Advocacy
Championing the rights of out-of-network and direct-pay physicians at the state and regional level.
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Tri State Out of Network Physicians Alliance
Empowering
Empowering
Independent Physicians
TOPA supports out-of-network and direct-pay physicians who want to build sustainable, patient-centered practices outside traditional insurance billing models.
September 11–12, 2026
Friday – Saturday
East Brunswick, NJ
Hilton East Brunswick Hotel & Executive Meeting Center
Why Join TOPA
A Stronger Alliance for Independent Physicians
TOPA gives physicians access to the community, education, and resources they need to thrive outside traditional insurance models.
Education
Expert-led programs and resources to help you navigate legal, financial, billing, and practice management challenges.
Browse resources →Networking
Connect with like-minded physicians, industry experts, and practice leaders who understand independent medicine.
See events →Practice Growth
Gain tools, strategies, and insight to grow a profitable, patient-centered practice on your own terms.
Member benefits →
Our Mission
Putting Physicians and Patients First
TOPA exists to unite and empower out-of-network and direct-pay physicians across the tri-state area through education, advocacy, and strategic connection — so doctors can deliver exceptional care on their own terms.
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Stronger Together
A Community That Supports You
Join a growing network of physicians who share insights, referrals, and encouragement. Members access exclusive events, resources, and a voice in shaping the future of independent medicine.
Become a Member →3
States Served
25+
Specialties Represented
40+
Educational Events / Year
100%
Physician-Led
Why TOPA, Why Now
The Independent Physician Movement Is Growing
Insurance pressure, administrative burden, and consolidation have pushed many physicians to reclaim their practices. TOPA is built for the doctors leading that change.
Reclaim Your Time
Move away from coding bottlenecks and denied claims toward direct, transparent patient relationships.
Strengthen Margins
Build pricing models, membership programs, and ancillary services that align revenue with care quality.
Protect Your Practice
Stay informed on compliance, No Surprises Act updates, contracting, and the evolving regulatory landscape.
Lead the Conversation
Join policy roundtables, peer summits, and a coalition shaping the future of patient-centered care.
From Our Members
Built by Physicians, for Physicians
TOPA gave me the playbook — and the peers — to confidently transition out of insurance contracts. My practice is healthier and my patients are happier.
The Summit alone was worth the membership. I left with three referral partners, a new billing strategy, and renewed confidence in my model.
Finally — an organization that understands what direct-pay physicians actually need. The advocacy work alone is changing the landscape.
Ready to practice on your own terms?
Join the alliance of physicians redefining independent medicine across the tri-state area.