Measure precisely
Labs, imaging, performance testing, and wearables create a clear baseline instead of guesswork.
Based in Middleton, Wisconsin · caring for patients across Wisconsin, multiple U.S. states, and the United Kingdom
Get to the beginning of your health story.
After nearly twenty years treating preventable endings in emergency medicine, Dr. Allan Mottram built Perennial to find the earlier chapter: measure what matters, understand your trajectory, and act while there is still time to change it.
Not ready? Book a complimentary discovery call — a no-obligation conversation about your goals and whether Perennial is a fit.
Care led by Dr. Allan Mottram, MD FACEP
Twenty years of seeing the ending changed how he practices at the beginning.
Emergency medicine teaches what fails in the human body and how late many problems are caught. Medical toxicology adds a mechanistic understanding of how medications and substances behave in an individual patient. Dr. Mottram brings both disciplines upstream, personally interpreting each member's data, risks, and goals.
Board-certified physician
Emergency medicine and medical toxicology
Nearly two decades of clinical experience
Performance-minded longevity care
Patient perspective
Five stars, every review.
5.0
5 Google reviews
“Truly listens, is incredibly patient, and pays close attention to our individual needs.”
“The first physician I’ve met who really listens and is invested in his patients.”
“Cutting-edge, utilizing the latest technologies and protocols to optimize health.”
“If you are interested in preventative care and overall wellness, he has a wealth of knowledge.”
“Allan is amazing. Love Perennial Wellness and the awesome services they provide.”
The Perennial model
Simple on the surface. Clinically deep underneath.
Interpret with judgment
Data is reviewed in context by a physician who knows your history, trajectory, and priorities.
Adjust over time
The relationship continues between visits so the plan can evolve as your health changes. Learn how longevity medicine works.
What we measure
Diagnostics selected because they can change the plan.
Advanced labs
Metabolic, cardiovascular, hormonal, inflammatory, nutrient, and organ-system markers.
Video visual guideExplore the advanced panelBody composition
DEXA scanning to clarify muscle, fat, and bone health.
Video visual guideSee what DEXA revealsCardiac Risk
Cardiovascular risk assessed through biomarkers, blood pressure, selected imaging, and clinical context.
Video visual guideUnderstand cardiac riskFitness
VO₂ max and resting metabolic rate, to guide training and metabolic strategy.
Video visual guideUnderstand your VO₂ maxBiometrics
Continuous and at-home data from Hilo, Oura, CGM, and related devices to reveal patterns between visits.
Video visual guideSee how biometrics connectContinuous blood pressure
Ambulatory and wearable blood pressure patterns help show what is happening outside a single office reading.
Video visual guideTrack pressure over timeSleep and recovery
Home sleep study and recovery tracking.
Video visual guideSee how sleep is measuredAdvanced imaging
Whole-body MRI, when a finding would change the plan.
Video visual guideExplore whole-body MRICancer screening
Selected screening options, including Galleri and Cologuard when clinically appropriate.
Video visual guideUnderstand detection strategyGenetics
Inherited risk, medication metabolism, and prevention strategy.
Video visual guideSee what genetics addsFirst step
A data-backed consultation before membership.
Longevity Baseline Assessment
A paid clinical on-ramp for new patients who want physician interpretation, a baseline plan, and a clear recommendation before choosing an ongoing membership. What the assessment includes.
The full $695 is credited toward membership if you continue into ongoing care.
$695
new-patient assessment
Book the $695 Baseline Assessment
After your assessment
Ongoing care with the physician who read your results.
Membership is optional. Act on your baseline plan on your own, or put your physician on retainer with structured follow-up, secure messaging, and a plan that updates as your health changes.
Advanced Longevity
$500
per month
Billed monthly
- Four scheduled physician visits a year, each paired with a follow-up to review diagnostics
- DEXA scan, VO₂ max, and resting metabolic rate included
- Primary care for generally healthy adults whose conditions do not require ongoing specialist management
- Secure portal messaging with Dr. Mottram
- Interpretation and plan review at every visit
- Labs and outside testing billed separately
Higher-touch option
Perennial Concierge
For patients who want their physician on retainer with unrestricted year-round access, urgent visits included, and deeper coordination when care gets complex.
$2,100/month
How Concierge works →
Perennial OS
Your care platform, built by your physician.
Dr. Mottram built Perennial OS so your priorities, trends, labs, messages, and rolling care plan stay connected between visits — not scattered across a generic portal.
The relationship continues between visits.
New results and messages are tied back to your plan and reviewed in context.
Fit
Built for patients who want depth, continuity, and clear medical judgment.
You want one accountable physician relationship.
Perennial is for patients who want prevention, performance, metabolic health, and aging strategy interpreted in context rather than scattered across disconnected visits.
You need emergency care or a quick one-off answer.
Emergencies still require 911 or an emergency department. Website content is informational and does not replace individualized evaluation.
Common questions
Clear expectations before you begin.
Can Perennial be my primary care physician?
Yes, for generally healthy adults with common, stable needs — for example, someone managing blood pressure or cholesterol who does not need ongoing specialist-led care. People with complex or specialist-managed conditions keep their existing care team, and Perennial coordinates alongside it.
Do you accept insurance?
No. Perennial does not bill insurance for the assessment or membership. Labs, imaging, and other outside services are separate; depending on the provider and your benefits, those services may be billed to your insurance.
What happens after testing?
Testing is interpreted in context, translated into priorities, and revisited over time. The goal is not more data; it is better clinical decisions.
How do patients communicate?
Patients use the secure Perennial portal for labs, documents, plan tracking, visits, and communication. Concierge care includes a higher level of direct access.
Can I use HSA or FSA funds?
Some patients may be able to use HSA or FSA funds for eligible medical services. Perennial provides transparent receipts, but patients should confirm eligibility with their plan administrator or tax advisor.
What is included in membership?
Membership includes ongoing physician-led care, structured follow-up, secure portal communication, plan review, and clinical interpretation of selected diagnostics. Outside labs, imaging, or third-party testing may be billed separately.
What if I need urgent or emergency care?
Perennial supports longitudinal longevity care and concierge access, but emergencies still require 911 or emergency department care. Urgent-care expectations and scope of care are reviewed with members during onboarding.
Can I cancel membership?
The Baseline Assessment never obligates you to enroll. Memberships are billed monthly; the written agreement you receive before enrollment states the cancellation and renewal terms.
Does Perennial provide hormone therapy?
Hormones are evaluated as part of the full clinical picture, not treated as a default longevity product. When symptoms, history, examination, and testing support treatment, Dr. Mottram discusses evidence-based options, expected benefits, risks, and appropriate monitoring.