Warm golden light over calm water — Marcus Medicine, Greenwich, CT

    Boutique, Physician-Led Internal Medicine · Greenwich, CT

    A more personal standard of internal medicine.

    Marcus Medicine is a boutique practice in Greenwich offering unhurried visits, direct physician access, and specialized expertise in medical weight loss, metabolic health, and fatty liver disease.

    Direct phone, text & email access to Dr. James Marcus

    About Dr. James Marcus

    Care, the way medicine was meant to be

    Dr. James Howard Marcus, MD — board-certified internist and obesity medicine physician in Greenwich, CT

    Dr. James Howard Marcus founded Marcus Medicine with a simple belief: the best medical care happens when a physician truly knows their patients.

    Early in his career, he recognized that traditional healthcare had become rushed and impersonal — shorter visits, longer waits, and less time to listen. The relationships that once defined medicine were disappearing.

    By devoting more time and attention to each patient, Dr. James Marcus is able to offer something increasingly rare: presence, direct access, and genuine partnership in your health. Patients can reach him directly — by phone, text, or email — and are seen promptly when they need it.

    Patients know him for his thoroughness, calm presence, and meticulous attention to detail. Visits are never rushed. Conversations are never superficial. Every plan is personal.

    Training & Credentials

    • Medical degree from the Faculty of Medicine at Tel Aviv University (formerly the Sackler Faculty of Medicine)
    • Residency at The Jewish Hospital, affiliate of the University of Cincinnati
    • Fellowship-trained in hepatology at Beth Israel Deaconess Medical Center, a Harvard-affiliated hospital
    • Board certified in Internal Medicine and Obesity Medicine
    • Over 10 years of hospitalist experience managing complex, higher-acuity care
    • Advanced expertise in metabolic health, weight management, and liver disease

    Because great medicine is not just about adding years to life — but quality to those years.

    Who It's For

    Who Marcus Medicine Is Designed For

    A practice built for patients who want time, expertise, and a steady hand in their long-term health.

    Preventive health planning

    A proactive strategy to optimize your health for the long term.

    Longer visits & direct access

    Unhurried appointments and direct communication with your physician.

    Proactive long-term health

    A relationship-based approach focused on outcomes, not volume.

    If you value discretion, direct access, and a long-term relationship with your doctor, you will feel at home here.

    What's Included

    Comprehensive, high-touch care

    Every element of care is built around attention, access, and continuity.

    Personalized attention

    • Extended, unrushed appointments
    • Telehealth
    • Comprehensive annual health planning

    Direct physician access

    • Direct phone, text, and email access to Dr. James Marcus
    • Rapid responses to urgent concerns
    • Visits scheduled without the typical wait

    Preventive & specialized care

    • Advanced metabolic and cardiovascular risk assessment
    • Weight and lifestyle medicine
    • Liver health expertise
    • Preventive screenings and diagnostics
    • Coordination with top specialists

    Continuity

    • A physician who remembers your history and preferences
    • Consistent follow-through across visits, labs, and specialists

    Healthcare should feel reassuring — never transactional.

    FAQ

    Frequently Asked Questions

    Marcus Medicine does not bill insurance for office visits. This allows for longer appointments, direct access, and individualized care without insurer restrictions. Your insurance can still be used for labs, imaging, medications, hospital care, and outside specialists.

    Patient panels in traditional practices often exceed two thousand patients per physician, which forces brief visits and limited access. At Marcus Medicine, scheduling is prompt — often same- or next-day for urgent concerns — visits are unhurried, and you reach Dr. James Marcus directly rather than a call center.

    Extended in-person and telehealth visits, comprehensive annual planning, direct phone/text/email access to Dr. James Marcus, rapid responses to urgent concerns, advanced metabolic and cardiovascular risk assessment, weight and liver health expertise, and coordination with trusted specialists.

    Yes. Fatty liver disease — now called MASLD, and its more advanced form MASH — is a core focus of the practice. Dr. James Marcus's hepatology training and his work in metabolic and weight medicine let him address fatty liver and its underlying drivers together, rather than treating them as separate problems. Evaluation, monitoring, and management are all handled in-practice, using FDA-approved therapies.

    Yes. Dr. James Marcus prescribes evidence-based, FDA-approved weight loss medications — including Wegovy and Zepbound — when clinically appropriate, always as part of a supervised medical plan. We do not use compounded medications.

    Care with Marcus Medicine does not cover hospital admissions, emergency department care, surgical procedures, outside specialist fees, imaging, laboratory studies, medications, or services outside the scope of internal medicine. We help you navigate and coordinate these, and most are billable to your insurance.

    Patients are typically offered same-day or next-day appointments for urgent concerns and prompt scheduling for routine visits. Telehealth visits are available when appropriate.

    Patients are given direct phone, text, and email access to Dr. James Marcus, with rapid responses to urgent concerns.

    No. Care is based on your clinical needs, not visit counts or insurer authorizations.

    Yes. Dr. James Marcus manages referrals, communicates directly with your specialists, and helps interpret results — so your care plan stays unified rather than fragmented.

    Yes. Patients travel from across Fairfield County and Westchester County. Telehealth is offered to established patients as clinically appropriate.

    Get in Touch

    Take the next step in your care.

    Reach out to introduce yourself, ask a question, or schedule your first visit with Dr. James Marcus.

    Questions? Call (203) 614-9194 or email james@marcusmedicine.com

    Marcus Medicine

    Evidence-based. Personalized. Unhurried.

    Boutique, physician-led internal medicine in Greenwich, CT. Unhurried visits, direct physician access, and specialized expertise in metabolic and preventive care.

    Contact

    james@marcusmedicine.com

    (203) 614-9194

    Fax: (203) 884-8298

    Office

    4 Dearfield Drive, Suite 106
    Greenwich, CT 06831

    © 2026 Marcus Medicine. All rights reserved.

    James Marcus, MD · Fellowship-Trained in Hepatology · ABIM · ABOM