Precision Longevity Medicine · Miami & Telehealth

The annual physical that says you're fine is missing the years that matter.

Concierge, data driven longevity care from a Columbia and Cornell trained physician. We find the risks your standard checkup overlooks, and build a plan around your physiology — not the average.

Apply for Your Wellness Assessment A physician led health audit, not a sales call.
Limited new patients each month.
  • Columbia & Cornell Trained
  • Board Certified in Emergency Medicine
  • Precision Preventive Care
  • 15 Years in Practice
Dr. Joel Wussow, MD — concierge longevity physician
The gap in standard care

You are not fine.
You are unmeasured.

Standard medicine waits for a number to break before it acts. By then the damage has a decades long head start. You feel it before the chart shows it — the afternoon crash, the lighter sleep, the weight that won't move, the recovery that takes longer than it used to.

  • Brain fog and afternoon crashes are not just getting older.

  • Stubborn weight is not a willpower problem. It is a metabolic signal.

  • A normal cholesterol panel can still hide elevated ApoB and Lp(a) — the markers that actually predict risk.

  • Energy, sleep and mood are data you can read — and change.

Most programs hand you more to do. We start by handing you the truth: a complete picture of where your physiology actually stands today.

Limited to 10 new patients each month

This is not a sales call.
It's a physician led health audit.

Healthspan by Design is a concierge practice. To protect the depth of care every patient receives, Dr. Joel takes on no more than ten new patients each month. The first step is a private call to see whether the Premier Wellness Assessment is right for you.

  1. Clarify your goal

    The specific way you want to feel and function over the next ten, twenty, thirty years.

  2. Audit where you are now

    Your history, current markers and the physiological bottlenecks quietly slowing you down.

  3. Map the path

    If we're a fit, the exact assessment and plan that gets you there.

The call is the risk reversal. Even if we decide we're not a fit, you'll leave with a clear, honest read on where your health actually stands. No pressure, no obligation.

Apply for Your Wellness Assessment A private, physician led call. Limited spots each month.
Dr. Joel Wussow, MD, at home
Your physician

Meet Dr. Joel Wussow

Columbia Cornell Board Certified · Emergency Medicine Precision Preventive Care

Dr. Joel Wussow built Healthspan by Design on a simple conviction: the most powerful medicine is the kind that acts before you're sick. Trained at Columbia and Cornell and board certified, he practices precision, prevention first longevity medicine — reading the full picture of your physiology and translating it into decisions that compound over decades. He doesn't treat averages. He treats you: your data, your goals, your life.

He didn't build this practice out of theory. He built it out of his own bloodline. His grandfather had his first heart attack at 38, and went on to become one of the oldest heart transplant recipients in the country. For more than thirty years Dr. Joel did everything right — clean diet, ideal body weight, consistent training. His cholesterol stayed high anyway. The real driver was his ApoB, the particle count that actually pushes plaque into your arteries — and no standard checkup had ever flagged it. That's the gap he built Healthspan by Design to close: finding the risk that compounds quietly for years, long before it would ever surface.

Prevention is not the cautious choice. It is the most ambitious thing you can do for your health.
— Dr. Joel Wussow, MD
A named, sequenced framework

The Healthspan by Design Method

Four steps that turn scattered health data into a plan you can actually live — and sustain for decades.

  1. Measure

    Your real baseline, not a guess.

    The Premier Wellness Assessment — comprehensive bloodwork including ApoB, Lp(a), fasting insulin, insulin resistance scoring, hormone and inflammatory panels, and a full history.

  2. Map

    A plan built by your physician.

    Dr. Joel personally reviews every result and builds a prioritized, evidence based plan around your goals — never a generic protocol.

  3. Optimize

    Move the markers that matter.

    Targeted prescriptions, nutrition and lifestyle changes — with physician oversight at every step.

  4. Sustain

    Progress that becomes permanent.

    Longitudinal care that adapts as your life and data change, so the gains hold for decades.

What's included

Inside the Premier Wellness Assessment

Your required first step — and the most complete picture of your health you've ever had.

