCT is redefining what's possible for private practice owners ready to think boldly and build to endure. Let's go!

Episode Highlights:

• Paul Vigario built SurfCT from a UConn dorm room idea into a firm serving 12,000 practices globally.
• Independent practices can scale without selling, as ONE ENDO grew from $2M to $20M without acquisition.
• Doctors often operate for insurance companies without realizing it, playing the wrong game entirely.
• Removing front desks and automating workflows creates frictionless, high-margin practices that scale beyond the owner.
• The future of private practice is polarized: massive success or corporate acquisition, with nothing in between.

About our Guest:

Paul Vigario is the founder and CEO of SurfCT, a leading authority in healthcare practice strategy, design, and technology for private healthcare practices, known for its integrated approach to improving and modernizing operations. Over the past 25 years, he has helped more than 12,000 practices worldwide generate more than $36 billion in healthcare revenue, redefining how providers automate, scale, and grow. Widely recognized as a visionary leader and pioneer in healthcare innovation, Mr. Vigario has spent his career advancing the integration of technology, brand, and patient experience in modern healthcare through clarity of vision, purposeful design, and systems that create freedom for providers.

Links Supporting This Episode:

• SurfCT website: CLICK HERE
• Paul Vigario LinkedIn page: CLICK HERE
• SurfCT LinkedIn page: CLICK HERE
• Mike Biselli LinkedIn page: CLICK HERE
• Mike Biselli Twitter page: CLICK HERE
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