A specialist agency for medical-vertical SEO.
Praxis SEO Agency runs SEO programs for U.S. physician practices — multi-location physician-owned clinic groups, hospital-affiliated specialty groups, and high-margin specialty clinics in dermatology, plastic surgery, fertility, orthopedics, cardiology, and oncology. The retainer model maps to the medical-vertical industry standard. The work product is constrained by federal privacy regulation, state medical board advertising rules, and Google's Reviews System medical-content framework — and the agency was built specifically to ship within those constraints.
Founder
Founded by Yan Dobromyslov, who has delivered SEO across regulated B2B service verticals including medical practices. The founder is a marketing professional, not a physician — Praxis does not author medical-truth content. Clinical content published through engagements is authored or reviewed by appropriately credentialed practicing physicians retained by the client practice. The agency's product is the SEO architecture, the schema implementation, the entity-graph reconciliation, the directory ecosystem work, and the regulatory-mechanics translation between the client's compliance counsel and the operational marketing output.
Why YMYL-medical needs more than generalist SEO
Generalist SEO agencies pitching medical practices typically treat HIPAA as a checkbox and the Reviews System framework as undifferentiated EEAT. Both readings miss the actual mechanism. 45 CFR §164.508 specifies what a marketing authorization must contain — information disclosed, recipient, purpose, expiration date, revocation rights — and the absence of any of these voids the authorization. §164.501's "own products and services" exception covers practice-announcement and treatment-coordination communications, but vanishes the moment a covered entity receives third-party remuneration. State medical board overlays add further specificity. None of this gets operationalized by an agency that treats medical as one vertical among twenty.
Google's Reviews System extension to medical content in 2023 introduced practicing-physician reviewer signals as a first-party editorial-content requirement, while explicitly excluding third-party patient testimonials from the same evaluation. The distinction is load-bearing: testimonial pages that read as third-party patient feedback do not trigger the reviewer-credential threshold; editorial pages that read as physician recommendation or comparative analysis do. Topic-to-specialty alignment — whether the author's ABMS board-certified specialty matches the content's clinical domain — escalates the threshold further. Dermatology cosmetic content is evaluated more leniently than cardiology procedure content; oncological content carries the strictest threshold. The agency that ships into medical YMYL needs to know this at the per-page level, not as a category header.
The threshold-escalation reality
A medical SEO retainer that runs $3-20K/mo industry-standard reflects the actual cost surface of operating within these constraints — authorization template maintenance per state, entity-graph reconciliation hygiene as physicians join and leave practices, GBP multi-location architecture with attending-physician ownership, Healthgrades and Zocdoc profile work with the specialty-specific solicitation patterns (including the Zocdoc post-appointment automation path as the compliance-strict alternative for psychiatry and behavioral-health practices), and the Reviews System editorial-reviewer infrastructure that turns client-authored content into surfaces that survive YMYL evaluation. Engagements run as monthly retainers shaped to the surface where the work is needed; we do not productize a single offering across all practice shapes.
Get in touch
Email hello@medicalseo.expert with the practice domain, the specialty mix, the location count, and a short description of the current SEO state — particularly any recent ranking decay on YMYL-evaluated content. We respond inside one business day with a scope outline and a retainer band.