Best Healthcare Attorneys for Med Spa Ownership (2026): 10 Compared

For med spa owners, investors and medical directors. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not legal services, and none of the law firms below is a Prospyr product or partner. Each summary reflects what the firm publishes on its own website, checked October 2026. This article is not legal advice. Fees, engagement terms and state rules change, so confirm everything in writing with a licensed attorney in your state before you sign.

What does a healthcare attorney do for med spa ownership?

A healthcare attorney decides who can legally own your med spa and builds the structure that lets non-physician owners take part. In states with a corporate practice of medicine (CPOM) rule, that usually means two companies: a professional corporation (PC) owned by a licensed physician that delivers all treatment, and a management services organization (MSO) that runs the business side under a management services agreement (MSA). The attorney drafts the PC, MSO, MSA, medical director and ownership documents, sets a fair-market-value management fee, and checks fee-splitting, anti-kickback and scope-of-practice rules for your state.

The 10 healthcare law firms at a glance

How we chose this list

We looked for law firms that publish their own work on med spa ownership, MSOs and the corporate practice of medicine, not just a general "healthcare" page. Then we checked four things a practice owner can verify before a consult:

1. Published thinking. The firm has articles or practice pages that explain MSO, PC or CPOM rules in plain terms.
2. Aesthetics focus. Med spas or aesthetic medicine are named as a market, not buried in a long list.
3. State coverage. The firm says where it works. CPOM rules are state law, so a firm's home states matter.
4. Fee transparency. Flat fees, memberships or published prices count in a firm's favor.

The order is our editorial view, not a measure of results. National firms come first; state firms follow. If your state has a strict CPOM rule, a firm that practices there every day may be the better fit. We left out one well-known firm in this space because its website states it stopped providing legal services in July 2026.

1. ByrdAdatto

ByrdAdatto is a business and health care law firm with offices in Dallas and Chicago. Its services page lists compliance (including CPOM, anti-kickback, Stark, fee-splitting and scope of practice), business structuring and contracts, management services agreements, buying and selling practices, employment, and trademarks.

What stands out:

• AmSpa connection. The American Med Spa Association (AmSpa) lists ByrdAdatto as its legal services provider, and AmSpa members get a complimentary 15 to 20 minute consult call with the firm, according to AmSpa's legal services page.
• Aesthetics in the partnership. ByrdAdatto's attorney page for Alex Thiersch lists him as managing partner of the Chicago office and founder of AmSpa, with a practice focused on aesthetic professionals.
• Billing model. The firm advertises "Access+," ongoing legal guidance with what it calls "frictionless billing," as an alternative to hourly work. It does not publish prices.

Right for: owners in any state who want a firm that sees aesthetics ownership questions every week, especially AmSpa members who can use the free first call.

Ask: what Access+ includes and costs, which attorney licensed in your state signs off on the structure, and whether the MSA template is adapted to your state or reused.

2. Lengea Law

Lengea Law calls itself "the law firm for healthcare businesses that grow" and names med spas, IV therapy clinics, HRT and peptide practices, and telehealth companies as its market. It reports that 80% of the businesses it represents are med spa, aesthetic, wellness and medical practices, and that its attorneys are licensed in more than 25 states. It lists a New York phone number.

What stands out:

• MSO and PC work. The site advertises "management services organizations (MSOs) and professional corporations (PCs) that hold up under scrutiny."
• Published pricing model. Lengea offers memberships with "prepaid legal work at a member discount," 15-minute, 30-minute and one-hour consult options, and lists medical director introductions at $3,000 for non-members (as of October 2026).
• No revenue share. It states: "We take no revenue share and no cut of your profit."

Right for: owners opening in more than one state, or adding IV, hormone or peptide services, who want fees they can budget.

Ask: which states your matter's attorney is licensed in, what the membership covers, and how a medical director introduction is structured so the fee stays at fair market value.

