New England Direct Primary Care Alliance

Our Mission

To support the growth of innovative Direct Primary Care practices in New England by cultivating collaborative relationships between primary care physicians, specialists, advanced providers and ancillary services.  To serve as a strong and unified voice to advocate for and educate physicians and patients in the changing landscape of healthcare payment and legislative reform.

Our Values

The relationship between patient and physician is the foundation of optimal healthcare delivery.

Patient-centered care should be uncompromised by outside influence.

The cost of healthcare should be transparent.

Primary care is most cost-effective when the patient and physician are directly responsible to each other.

We value professional fulfillment and life balance for physicians.

Independent physicians are best positioned to innovate, adapt and meet the needs of patients as individuals.

All patients should have access to Direct Primary Care.

Carmela Mancini, DO, MPH

PResident / Co-FOUNDER

I am board certified in Internal Medicine and have spent the last several years as a hospitalist (the doctor in charge of your care while you are in the hospital). Like many physicians in today’s healthcare environment, I realized that my idea of being a doctor was not possible in the current system. I wasn’t able to spend the necessary, quality time with my patients; decisions were often based on what insurance dictated and not what I thought was medically appropriate; and worst of all there was disintegration of the doctor-patient relationship. This is when I discovered Direct Primary Care and I have not looked back.


Prior to medical school I received a Masters Degree in Public Health from Emory University and spent 5 years as a public health advocate and epidemiologist. I subsequently went to medical school at Nova Southeastern University and earned a degree in Osteopathic Medicine. I completed my residency in Internal Medicine at Baystate Medical Center in Springfield, MA.

My training at an osteopathic medical school has instilled in me the importance of treating patients from a “whole person approach” and not as a specific disease process or entity. This philosophy is in line with the Direct Primary Care model and I look forward to integrating the two for the benefit of my patients. Additionally, I am excited to start offering osteopathic manipulative treatments to my patients.

On a personal note, I was raised in Florida and now live in Marblehead along with my husband and two step-sons. I still enjoy the sun and warmth, but am slowly getting used to the cold New England winters. I’m also a fan of the Bruins and enjoy cheering for them at both home and away games!

Dr. Carmela Mancini


Jack Forbush, DO

Vice-President / Co-FOUNDER

Dr. Leigh "Jack" Forbush is a graduate of Eastern Maine Medical Center’s Family Medicine Residency Program and Fellowship in Neuromuscular Medicine/Osteopathic Manipulative Medicine having obtained his medical degree at Maine’s prestigious University of New England College of Osteopathic Medicine.

Providing the full spectrum of family medical including Internal Medicine, Pediatrics, Geriatrics and Obstetrics, his particular areas of interest include Integrative Medicine, applying the principles of Osteopathy across the age spectrum and the incorporation of information technology in medicine.

When not in the office, he enjoys obstacle course racing and living on the bleeding edge of technology.

Each year, he travels to Paraguay offering his services to the Andrea Ritz Foundation caring for (and enjoying the company of) Guarani of all ages.

He is actively involved at the local, state and federal level in his capacity as a Maine Osteopathic Association Past-President.

He holds active board certifications in Family MedicineNeuromuscular Medicine/Osteopathic Manipulative Medicine and Integrative and Holistic Medicine


Eric Kropp, MD

Secretary / Co-FOUNDER

Dr. Kropp is a Board Certified Family Medicine Physician.  He obtained his undergraduate degree from the University of Colorado. He worked for a number of years in a variety of jobs ranging from Chemical Research to Clinical Medical Research to Emergency Medical Services before committing to his true calling as a Physician.  He earned his Doctorate of Medicine from St. Matthew’s University in Grand Cayman, BWI where he was awarded the Academic Achievement Award and a Teaching Assistant position.  His Residency training was completed at The New Hampshire Dartmouth Family Medicine Residency.  He practiced for 6 years at Penacook Family Physicians prior to establishing his own solo practice in January 2016.

Dr. Kropp enjoys practicing a full spectrum of Family Medicine, especially caring for multiple generations of the same Family from birth through end of life care.  He is skilled in office based procedures, including minor skin surgeries and musculoskeletal injections, with a special interest in Sports Medicine. As a former National Champion Cyclist, he understands the athlete’s mindset and how it can influence the comprehensive care of elite athletes and weekend warriors alike. He is passionate about helping individuals set and achieve their own goals for an active lifestyle, and continually tries to achieve a healthy balance between his work and home life. He enjoys spending time with his family, including his three young children. He has more hobbies than he has time for, including rock climbing, cycling, woodworking, and construction of a replica 1965 AC Cobra roadster.  He also periodically ponders joining another rock cover band to get his bass guitars off the wall and back onto the stage.  Dr. Kropp’s varied background and relaxed approach help him connect with his patients, and he looks forward to meeting you soon!



Brian Pierce, MD

Treasurer / Co-FOUNDER

Brian Pierce, a graduate of the United States Coast Guard Academy, was stationed in Maine at Bath Iron Works.  While there, he completed his premedical studies at the University of Southern Maine.  He then left the Coast Guard to attend Dartmouth Medical School on an Air Force scholarship, graduating in 1995 and then training in family medicine at Andrews Air Force Base, Maryland.  

In the Air Force, he practiced family medicine at Misawa Air Base, Japan and Dover Air Force Base, Delaware.  In 2002, Dr. Pierce and his family moved to Camden, Maine, where he joined Midcoast Medicine, an independent family medicine and psychiatry practice.  

