Unfortunately it looks as though there is shortage of Doctors specializing in osteoporosis. I live in both NYC and San Francisco so had to have 4 of my Evenity treatments in San Francisco. Then 6 at NYU Langone. I had to have an initial appt with a Rheumatologist which was like $350.00 (Medicare paid) before she would agree to take me on for the monthly Evenity shots I need when out there. I called to get my Jan & Feb shots as I would be staying there during those months. I was told she has now gone "concierge" and it would cost be $4,000.00 a year to be her patient. I called UCSF to see if I could get a new patient appt with a new Rheumatologist and they told me no new patient appointments for 6 months! She also mentioned that all of the Rheumatologists in the area have all gone concierge. I called my Rheumatologist back and she kindly let me come for the Jan/Feb shots without have to join her $4,000/yr concierge fee. Also here in NY my Rheumatologist retired and it took them months to find a replacement as nobody is specializing in osteoporosis much.