Physician-led care
Your plan is built and adjusted by a physician, not assembled from a menu of disconnected tests.
Concierge longevity medicine in Middleton, Wisconsin
Physician-led longevity care for people who want a continuous relationship with their doctor.
Perennial pairs advanced diagnostics with ongoing medical judgment, secure communication, and a patient portal that keeps your labs, wearables, plan, documents, and visits in one place.
1:1
physician relationship
$6k
Advanced Longevity
$25k
Concierge
24/7
direct access in concierge care
OS
secure care platform
The Perennial model
Modern longevity medicine should feel medically rigorous and personally known.
Continuous relationship
Perennial is designed for ongoing decisions, follow-up, and accountability across years, not a single annual snapshot.
Integrated data
Labs, imaging, physiologic testing, wearables, documents, and visit notes come together inside Perennial OS so trends can drive care.
What we measure
Diagnostics are useful when they change the plan.
Testing is selected based on your goals, medical history, and risk profile. Perennial uses advanced diagnostics to support decisions about prevention, performance, metabolic health, cardiovascular risk, cognition, body composition, recovery, and long-term resilience.
Blood and biomarker testing
Advanced laboratory panels through outside labs, interpreted in the context of your history and trajectory.
Body composition and performance
DEXA, VO2, resting metabolic rate, and INSCYD-style performance analysis when clinically useful.
Genetics and pharmacogenomics
Selected genetic testing to clarify inherited risk, medication metabolism, and prevention strategy.
Wearables and connected health
Oura, Garmin, Whoop, Withings, Strava, Apple Health, Dexcom, and other signals can inform follow-up over time.
Advanced imaging
Imaging and specialty diagnostics may be coordinated when they add meaningful clinical context.
Plan tracking
Results are translated into a living plan with priorities, follow-up, and clear next steps.
Your Perennial portal
The relationship continues between visits.
The patient portal is where members can review labs, health trends, visit notes, documents, uploads, plan updates, appointments, billing, and messages. It keeps the care relationship organized instead of scattered across inboxes, PDFs, and disconnected apps.
- Home
- Labs
- Health Log
- Documents
- Visit Notes
- My Plan
- Billing
- Messages
Connected insights
Labs + wearables + plan
Documents
Appointments
Uploads
Trends
Membership
Choose the level of access and continuity that matches your needs.
Membership fees cover physician services. Labs, diagnostics, imaging, prescriptions, supplements, and outside specialist services are billed separately unless specifically stated.
Introductory
Discovery Meeting
Complimentary
Thirty minutes to clarify goals, fit, and whether Perennial's model is right for you.
Book discoveryOngoing longevity care
Advanced Longevity
$6,000 / year
Physician-led longevity membership focused on advanced assessment, personalized planning, and follow-up care.
Highest access
Perennial Concierge
$25,000 / year
Premium concierge care with direct physician access, unlimited medically necessary visits, travel support, and specialist coordination.
Concierge Family Pricing
First member
$25,000/year
Second member
$15,000/year
Additional teen or adult
$10,000/year
Child 12 and under
$5,000/year
Technology that supports care
Perennial OS was built so the clinical relationship has one reliable home.
One patient record
Scheduling, billing, documents, labs, visit notes, patient plans, and connected health data live in a purpose-built clinical system.
Clinician-assisted intelligence
AI supports organization, synthesis, and review. Medical decisions stay physician-led.
Privacy-aware operations
Perennial's internal systems are designed around role-based access, audit coverage, and protected health information boundaries.
FAQ
Common questions
Does Perennial bill insurance?
Perennial does not directly bill insurance for membership fees. Some outside labs, imaging, or specialist services may be eligible for separate insurance submission depending on the service and payer.
Are tests included in membership?
No. Membership covers physician services. Lab work, diagnostics, imaging, prescriptions, supplements, and outside services are billed separately unless specifically stated.
Can I use HSA or FSA funds?
Some services may qualify. Eligibility depends on your plan and tax situation, so confirm with your plan administrator or tax advisor.
Do I need to be local?
Many parts of care can be supported remotely, but in-person testing and some visits are based around Middleton, Wisconsin.
What happens in a discovery meeting?
You discuss goals, medical priorities, and fit with the practice before deciding whether to begin membership.
Is this primary care?
Perennial provides concierge longevity medicine and care coordination. The right primary care arrangement depends on the member's needs and location.
Start with fit
Begin with a complimentary discovery meeting.
Talk with Dr. Mottram about your goals, the membership options, and whether Perennial is the right home for your next chapter of care.