One Practice for Orthopedic, Longevity & Performance Medicine
APX combines non-surgical orthopedics, concierge longevity care, and precision performance testing so you can recover faster, feel better, and perform at a higher level.
Patients served
of clinical experience
Rating from 200+ reviews
- Service Overview
The services people come back for
APX Sports Medicine
Non-Surgical Orthopedics + Regenerative Medicine
- Comprehensive injury and pain evaluations (acute and chronic) with a clear plan
- Diagnostic point-of-care ultrasound for faster answers
- Ultrasound-guided injections (corticosteroid, viscosupplement, and more)
- Regenerative options (PRP, prolotherapy) plus shockwave therapy
- Concussion care, sports physicals, and PT prescriptions with trusted PT coordination
APX Longevity
Modern Concierge Primary Care
- Baseline “healthspan” evaluation + comprehensive annual review
- Advanced labs + risk stratification (cardiometabolic, hormones, inflammation)
- Personalized longevity roadmap (nutrition, training, sleep, stress, supplements)
- Ongoing medical management + medication optimization
- Metabolic and men’s health programs (weight management, TRT)
- Prevention + care coordination (ApoB/lipids, BP, CGM, cancer screening, sleep/OSA, referrals, PT)
- Messaging access + proactive follow-ups (concierge-style)
APX Performance Lab
Precision Testing and Recovery Therapies
- Longevity Performance Assessment with results-driven training and recovery plan
- Metabolic and fitness testing: RMR + VO2 max cardiorespiratory assessment
- Lactate threshold testing for endurance and pacing guidance
- Strength testing (VALD), body composition review, and EKG screening
- Recovery services: IV hydration, longevity infusions, wellness injections, and recovery protocols
APX Recovery
IV Therapy and NAD+ Recovery Support
- IV therapies for hydration, energy, immune support, and recovery
- Six core IV formulas: APX, Defend, Glow, Revive, Thrive, Ignite
- Add-on boosters available to customize your drip (IV add-ins or IM)
- NAD+ drip options for deeper cellular support (250mg and 500mg)
- Clear menu pricing with simple booking
- Optional wellness injections and recovery protocols (as needed)
- Meet Your doctor
Real sports medicine, not rushed appointments
APX is led by Dr. Vincent Marchese, a board-certified sports medicine physician who combines modern diagnostics with hands-on care to help you recover faster and perform better. You get clear answers, a personalized plan, and direct-pay transparency from the start
Board-certified, specialized training
Trusted by high-level teams and athletes
Science-backed approach, athlete mindset
Board-certified, specialized training
Trusted by high-level teams and athletes
Science-backed approach, athlete mindset
- Watch APX Story
What APX does and how it helps
Watch a quick overview of how we evaluate pain, optimize healthspan, and use performance testing to guide smarter training and recovery.
- How to get started
Getting Started is Simple
You’ll always know what the next step is, why it matters, and what it costs before you commit. High-confidence starting points that lead to clear next steps and measurable progress.
1. Start with the right visit
Choose orthopedics, longevity care, or performance testing
2. Get clarity fast
We evaluate, measure, and confirm what’s actually going on.
3. Leave with a plan
Clear options, timelines, and transparent pricing.
- Testimonial
Real Words From People We’ve Helped
Outcomes are the point. These stories reflect what it’s like to be heard, treated precisely, and guided with a real plan.
“I Finally Feel More Like Myself Again”
I came in frustrated after weeks of guessing what was wrong. The visit was thorough, the explanation was simple, and the ultrasound helped confirm what was happening right away. I left with a plan that felt specific to me, not generic advice, and I finally knew exactly what to do next
Client, USA
“Transparent pricing and better care”
I loved knowing the cost upfront and not dealing with insurance back-and-forth. The appointment didn’t feel rushed, the recommendations were clearly explained, and the plan was built around my goals. It felt more like a high-level health and performance roadmap than a typical clinic visit.
Client, California
- Pricing Plan
Sports medicine pricing and longevity memberships
Transparent pricing for visits and treatments, plus two longevity membership options designed for ongoing care and optimization.
Medicine Visits and Treatments
From first-time evaluations to injections and shockwave therapy, everything is listed clearly before you book.
APX Performance
Full concierge primary care and longevity membership
- Baseline healthspan evaluation and annual review
- Advanced labs and risk stratification (cardiometabolic, hormone, inflammation markers)
- Personalized longevity roadmap (nutrition, training, sleep, stress, supplementation)
- Ongoing medical management and medication optimization
- Metabolic and performance support (weight management, peptides / HRT when appropriate)
- Direct access and coordination (messaging, proactive follow-up, referrals, imaging, PT)
- Adults who want a physician-led primary care and longevity partnership
- Busy professionals who value proactive care and direct access
- Patients who want individualized planning and long-term oversight
Note: Labs, imaging, medications, supplements, and outside services are billed separately unless otherwise specified.
APX Optimize
A streamlined option for targeted optimization support without full concierge primary care. Built for focused goals with expert oversight
- Initial optimization assessment and goal review
- Peptide therapy management when appropriate
- Hormone optimization / HRT or TRT management when appropriate
- Body composition review and tracking
- Targeted lab review plus protocol adjustments during follow-ups
- Guidance on nutrition, training, recovery, supplementation, plus limited messaging support
- Patients focused on hormone, peptide, or body composition support
- Those who want a lower-commitment entry point into APX longevity services
- Individuals who do not need full concierge primary care
Note: Labs, imaging, medications, supplements, and outside services are billed separately unless otherwise specified.
Explore more ways APX can help
- Sports Medicine — Injury diagnosis and treatment
- Longevity — Proactive care and optimization
- Performance Lab — Testing for training targets
- Recovery — IV therapy and NAD+
- FAQ
Frequently Asked Questions
Do I need insurance to be seen at APX?
Start with a New Patient Visit or Evaluation. That’s the best way to confirm the diagnosis and map the right next step.
What should I book if I’m not sure what I need?
Start with a New Patient Visit or Evaluation. That’s the best way to confirm the diagnosis and map the right next step.
Does the visit include ultrasound?
Start with a New Patient Visit or Evaluation. That’s the best way to confirm the diagnosis and map the right next step.
How fast can I get an appointment?
Start with a New Patient Visit or Evaluation. That’s the best way to confirm the diagnosis and map the right next step.
- Latest Blog
Health insights & wellness tips.
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