Business phone system for physician practices in Richmond, VA
Physician practices in the Richmond, VA metro area: 742 establishments in 2023, the local area codes, and what phone service costs a 19-person team.
- Establishments
- 742CBP 2023
- Employees
- 14,153mid-March 2023
- Per 100k residents
- 54.2U.S. 60.2
- Rank
- 48th of 911areas by count
The medical practice market in Richmond, VA
The Census Bureau's 2023 County Business Patterns lists 742 establishments classified as Offices of Physicians (except Mental Health Specialists) (NAICS 621111) in the Richmond, VA metro area. They employed 14,153 people in mid-March and paid $1.7 billion in annual payroll. By establishment count the area is 48th out of 911 areas with published figures for physician practices.
Measured against its 1.4 million residents (2024 estimate), the area has 54.2 physician practices per 100,000 people; the U.S. rate is 60.2, so Richmond, VA is 10.0% below the national figure. The average establishment here has 19.1 employees, compared with 13.2 nationally. Payroll per employee comes to $123,438, 16.8% above the national $105,652.
| Measure | Richmond, VA | Virginia | United States |
|---|---|---|---|
| Establishments | 742 | 4,759 | 204,617 |
| Mid-March employees | 14,153 | 73,269 | 2,706,297 |
| Annual payroll | $1,747,021,000 | $8,084,471,000 | $285,925,593,000 |
| Employees per establishment | 19.1 | 15.4 | 13.2 |
| Payroll per employee | $123,438 | $110,340 | $105,652 |
| Establishments per 100,000 residents | 54.2 | 54.0 | 60.2 |
Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.
Establishment size: physician practices in Richmond, VA
Of the physician practices in Richmond, VA that had employees in March 2023, 41.6% had fewer than five (the U.S. share is 52.7%). 59.0% had fewer than ten. When a business has only a few people, whoever is free answers the phone, and calls that arrive while everyone is busy go to voicemail unless they are routed somewhere else.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 308 | 41.6% | 52.7% |
| 5–9 employees | 129 | 17.4% | 18.7% |
| 10–19 employees | 137 | 18.5% | 14.7% |
| 20–49 employees | 113 | 15.2% | 9.8% |
| 50 or more employees | 54 | 7.3% | 4.2% |
Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.
Calls a medical practice in Richmond, VA has to catch
Physician offices field a steady stream of scheduling, prescription refill and test-result calls, and the same few staff members usually answer all of them. Routing calls to the right person and capturing clear messages keeps the waiting room and the phone lines moving. That holds for physician practices in Richmond, VA as much as anywhere.
A few of the calls that come in to physician practices in Richmond, VA:
- A hospital discharge planner calls to schedule a follow-up visit.
- A patient calls asking whether lab results have arrived.
- The office calls patients to confirm tomorrow's appointments.
Business texting for physician practices
Practices typically text appointment reminders, arrival instructions and requests to call the office, keeping clinical details for secure channels.
Team texting on Callata runs from your business number, so replies come from the practice or shop rather than someone's personal phone. It turns on after the one-time $49 carrier registration (10DLC) is approved.
Phone system pricing for a 19-person medical practice
The average medical practice in Richmond, VA has 19.1 employees, so a 19-person team is a reasonable benchmark. On a per-user plan that headcount sets the bill: $474.05 a month on Ooma Office Pro or $570.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $379.00 a month for 19 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $2,292 less than RingCentral for a medical practice in Richmond, VA of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $379.00 | $4,548.00 |
| Quo (Starter) | $19.00 per user | $361.00 | $4,332.00 |
| Nextiva (Core) | $23.00 per user | $437.00 | $5,244.00 |
| Ooma (Office Pro) | $24.95 per user | $474.05 | $5,688.60 |
| Dialpad (Standard) | $27.00 per user | $513.00 | $6,156.00 |
| RingCentral (RingEX Core) | $30.00 per user | $570.00 | $6,840.00 |
Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.
Local area codes for physician practices in Richmond, VA
NANPA records place the exchanges of the area's named cities and towns in 5 area codes. 804 has the most, with 461 of 489 exchanges (94%). A local number lets patients in Richmond, VA call without dialing out of area. Callata includes up to 3 local numbers, and which numbers are open in an area code depends on carrier inventory when you choose.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 804 | 461 | Eastern | 1973 | 686 |
| 686 | 19 | Eastern | 2024 | 804 |
| 757 | 4 | Eastern | 1996 | 948 |
| 434 | 4 | Eastern | 2001 | none |
| 948 | 1 | Eastern | 2022 | 757 |
Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.
Setting up Callata for a medical practice in Richmond, VA
For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.
Porting a number you already use in Richmond, VA is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.
AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.
Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.
Frequently asked questions
How many physician practices are there in Richmond, VA?
Census County Business Patterns counted 742 physician practices in the Richmond, VA metro area in 2023. They employed 14,153 people in mid-March.
What does a business phone system cost for a 19-person medical practice?
At month-to-month list prices checked September 28, 2026, 19 users cost $570.00 a month on RingCentral RingEX Core and $474.05 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $379.00.
What area code should a medical practice in Richmond, VA use?
Area code 804 has the most assigned exchanges among the area's named places, followed by 686 and 757. If you already have a local number, you can port it to Callata for free.
Can an AI receptionist answer calls for a medical practice?
Yes. Callata's optional AI agents can answer when the team is busy or closed, take a message, text, email or transfer the call. They disclose that they are AI and are billed from prepaid AI minutes at $0.25 per minute. Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.