Membership

Concierge medicine, built around one continuous relationship

A smaller physician-led practice for prevention, advanced diagnostics, primary care for uncomplicated patients, and care that continues between visits.

Book the $695 Baseline Assessment How the baseline works

How membership works

Direct-pay care, interpreted by one physician.

Membership includes ongoing physician-led care, structured follow-up, secure portal communication, plan review, and clinical interpretation of selected diagnostics. Outside labs, imaging, and third-party testing may be billed separately. Eligible HSA or FSA use depends on your plan.

Choose your access level

Two ways to work with Perennial.

Advanced Longevity

Depth, structure, and a plan.

$500 /month

Billed monthly

Four scheduled physician visits each year
Diagnostic-review follow-ups
Secure portal messaging during business hours
DEXA, VO₂ max, and resting metabolic rate included
Primary care for generally healthy, uncomplicated patients

Perennial Concierge

Your physician on retainer.

$2,100 /month

Billed monthly

Unlimited physician visits
Unrestricted direct access to Dr. Mottram
Urgent visits included
DEXA, VO₂ max, and resting metabolic rate included
Full specialist navigation, record synthesis, and coordination

The real difference

Same physician. Different access.

Visits Scheduled cadence vs. unlimited availability

Between visits Portal messaging vs. unrestricted direct access

Urgent needs Additional cost vs. included

Coordination Plan review vs. full navigation and synthesis

Start here

Membership follows the clinical picture.

Not sure which fits? Start with a discovery meeting or the Longevity Baseline Assessment. The right level of access is a recommendation that comes after your goals, history, and first measurement set are understood.

Book the $695 Baseline Assessment

Care expectations

What membership is designed to do.

Perennial supports longitudinal longevity care, primary care for generally healthy adults, and concierge access where appropriate. It is not an emergency service; emergencies still require 911 or the emergency department. Membership terms, renewal, cancellation, and scope of care are reviewed before enrollment so expectations are clear.

Based in Middleton, Wisconsin, Perennial cares for patients from multiple regions across Wisconsin, several U.S. states, and the United Kingdom. Availability and scope of care depend on location and individual circumstances. This page is informational and is not individualized medical advice.