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Ichelon Consulting US · Launch answer

What should a new primary care practice do in its first 90 days of marketing?

In its first 90 days, a new primary care practice should make itself easy to find and easy to book: a verified Google Business Profile, a website with a page per service, a review routine from the first patient, small paid search on high-intent terms, and visits to local referral partners. Do the setup before opening day, then spend each month on one priority: visibility, then trust, then referrals.

Part of: Doctor & Primary Care Marketing USA

Guide for US practice owners · Published October 15, 2026

TL;DR
  • Start before opening: profile verification, payer credentialing and phone setup take longer than most owners expect.
  • Month one is visibility, month two is trust and reviews, month three is referrals and tuning.
  • Paid search fills the gap while organic visibility builds; keep it small and tightly targeted.
  • Measure from day one so the day-90 decisions rest on real numbers.
  • Every practice welcome — retainers from $499/mo, Goals-Driven engagements, Performance-Linked Payout Models available.
Ichelon Consulting US
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Trusted by US practices · case studies → 25+ US clients · 8 shown · TX · CA · VA · nationwide telehealth
Case study for practices like yours Lakewood Primary Care & Wellness: a website built with the owner, and SEO for new-patient searches in Dallas Read the case study →
Dr. Rajan Kohli
Owner, Lakewood Primary Care & Wellness · North Dallas, TX
Client video · Practice website build
“They were able to get all my ideas and work with me over a period of three to four months and create this amazing website. It's super customized, very modern, and it incorporates all the elements that I had wanted — the patient portal, nice pictures, a very interactive website, patient reviews. I would highly recommend their company to anyone who wants to make an excellent website.”
Dr. Rajan Kohli Owner, Lakewood Primary Care & Wellness · North Dallas, TX
Before opening

What should be in place before a new primary care practice opens?

Before the doors open, the practice needs its NPI and payer credentialing under way, a verified Google Business Profile, a live website, a phone system that is answered and tracked, online or phone scheduling, and documented consent capture for patient messages. Each of these can take weeks, so start them early.

Pre-opening checklist

  • Identifiers and payers: an NPI issued through CMS's National Plan and Provider Enumeration System (NPPES), and credentialing with the payers you plan to accept. Medicare enrollment runs through CMS's PECOS system.
  • Google Business Profile: created and verified, with the correct category, hours, services, photos and booking link.
  • Website: home page, a page per core service, physician bios, insurance accepted, location and booking.
  • Phone and scheduling: a main number used everywhere, call tracking numbers for paid channels, and a callback rule.
  • Consent and contracts: consent wording for texts and emails at intake, and BAAs with every vendor that handles patient data.

Marketing a practice whose payer contracts are not active creates frustrated callers. Only advertise the plans you can bill.

Prepare the front desk

The first callers form the first reviews. Before opening, write a short call script: how to greet, which insurance questions to ask, how to offer the earliest appointment, and what to do when the caller is not ready to book. Agree on who returns voicemails and how fast. Rehearse it with real scenarios, including a caller whose plan you do not take yet.

The 90-day plan

What does a 90-day marketing plan look like for a new primary care practice?

Give each month one main job. Month one builds visibility so patients can find and book you. Month two builds trust through reviews and content. Month three builds referral relationships and tunes what is working. Paid search runs across all three months at a modest level while organic visibility grows.

PeriodMain jobKey actionsWhat to measure
Month oneVisibilityLaunch paid search on core terms; complete the Google profile; publish service pages; list in insurer directoriesCalls, forms, profile actions, missed-call rate
Month twoTrustReview requests after every visit; physician bio videos or photos; first community postsNew reviews, booking rate, show rate
Month threeReferrals and tuningMeet nearby specialists, urgent care centers, pharmacies and employers; cut weak ad terms; expand what worksNew patients by source, cost per new patient
Day 90 reviewDecideKeep, change or stop each channel; set next-quarter goalsAll of the above, against capacity

The plan is a sequence, not a strict calendar. If verification or credentialing slips, shift the month-one actions and keep the order.

Assign an owner to every row. In most new practices, the practice manager owns the profile, reviews and referral visits, while an agency or freelancer runs paid search and the website. Whoever owns a task should report on it weekly in the first quarter, because small problems compound quickly when a practice is new.

Getting found

How does a new practice get found on Google with no reviews yet?

A new practice wins early local searches by having the most complete, accurate profile and website in its area. Fill every Google Business Profile field, use the right primary category, keep name, address and phone identical everywhere, publish a page for each service, and ask the very first patients for honest reviews.

Map rankings depend on relevance, distance and prominence. A new practice cannot change distance, and prominence takes time. Relevance is within your control from day one. That means accurate categories, services that match what patients search, and a website that answers those searches clearly.

  • Choose the primary category carefully; see Google Business Profile categories.
  • Keep the business name exactly as it appears on signage, without added keywords.
  • Add real photos of the building, entrance, parking, team and exam rooms.
  • Answer common questions on the website and in the profile's description and services: insurance, same-day visits, new-patient paperwork.

Consistent listings across directories help Google trust your details; see NAP consistency.

Paid channels

Which paid channels make sense in the first 90 days?

Google search ads are usually the first paid channel for a new primary care practice, because they reach people actively looking for a doctor nearby. Keep the radius tight, bid on terms like "primary care doctor near me" and "accepting new patients", and send clicks to a page with a clear booking path.

