Photo of Dr. Thomas Ence

Dr. Thomas Ence, MD

Concierge Emergency Medicine physician, San Diego, CA

Coastal Concierge Physicians

Dr. Ence is a board-certified emergency medicine physician who brings concierge medical care to patients at home in East County San Diego.

San Diego, CA
At a glance
Practice model
Concierge, no insurance billing
Essentials plan
Essentials plan: $299 a month, $599 a month for a family, home calls, night calls and supplies may cost extra
Board certification
Emergency Medicine
House calls
Same-day or next-day

Facts on this page last checked October 2026. How we check doctors

About Dr. Ence

Dr. Ence earned his medical degree at Baylor College of Medicine. He completed an internship and an emergency medicine residency at the University of California, San Diego. He is a board-certified emergency medicine physician with hospital affiliations at Sharp Grossmont Hospital and Sharp Chula Vista Medical Center.

Sharp Health News has featured him. Dr. Ence provides concierge care at patients' homes across East County San Diego. He has led the East County expansion of Coastal Concierge Physicians and has built his own patient panel there.

He has also worked in emergency medicine alongside his concierge practice.

Membership and fees

Coastal Concierge Physicians is a concierge medical group, and it does not bill insurance.

Coastal Essentials costs $299 a month, or $599 a month for a family. Home calls, night calls and supplies may cost extra.

Members get their physician's direct number for texts and calls, and house calls are same day or next day.

Services

In-home concierge care
What emergency medicine doctors commonly treat

Education and credentials

Degree
MD
Medical school
Baylor College of Medicine
Internship
University of California, San Diego
Residency
Emergency Medicine, University of California, San Diego
Board certification
Emergency Medicine
NPI
1821418559

Hospital and practice affiliations

Sharp Grossmont Hospital
Sharp Chula Vista Medical Center

Recognition and research

Media and books

Featured in Sharp Health News

Publications

"Barriers to medication adherence in the emergency department: A cross-sectional study", The American Journal of Emergency Medicine (2021)
"433 The Relationship Between Medication Knowledge, Perceived Importance, and Medication Adherence", Annals of Emergency Medicine (2017)

Patient reviews

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Questions patients ask

Does Dr. Ence take insurance, or offer a membership?

Coastal Concierge Physicians does not bill insurance. It is a concierge medical group.

How much does a membership at Coastal Concierge Physicians cost?

Coastal Essentials is $299 a month, or $599 a month for a family, and home calls, night calls and supplies may cost extra. Coastal Balance is $299 a month. The practice also offers a one-time $599 pre-trip package.

Is Dr. Ence board certified?

Dr. Ence is a board-certified emergency medicine physician.

Where did Dr. Ence train?

Dr. Ence earned his medical degree at Baylor College of Medicine. He completed an internship and an emergency medicine residency at the University of California, San Diego.

Does Dr. Ence offer telehealth?

Coastal Concierge Physicians offers virtual visits.

Does Dr. Ence make house calls?

Dr. Ence provides concierge care at patients' homes across East County San Diego. The group offers same-day or next-day house calls.

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