BackTable Vascular & Interventional

Ep. 616 Exploring Unique Outpatient Models in Interventional Radiology with Dr. Richard Daniels

Feb 13, 2026
Dr. Richard Daniels, an interventional radiologist who built a consortium-style outpatient IR practice, explains his fractional long-term coverage model. He discusses expanding beyond vein work into embolizations and PAD, recruiting and training physicians and tech teams, and operational tactics for scaling outpatient services nationwide.
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ANECDOTE

From Hospital IR To Outpatient Independent Practice

  • Richard Daniels transitioned from hospital-based IR to an outpatient vein and procedure practice over ~10 years.
  • He left diagnostic-radiology-run groups, opened an in-network vein office, then shifted toward outpatient PAD, dialysis, and embolizations as revenue and interest grew.
ANECDOTE

Choosing Independence Over Hospital Employment

  • Daniels left hospital employment offers when hospitals tried to employ his group, choosing independence over hospital employment.
  • That shift coincided with rising outpatient opportunities and eventually private equity and physician-group partnerships.
ADVICE

Market Directly To Patients When Referrals Stall

  • Do direct-to-patient marketing when referring physicians won't send consistent volume.
  • Daniels stresses many successful outpatient centers market to patients rather than waiting for referrals from reluctant specialists.
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