The Role of a Supervising Medical Director – And How CloudMedSpas Makes It Simple

Let’s be real—finding a supervising physician to support your aesthetic practice can be a daunting and often confusing process. And for many nurse practitioners and aesthetic providers, it’s the one thing standing between them and building the medspa or aesthetic business they’ve been dreaming of.
We’re here to take the confusion, fear, and guesswork out of the process—and replace it with clarity, support, and a step-by-step system that’s already working across dozens of U.S. states.
So let’s break it down—what a medical director does, whether you truly need one, how to find a medical director for a med spa, and most importantly: how CloudMedSpas helps you stay compliant and focused on what you do best—helping your clients look and feel their best.
What is a Medical Director?
A medical director—sometimes called a supervising physician—is a licensed doctor who provides oversight to nurse practitioners and other licensed medical professionals who perform procedures within their scope of practice. In the aesthetic world, this includes injectables like neurotoxins, dermal fillers, and other skin treatments.
They’re not your boss. They don’t run your business. But in many states, they’re a legal requirement for independent practice.
What Does a Medical Director Do in a Medspa?
In the context of aesthetic medicine, what does a medical director do exactly? This is where it gets real. A supervising medical director is responsible for ensuring the safety, compliance, and clinical quality of aesthetic services provided under their supervision. That includes:
Reviewing protocols and treatment plans
Signing standing orders
Providing chart reviews (in states where required)
Ensuring your practice stays compliant with your state’s board of medicine
But they don’t have to be physically present in your office every day. In fact, remote collaborations are common and fully legal in many states. The key is making sure the relationship is structured correctly—which is where CloudMedSpas comes in.
Do all providers need a medical director?
Not always. It depends on your state and your license.
Some states grant full practice authority to nurse practitioners, meaning you can practice independently. Others require physician oversight.
If you’re unsure, we’ll help you figure it out. We’ve helped providers launch in California, Texas, Florida, New York—and dozens of other states with vastly different rules.
What matters is this: you don’t need to wait until everything is “perfect.” CloudMedSpas simplifies the compliant setup so you can get started the right way, right now.
How to find a medical director for a med spa —without wasting months
We’ve seen it all.
Cold emailing. Posting in Facebook groups. Asking friends of friends. And the worst? Paying $1,200+ a month to a physician you’ve never even spoken to.
That’s not how we do things at CloudMedSpas.
We work only with trusted, pre-vetted referral partners who specialise in aesthetics. Our current supervising MD networks include:
US Medical Director
MD 50
Most injectable-only practices start at $500/month, with some introductory options slightly lower. Need oversight for more advanced procedures? That’s possible too—with full transparency and no upselling.
When you join CloudMedSpas, you get:
Clear onboarding
Support completing your MD referral
Access to other providers who’ve already been through it
No guesswork. Just guidance that works.
How much a medical director makes —and what you’re really paying for
This is a big one.
On average, medical directors earn $500–$1,000/month per provider, depending on how involved they are and what your state requires.
Some premium models can go higher—especially if equity or revenue share is involved—but those aren’t the only options.
At CloudMedSpas, we’ve already done the work of negotiating better pricing through long-standing partnerships, so you’re not overpaying just to get started.
You’re not just buying a name on paper. You’re investing in:
Legal compliance
Peace of mind
Real mentorship
The ability to grow your business without legal risk
We’ve seen firsthand how the right medical director can help new providers build confidence, stay compliant, and scale safely.
Scaling your aesthetic practice—with the right support

Here’s the truth: a compliant, scalable aesthetic business needs a strong foundation.
When you join CloudMedSpas, you get:
Turnkey treatment rooms that are ready to book
Access to supervising MD referrals
HIPAA-compliant charting and EMR systems
No long-term leases or hidden fees
Ongoing support and mentorship
You focus on your clients—we’ll handle the rest.
How CloudMedSpas helps
This is where theory meets execution.
CloudMedSpas isn’t just a rental model. It’s a platform designed to help providers launch and grow compliant, scalable businesses.
Here’s how we support you when it comes to medical direction:
You get access to our in-house and partner network of licensed medical directors.
You receive clear, step-by-step onboarding that ensures you’re compliant from day one.
You gain ongoing support and mentorship from top-tier providers and directors in our ecosystem.
The following medical professionals are actively involved in our network:
Alexandra Rogers, NP
Alexa Nicholls Costa, NP
Lee Manley, RN
Dr. Michael Tantillo, MD
Lara Simondi, NP
Dr. Lisa Lopes, DNP
They’re not figureheads. They’re clinicians who lead by example — and they’re part of what makes CloudMedSpas unique.
How to become a medical director
(for interested physicians)
If you’re a licensed MD or DO and you’re curious about the world of aesthetics, you might be wondering—how to become a medical director?
The truth is, many aesthetic providers are actively looking for reliable, engaged physicians to support their practice.
As a medical director, you can:
Expand your clinical scope
Earn predictable passive income
Support emerging aesthetic professionals
Join a growing network of providers who value ethical, high-quality care
If you’re interested, CloudMedSpas can connect you with reputable networks and help you understand expectations, state requirements, and compensation models.
Building a Med Spa with a Medical Director—The Smart Way Forward
Starting an aesthetic practice is exciting—but it doesn’t have to be overwhelming.
With CloudMedSpas, you don’t have to figure it all out alone. Whether you’re just getting started or ready to grow, we help you stay compliant, connected, and confident.
You’ve got the skill. We’ve got the system. Let’s build the future of aesthetics—together.