From 2004 to 2014, Dr. Pierce was an owner and managing partner at Midcoast Medicine and is proud to have managed its growth to a multi-specialty practice and medical billing service.  During this time, Midcoast Medicine was voted "Best of the Best" Medical Practice for 8 years running in the Knox VillageSoup/Camden Herald readers' poll.

In addition to his outpatient family medicine practice, Dr Pierce had been a part-time hospitalist contractor at Penobscot Bay Medicine Center for years and lately has been helping Groups, a chain of addiction treatment clinics, grow a new clinic in Rockland, Maine.

Dr. Pierce was president of our state medical society, the Maine Medical Association, from 2015 to 2016 and chairs their Payment Reform committee. He's also an associate member of the Maine Osteopathic Association.

He was a volunteer physician at the Knox County Health Clinic for years and now contributes memberships in this practice for use by the Knox Clinic.  Prior to starting this practice, he'd been a volunteer physician over the years with the Good Samaritan Mission Council in La Romana, Dominican Republic and hopes to return to this when not busy growing a new practice here.

Outside of medicine, Dr. Pierce and his wife Andrea are raising 4 children of high school and college age.  Dr. Pierce lives in Camden and enjoys bicycling, fishing and sailing in his spare time.

Megunticook Family Medicine


Michael Ciampi, MD


Dr Michael Ciampi is a native of Portland, Maine. He is a graduate of Cheverus High School.  He earned degrees from The College of the Holy Cross in Worcester, MA, and Tufts University School of Medicine in Boston. He completed internship and residency at the Naval Hospital in Pensacola,Florida.  After having served in the U.S. Navy for seven years, he had attained the rank of lieutenant commander prior to his honorable discharge and return to his home state to take over the practice of his father, Louis Ciampi, M.D. upon his retirement.

Dr. Ciampi’s clinical interests include diabetes, cardiovascular disease, and health maintenance. He is also involved in health care policy, working to decrease cost and improve transparency.

Being frustrated with what he saw as a dysfunctional health care finance system, in April 2013, he took what many considered a very radical step when his practice opted out of third party payments, including commercial insurance, Medicare, and Medicaid.  Instead of billing insurance, he now contracts with his patients directly.  He is an advocate of the Direct Primary Care model which is gaining in popularity with doctors and patients alike across the country.

This novel approach to health care garnered the attention of local and regional television and radio shows. He has been featured on Fox News Channel shows such as Huckabee and Fox and Friends, Fox Business Channel's Varney and Company, as well as CNN.

Dr. Ciampi is very happily married to a woman far too good for him.  They have four wonderful children and one beautiful granddaughter.

Ciampi Family Practice


Jeffrey Gold, MD


It has been an honor to practice primary care in the community in which I grew up and where I now live with my wife and our 5 year old twins. When I made the decision to become a Family Practice Doctor, I had a vision of what I thought my practice would be like…it would be in a community similar to where I grew up; I would have personal relationships with all of my patients; I would be accessible to my patients when they need me; I would be able to spend as much time as I want with my patients; and the list goes on and on.

Over the course of the past couple of years, due to many factors, it became very clear to me that my vision for how I wanted to practice medicine was not coming to fruition; at least not in the dysfunction of the current healthcare system.

I started to read about a movement in the world of primary care medicine called Direct Primary Care (DPC). DPC was quickly gaining notoriety and attention, not only in the medical community, but in the business world as well. Slowly but surely news outlets such as MSNBC, FOX NEWS, and CNN started to interview doctors who opened DPC practices across the country. The Wall Street Journal, The New York Times, Forbes, and other major news outlets started publishing articles about the DPC movement and the attention that it is getting in the medical community. The more I read and the more research I did, it became obvious to me that the vision that I had for how I wanted to practice medicine- as well as the vision that I had for how my patients deserve to have me practice medicine- could be achieved by opening my own DPC practice. I truly believe that Direct Primary Care is a large part of the solution to the healthcare crisis in this country.

After two years of doing research, attending DPC conferences, having numerous conversations with doctors who are already operating successful DPC practices, and lengthy discussions with people in the business world, I am proud to introduce you to Gold Direct Care. I am the first doctor in the state of Massachusetts to open such a practice, and I know it is the right thing to do for me, but most importantly for my patients.

Please continue to peruse the website to learn more about Direct Primary Care. I look forward to growing my practice with you, my patients, by my side. And I thank you for allowing me the privilege of being your doctor.

Gold Direct Care


Peter Sacchetti, MD


Board Certified in Internal Medicine, Dr. Sacchetti received his medical degree from the University of Vermont in 2003 and completed residency in Internal Medicine at North Shore Medical Center in 2007. He received additional training as a anesthesiology resident at Beth Israel Deaconess Medical Center in Boston.

Dr. Sacchetti attended Dartmouth College as an undergraduate, where he received his A.B. in Anthropology and Studio Art.

Hands on healthcare and house calls are no longer the thing of the past. Dr. Sacchetti provides exceptional and personal medical care with the service, attention and dedication of a time gone by.

Independent Health Advantage


What is Direct Primary Care?

Direct Primary Care (DPC) is an innovative, membership-based model of primary care. DPC clinics deliver high-quality care at affordable prices without insurance billing complexities. By removing the middleman, DPC benefits patients and employers by providing enhanced connectivity to physicians and transparency in pricing for routine care. 

By definition, a Direct Primary Care practice charges a periodic fee, does not bill third party payors on a fee for service basis and any per-visit charge must be less than the monthly equivalent of the periodic fee.

For a map of Direct Primary Care practices throughout the nation, please visit

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