Looking Beyond Current Cash Flow

About CPAFirst

CPAFirst MD Advisors is a top notch consulting firm that specializes in helping physicians with starting up, acquiring, growing and managing their healthcare practices.

Whether you are just starting out or you have been in practice for many years, we can help you. Our highly experienced team includes CPAs, attorneys, finance professionals, billers, coders and medical practice management experts.

Ask yourself these questions:

Do you want to keep MORE of what you Earn?

Do you want to DIVERSIFY your Risk?

Do you want to keep INCREASE your practice Cashflows?

Do you want to keep BUILD your personal Wealth?

Do you want to keep BETTER Manage your practice?

Do you want MORE time to do what you love?

If you answered “YES”, We can show you How.

Services that we offer


For your start up, acquisition or existing practice so you can make your vision a reality.

Practice Review

A complete in-depth review by our SWOT team of experts and a business plan to help make your vision a reality.


End to end accounting systems starting from book keeping to payroll to financial statements to management dashboard reports so you can better manage your practice.

Cash Flow Management

Customized design of your Revenue Cycle Management process including our proprietary 3 way reconciliations so you can Maximize your cashflows.


Planning and preparation by our team of CPAs so you can take full advantage of the complex tax law and lower your tax bills.

Asset Protection

Risk management strategies designed by our experienced legal team so you can protect your assets from creditors and lawsuits.

Wealth Building

Financial planning strategies and expert guidance to boost your savings and wealth so you can spend time doing what you love.


Make an Appointment with us

Our Clients

Medical practices –
solo and multispecialty

Dental practices –
solo and multispecialty

Self employed healthcare

Physician Employees

Dialysis Centers


  • “I started my practice as an Ob-gyn four years ago. I am so glad that I signed up with CPAFirst to help me with the transition from being an employee of a medical group to becoming the owning my own medical practice. CPAFirst put together a business plan for me and obtained financing for me so that I could focus on my practice. They have helped me with with their accounting, tax, cash flow management and other practice advisory services. Today my practice grosses over 5 times what I was earning as an employee. Thank you CPAFirst!”

    Ob-gyn Practice New York
  • “I strongly recommend the professionals at CPAFirst. They are caring and they really know how to run a medical practice efficiently and maximize my cash flows. Their 3 way reconciliation service is quite unique and helped my practice greatly”

    Pain Management Practice New York
  • “The tax and wealth building strategies that CPAFirst implemented for me have helped my family and I to live a quality of life that we did not think possible. I am thankful for their help and I highly recommend them.”

    Surgery Practice New Jersey