3. Concierge Healthcare Attorneys

Concierge Healthcare Attorneys is a healthcare-only firm in Evanston, Illinois, led by founding attorney Barney Cohen, who reports 30+ years as general or senior counsel and in private healthcare practice. Its medical spa page states it works with med spas nationwide and lists MSO-PC and friendly PC ownership models, CPOM guidance, management services agreements, medical director contracts and delegation protocols, informed consent, and scope-of-practice compliance. It also covers medical board defense and DEA inspection support.

Right for: a first-time owner who needs the ownership structure, the medical director agreement and the protocols drafted together.

Ask: whether it uses local counsel in your state, and what a start-up engagement costs. The site says a call comes within 24 hours of a consultation request.

4. Frier Levitt

Frier Levitt describes itself as "a national boutique law firm focused on providing legal counsel to the healthcare industry," with offices in Pine Brook, New Jersey and New York City. Its med spa team lists scope of practice by state, supervision and delegation, medical director arrangements, corporate documents, the purchase and sale of med spas, anti-kickback and Stark compliance, advertising rules, and GLP-1 and peptide questions.

Right for: owners buying or selling a med spa, or adding weight-loss or peptide programs that bring pharmacy law into play.

Ask: who leads the med spa team, and whether ownership work for your state is handled in-house.

5. Nelson Hardiman

Nelson Hardiman is a Southern California healthcare law firm that reports 25+ years advising medical groups and physicians. Its physicians page names aesthetic medicine providers and medical spas as a practice and notes that "California's ramped-up enforcement measures focus on illegal ownership structures." It reviews corporate and operational structures, advises on CPOM "in structuring business and financial relationships between physicians, entrepreneurs, and investors," and defends Medical Board investigations.

Right for: California owners, or investors buying into a California med spa, who want an existing structure audited.

Ask: how it would test your current PC and MSO documents, and how it tracks California's 2026 review of the friendly PC model.

6. Bay Legal

Bay Legal is a California firm in Palo Alto with a Southern California number. It states that its attorneys "handle med spa formation, friendly-PC + MSO structuring, medical director agreements, standardized procedures, and Medical Board compliance across California," and publishes guides on whether a non-physician can own a California med spa.

Right for: a nurse, aesthetician or investor opening a new California med spa who needs the full friendly PC and MSO setup.

Ask: who acts as the physician owner of the PC, how standardized procedures for nurse practitioners and registered nurses are drafted, and what the flat or hourly cost is.

7. Lindabury, McCormick, Estabrook & Cooper

Lindabury is a New Jersey firm with offices in New Providence, Tinton Falls, New York City and Newtown, Pennsylvania. Its medical spa and aesthetic medicine page lists business ownership models, "Management Services Organizations (MSOs) and joint ventures," state CPOM compliance, HIPAA, Stark and anti-kickback rules, medical director and staff contracts, and consent forms. The page names four attorneys on the team.

Right for: practices in New Jersey, New York or Pennsylvania, or a physician entering a joint venture with a non-physician operator.

Ask: how New Jersey and New York ownership rules differ for your plan, and who on the team handles day-to-day questions.

8. Weitz Morgan

Weitz Morgan is an Austin, Texas firm founded in 2006. Its healthcare practice counsels medical aesthetics businesses and represents physicians, nurses and med spa owners in licensure proceedings. Its article comparing independent contractor and MSO arrangements for Texas med spas explains both models and mentions a flat-fee med spa formation package; the price is not published.

Right for: Texas owners deciding between a non-physician-owned spa with a contracted medical director and a physician-owned practice with an MSO.

Ask: the flat-fee price and what it covers, and how medical director pay is set so it is not tied to a percentage of revenue.

9. Di Pietro Partners

Di Pietro Partners is a Florida firm based in Fort Lauderdale, with offices in Miami, West Palm Beach, Tampa, Jacksonville, Fort Myers and Orlando. Its ASC and med spa structuring page covers entity formation, ownership arrangements, management agreements, Agency for Health Care Administration (AHCA) compliance and healthcare regulatory issues.

