CallataGuides

Business phone system for physician practices in Virginia

4,759 physician practices operated in Virginia in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
4,759CBP 2023
Employees
73,269mid-March 2023
Per 100k residents
54.0U.S. 60.2
State rank
13th of 51by count

Physician practices in Virginia by the numbers

The Census Bureau counted 4,759 physician practices in Virginia in its 2023 County Business Patterns (NAICS 621111). They employed 73,269 people in mid-March and reported $8.1 billion in annual payroll. That is the 13th highest count among the 51 states and DC with published figures. Physician practices make up 2.3% of the 210,842 business establishments in the state.

Per 100,000 residents (2024 estimate) Virginia has 54.0 physician practices, 10.2% below the national rate of 60.2. The average establishment has 15.4 employees against 13.2 nationally. Payroll per employee is $110,340, 4.4% above the U.S. figure of $105,652.

Physician practices: Virginia compared with the U.S., 2023
MeasureVirginiaUnited States
Establishments4,759204,617
Mid-March employees73,2692,706,297
Annual payroll$8,084,471,000$285,925,593,000
Employees per establishment15.413.2
Payroll per employee$110,340$105,652
Establishments per 100,000 residents54.060.2

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.

Where physician practices in Virginia are concentrated

Census published medical practice counts for 15 metro or micropolitan areas that include part of Virginia. The largest is Washington, DC-VA-MD-WV, with 3,851 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 31% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Physician practices by metro or micropolitan area, Virginia, 2023
AreaEstablishmentsEmployeesPer 100k residents
Washington, DC-VA-MD-WV3,85146,94259.8
Virginia Beach, VA-NC86714,92948.3
Richmond, VA74214,15354.2
Kingsport, TN-VA2373,92375.5
Roanoke, VA1963,82962.1
Charlottesville, VA1371,39260.3
Blacksburg, VA1292,08570.9
Winchester, VA-WV961,86464.1
Lynchburg, VA933,17834.9
Harrisonburg, VA7498953.3
Bluefield, WV-VA6663468.5
Danville, VA4988248.3
Staunton, VA401,11631.1
Martinsville, VA2637641.1
Lake of the Woods, VA811420.5

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at physician practices in Virginia

43.4% of Virginia's physician practices with employees had fewer than five people in March 2023, compared with 52.7% nationally. 63.8% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Physician practices in Virginia by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees2,06643.4%52.7%
5–9 employees97120.4%18.7%
10–19 employees86418.2%14.7%
20–49 employees61112.8%9.8%
50 or more employees2475.2%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.

What physician practices in Virginia use the phone for

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.

Typical inbound and outbound calls for physician practices in Virginia:

Calls after closing time

After-hours callers need to hear clearly what to do in an emergency, and non-urgent messages need to be waiting, transcribed, for staff the next morning.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

Phone system pricing for a 15-person medical practice

Physician practices in Virginia average 15.4 employees, so the comparison uses a 15-person team. On a per-user plan that headcount sets the bill: $374.25 a month on Ooma Office Pro or $450.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 15 people cost $299.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $1,812. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 15-person medical practice
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$299.00$3,588.00
Quo (Starter)$19.00 per user$285.00$3,420.00
Nextiva (Core)$23.00 per user$345.00$4,140.00
Ooma (Office Pro)$24.95 per user$374.25$4,491.00
Dialpad (Standard)$27.00 per user$405.00$4,860.00
RingCentral (RingEX Core)$30.00 per user$450.00$5,400.00

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.

Area codes in Virginia

Virginia has 10 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your patients know, subject to carrier inventory, or port your current number for free.

Area codes in Virginia by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
540786Eastern1995826
757785Eastern1996948
804781Eastern1973686
703775Eastern1947571
571632Eastern2000703
434509Eastern2001none
276373Eastern2001none
826125Eastern2022540
948101Eastern2022757
68631Eastern2024804

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.

How Callata works for physician practices in Virginia

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.

If you already have a number in Virginia, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 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 in Virginia?

4,759 in 2023, according to Census County Business Patterns. They employed 73,269 people in mid-March.

Which Virginia metro area has the most physician practices?

Washington, DC-VA-MD-WV, with 3,851 establishments in 2023.

What does a phone system cost a 15-person medical practice?

$450.00 a month on RingCentral RingEX Core or $374.25 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $299.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Virginia number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.