Everything in your Assessment

Required first step
  • Comprehensive diagnostic bloodwork — over 100 biomarkers, including ApoB, Lp(a), full insulin resistance markers, a complete hormone & thyroid panel, inflammatory markers, and micronutrient status.
  • Full medical history and lifestyle evaluation.
  • A physician led review of every result — with Dr. Joel, not a portal.
  • A personalized, prioritized optimization plan.
  • Clear next steps and an ongoing care pathway.
  • Everything explained in plain language — what your numbers mean, and what to do about them.
Optional add-ons
DEXA body composition VO₂ max testing Genetic testing WHOOP integration

You'll understand not just what your numbers are, but exactly what to do about them — guided by a physician at every step.

Apply for Your Wellness Assessment
What we measure & move

Real markers. Measured. Moved.

A complete view of the systems we track — and change — across cardiovascular, metabolic, hormonal and recovery health.

Cardiovascular risk

ApoBLp(a)Lipid particle count

Metabolic health

GlucoseInsulinHbA1cLP-IR score

Body composition & weight

Lean massFat massWeight

Energy, sleep & recovery

Sleep qualityHRVRecovery

Hormonal balance

TestosteroneFree TDHEAThyroidEstradiol

Inflammation & long term risk

hs-CRPMetabolic risk markers

We present the systems we measure and move — never invented averages. Individual results vary. (Real before/after client outcomes are ready to publish pending physician sign off.)

In their words

What patients say

Real words from real patients of Healthspan by Design.

His expertise exceeded all expectations. His passion for health and wellness is inspiring, and his personalized approach sets him apart.
Scott Taylor Jr.Verified patient
My metabolic health is now being addressed early through evidence based strategies. I'm learning to monitor and optimize my ApoB levels.
Jim W.Plano, TXVerified patient
His deep knowledge and holistic approach to health have helped me make more informed decisions about my well being.
RoryVerified patient
He helped me move from good to great in several key areas we identified and continue to monitor.
Chris EllisVerified patient
Within just a few weeks of following Dr. Joel's plan, I began noticing improvements in my energy, sleep, and mood.
Tim MullenVerified patient
With Dr. Wussow I feel supported, informed, and motivated to prioritize my health like never before.
Javier PerezreynosoVerified patient
Where this leads

The Assessment is step one.
Here's where it leads.

Start here

Premier Wellness Assessment

Your complete baseline and physician built plan. The required first step for every patient.

Annual Concierge Care

Direct physician access, prescription oversight, and targeted labs throughout the year.

Elite Physician Protocol

The highest touch tier — intensive optimization over a defined engagement, in direct partnership with your physician.

Most patients begin with the Assessment, then choose the level of ongoing care that fits their goals. We map the right path together on your call.

Limited patient panel

You could be one assessment
away from a different decade.

Limited new patients each month. Apply now to see if it's a fit.

Apply for Your Wellness Assessment A private, physician led call. No pressure, no obligation.
Questions, answered

The friction a physician offer creates — removed.

Dr. Joel is a board certified physician. This is physician led preventive medical care — not coaching.

In person in Miami, and by telehealth in Florida, Texas, New York, and Arizona, where Dr. Joel is licensed.

We measure deeper, act earlier, and build a plan around you — with a physician who has the time to actually know your case.

Healthspan by Design is a cash pay concierge practice and does not bill insurance. This keeps your physician's time and attention on your care, not on coding. Labs can be drawn through our mobile phlebotomy service or brought from your own provider.

Your Assessment runs over your first few weeks — bloodwork, your physician review, and your plan. Ongoing care is then built around your schedule.

Pricing depends on the care level that fits you, which we determine together on your call. The Assessment is the entry point.

Then this is how you stay that way — and find the silent risks before they cost you years.

Yes — fully confidential and HIPAA compliant.

Apply

Apply for your Premier Wellness Assessment

A short application. If it's a fit, we send you a link to book your physician led call. Limited spots each month.

  • Your information stays fully private and HIPAA compliant.
  • This is an application, not a purchase — there is no charge to apply.
  • A private, physician led call — no pressure, no obligation.

Ready to apply?

It takes about a minute. No charge, no obligation — if it's a fit, we send you a link to book your physician led call.

Your information stays fully private. This is an application, not a purchase. There is no charge to apply.

Limited new patients / monthA physician led health audit.

Apply

Apply for your Premier Wellness Assessment

A short application. If it's a fit, we send you a link to book your physician led call. Limited spots each month.

Your information stays fully private. This is an application, not a purchase. There is no charge to apply.