Right for: Florida owners and investors. Florida does not apply a strict CPOM rule, but supervision, clinic licensing and fee-splitting rules still shape the structure.

Ask: whether your plan needs an AHCA health care clinic license, and how management fees are set.

10. Brennan, Manna & Diamond

Brennan, Manna & Diamond (BMD) is a regional firm with offices in Ohio, Michigan, Florida and Arizona. Its published checklist for med spas explains that in CPOM states non-physician owners use an MSO model, and that management fees should be "within the range of fair market value for bona fide services actually provided," usually as a flat fee.

Right for: owners in Ohio, Michigan, Florida or Arizona who want a larger firm that also handles real estate, employment and lending.

Ask: which attorney handles med spa matters, and how many med spa structures the team has set up in your state.

Questions to ask any healthcare attorney about med spa ownership

1. Are you licensed in my state? CPOM, nurse practitioner practice and delegation rules are state law. If not, ask who local counsel is and who pays for them.
2. Does my state require an MSO at all? Some states let non-physicians or nurse practitioners own a med spa directly. Ask what the simplest legal structure is, not the most complex one.
3. How is the management fee set? Ask how the firm documents fair market value and whether a percentage-of-revenue fee is allowed in your state.
4. Who controls clinical decisions on paper and in practice? Ask which decisions (hiring providers, protocols, pricing of treatments, patient records) must stay with the physician-owned PC.
5. What happens if the physician owner leaves? Get the succession, stock transfer and termination terms explained before signing.
6. What does it cost, and is it flat? Ask for a written scope and quote for formation, the MSA, the medical director agreement and annual updates.
7. Can you review my medical director agreement and protocols too? These often sit outside the ownership documents but carry the same risk.

If your next step is protocols or a funding plan, see our lists of standing orders and protocol services and med spa business plan writers. For general med spa legal work beyond ownership, see our med spa attorneys list.

Where Prospyr fits

An MSO-PC structure only works if day-to-day operations match the documents: the PC's providers chart and sign off on treatment, while the MSO runs booking, payments and reporting. Ask your attorney who should own patient records and software accounts under your MSA, and check that your practice platform can separate roles and report by location. See how Prospyr handles aesthetic charting and multi-location practices, or book a practice demo.

Frequently asked questions

Can a non-physician own a med spa?

It depends on the state. In states with a strict corporate practice of medicine rule, such as California and New York, a non-physician usually cannot own the medical practice and instead owns an MSO that manages a physician-owned PC. Other states allow direct ownership with a medical director or supervising provider. Check your state's rules with a licensed attorney; our med spa licensing guide is a starting point.

What is the difference between an MSO and a PC?

The PC is the medical practice: it is owned by a licensed physician, employs or contracts the providers, and makes all clinical decisions. The MSO is a business company that supplies non-clinical services such as space, staff, marketing and billing to the PC for a management fee under a management services agreement.

How much does it cost to set up an MSO for a med spa?

Most firms do not publish a price. Of the ten firms above, Weitz Morgan advertises a flat-fee formation package and Lengea Law sells prepaid memberships, but neither publishes a formation price. Ask every firm for a written flat quote covering the PC, MSO, MSA and medical director agreement.

Is the friendly PC model still legal?

The friendly PC model is used in most CPOM states, but rules are tightening. Oregon passed a law in 2025 restricting it, and California's Attorney General examined the model in 2026. Ask your attorney how recent changes in your state affect a new or existing structure.

Want your company considered?

We review this list quarterly. Law firms that advise med spas on ownership and MSO structures can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.

Editorial scope

This list is based on each firm's public website, checked October 2026 with AI-assisted research. Firms did not review this article before publication. It is not legal advice, not a guarantee of results and not a substitute for checking references and bar licensure in your state. Read our methodology or report a correction.