**Editor's Note: We had some technical difficulties near the end of the episode so weren't able to capture the full conversation, but if you like what you hear so far, stay tuned for more conversations with the wise and wonderful, Dr. Courtney Herbert!**Episode 068 | Dr. Courtney Herbert is an accomplished board-certified dermatologist with extensive experience in medical and cosmetic dermatology and owner of FDL Dermatology and FDL Dermatology Consulting in Arlington, VA.For more than 12 years, FDL Dermatology accepted medical insurance. When the COVID pandemic disrupted life in 2020, Dr. Herbert, like many physicians, shifted temporarily to telemedicine. Much to her delight, the lack of time constraints allowed her to spend more time with her patients, get to know them better, and address all their dermatologic needs at once.In late 2020, FDL Dermatology stopped accepting medical insurance and made the switch to a direct pay model. She and her staff enjoy focusing completely on their patients during longer, more personalized appointments.Through this transition, Dr. Herbert gained practical insight into what works, what doesn’t, and what dermatologists need to consider before making this significant change. The experience reinforced an important truth: direct-pay dermatology can be highly effective when it is designed thoughtfully and grounded in real-world clinical practice.Her latest venture, FDL Dermatology Consulting, grew out of conversations with colleagues—dermatologists who were asking the same questions she once did:Is leaving traditional insurance possible?How do I transition without destabilizing my practice?How do I communicate changes to patients?What does a sustainable direct-pay model really look like?Her work focuses on helping dermatologists navigate these questions with clarity and confidence. She offers strategic guidance rooted in lived experience—not generic business coaching or one-size-fits-all solutions.If you're interested in learning more, check out the website and schedule a complimentary 10-minute conversation to discuss your practice, goals, and whether consulting support may be the next step towards building the independent, direct pay dermatology practice of your dreams!**This episode is not sponsored or otherwise financially supported by FDL Dermatology or FDL Dermatology Consulting. I just love Dr. Herbert and her mission and know you will, too!**More from Dr. HerbertFDL DermatologyFDL Dermatology ConsultingMore from Dr. Lewellis and Above & Beyond DermatologyNeed a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois and Nebraska.Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.Above & Beyond DermatologyNutrafol -- special pricing and physician exclusive productsNeoGenesis -- my favorite source of stem cell released molecules for skin/hairSilagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)NewsletterLinkedInFacebookDr. Lewellis on InstagramAbove & Beyond Dermatology on InstagramYouTubeTikTokTwitter/XChange Your Mind, Change Your LifeSoMeDocs (Doctors on Social Media)This page may contain affiliate links.