Meta ads can build local awareness of a new practice, but treat them as a second step. Meta limits targeting based on health information, so target by location and broad audience, not conditions. Keep advertising pixels off booking and intake pages, and have counsel confirm any tracking setup that could touch patient information.

Ground rules for early paid spend

  • Start small and weekly-reviewed; scale only what produces booked visits.
  • Run ads only during hours someone can answer the phone, or offer online booking.
  • Use a separate tracking number for each paid channel.
  • Exclude services and insurance plans you cannot yet offer.

For the trade-off between organic and paid in year one, see SEO or paid ads for a new practice.

The landing page matters as much as the ad. It should state that the practice is accepting new patients, list the insurance plans accepted, show the address and a map, introduce the physicians, and offer one clear way to book.

Referrals and community

How can a new practice build referral and community relationships?

List the nearby organizations whose patients or members overlap with yours: specialists, urgent care centers, pharmacies, physical therapists, schools, senior living communities and local employers. Introduce the practice in person with a one-page sheet covering services, insurance accepted, new-patient availability and how to refer. Follow up after each referral.

Specialists and urgent care centers often need a primary care home for patients who do not have one. Make that easy: a direct line, a short referral form and quick appointments for referred patients. Employers are another channel; see employer partnerships for primary care.

Community presence also helps a new name become familiar. A table at a health fair, a talk at the library or a flu-shot day at a local business introduces the physicians in person. Pick a few events where your future patients already gather, rather than trying to attend everything.

Keep referral relationships within the law. The federal Anti-Kickback Statute and many state laws restrict giving anything of value in exchange for referrals of patients. Build relationships with responsiveness, communication and good care, and check any arrangement with counsel.

Measure and decide

What should a new practice measure in its first 90 days?

Measure enquiries by source, missed-call rate, speed to lead, booking rate, show rate, new reviews and new patients by source from the first week. At day 90, compare each channel's cost per new patient with what the practice can afford, and decide which channels to keep, change or stop next quarter.

Expect early numbers to be noisy. A few weeks of data cannot settle whether a channel works, but they quickly reveal operational gaps such as unanswered calls, slow callbacks or a confusing booking page. Fix those first, because they affect every channel at once.

At day 90, write a one-page review: what produced new patients, what did not, how full each physician's schedule is, and the goals for the next quarter. That page becomes the brief for the next 90 days.

For the wider picture of channels and services, see our doctor and primary care marketing page. If you are opening a practice and want a launch plan, book a call with the US team.

Keep reading

Related pages from the US team

Doctor & Primary Care Marketing USA

How Ichelon Consulting US plans launch and growth marketing for physician practices.

SEO or paid ads for a new practice

How to split year-one effort between organic and paid.

Google Business Profile for doctors

Set up the profile most local patients see first.

Medical practice website checklist

What a new practice website needs before launch.

How we work

Every practice welcome — Goals-Driven engagements from $499/mo

We benchmark your last 90 days, agree monthly goals with you, and track them live on Ichelon Agency OS with a report every Monday. Performance-Linked Payout Models are available. Our US leadership is based in Dallas, and strategy calls run in US business hours.

Read the full engagement model →

FAQ

Common questions

When should a new primary care practice start marketing?

Before opening day. Google Business Profile verification, payer credentialing, website build and phone setup can each take weeks. Starting early means the practice can be found and booked on the day it opens. Paid search can start shortly before opening, but only for services and insurance plans the practice is ready to bill.

How does a new practice get its first Google reviews?

Ask every patient from the first week, with the same short message and a direct link, sent soon after the visit with recorded consent. Do not offer incentives, ask only happy patients, or ask friends and staff to post. A steady stream of honest reviews from real patients builds trust faster than any one-off push.

Should a new practice use Google Ads or SEO first?

Usually both, in different roles. SEO and the Google Business Profile take time to build visibility, so modest Google search ads fill the gap in the first months. Keep paid search tightly targeted to nearby, high-intent searches, and reduce it as organic visibility and reviews start producing enquiries on their own.

Can a new primary care practice advertise before it is in-network with insurers?

It can advertise, but only the payment options it can actually accept. Say clearly which plans are active and which are pending, and offer self-pay options where appropriate. Advertising insurance plans the practice cannot yet bill leads to frustrated callers, wasted ad spend and poor early reviews.

What should a new practice review at the end of its first 90 days?

Review new patients by source, cost per new patient for each channel, missed-call rate, booking and show rates, review growth, and how full each physician's schedule is. Use those numbers to keep, change or stop each channel, and set goals for the next quarter in a one-page plan.

A note on this guide: it explains marketing practice, not legal advice. Rules on privacy, advertising and insurance change and vary by state, so confirm anything compliance-related with your own counsel.

Opening a new primary care practice?

A 30-minute call with the US team. We'll review your launch timeline, Google profile and website plan, and map what to do before and after opening day.

The nine-stage patient journey

We cover every stage, from first search to repeat visit

  1. 0Foundations
  2. 1Demand gen
  3. 2Capture
  4. 3Lead quality
  5. 4Lead mgmt
  6. 5Scheduling
  7. 6Show-up
  8. 7Conversion
  9. 8Retention

We work across all nine stages, from foundations to past patients, and fix the stage that leaks first. Our own software runs the work, and every stage is reported against a monthly target on Ichelon Agency OS.

See all nine stages and the tool behind each one →
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Ichelon Agency OSEvery service line shows its monthly target, what is delivered and whether it is on pace.Goals portfolio · clients shown as Client A to G
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