Sulagna Misra, MD, BCMAS, MSCP

Medical-Legal Consulting & Expert Witness Services

Independent physician review, medical-legal consulting, expert witness services, and independent physician examinations.

  • $1,450/hr physician professional rate
  • CA + NY licensed in both states
  • Plaintiff & defense appropriate matters from both
  • Physician-authored opinions are never delegated

Independent medical analysis in complex matters

Dr. Sulagna Misra provides independent medical-legal review and physician expert services for attorneys, law firms, organizations, and other authorized parties seeking experienced medical analysis in complex matters.

Her work combines active clinical medicine with experience in Internal Medicine, Integrative Medicine, menopause and hormone health, metabolic medicine, medical affairs, direct primary care, concierge medicine, medical education, healthcare delivery, and systems-based care.

Dr. Misra is licensed in California and New York and accepts appropriate matters from both plaintiff and defense counsel. Matters in other jurisdictions may also be considered when appropriate to the requested expert role.

Medical-legal inquiries and conflict checks: [email protected]

About Dr. Misra

Sulagna Misra, MD, BCMAS, MSCP

Dr. Sulagna Misra is a board-certified physician, medical educator, medical affairs specialist, writer, and physician leader with experience spanning direct patient care, healthcare systems, medical education, and independent medical analysis.

Dr. Misra is a member of Physicians for Patient Protection, Take Medicine Back, and the Direct Primary Care Alliance, and supports physician-led, evidence-based patient care.

View Dr. Misra's LinkedIn profile

Her background includes

  • Board Certification in Internal Medicine
  • Board Certification in Integrative Medicine
  • Menopause Society Certified Practitioner (MSCP)
  • Board-Certified Medical Affairs Specialist (BCMAS)
  • Active clinical practice through Misra Wellness
  • Direct Primary Care and concierge medicine
  • Clinical practice experience in California and New York
  • Medical education and physician teaching
  • Development of professional and continuing medical education
  • Published medical and health writing
  • National media and press features
  • Healthcare advocacy and physician-led care
  • Experience evaluating complex longitudinal medical histories
  • Experience interpreting extensive medical records, treatment histories, laboratory data, medications, clinical decision-making, and care coordination
  • Experience in healthcare delivery and systems-based care within and outside traditional insurance-based models

Why retain Dr. Misra

Dr. Misra brings a broad perspective to medical-legal review because she remains an actively practicing physician while also working across medical affairs, physician education, healthcare systems, direct primary care, concierge medicine, and complex longitudinal patient care.

Her work is particularly suited to matters requiring careful analysis across multiple diagnoses, medications, clinicians, care settings, or periods of time.

Dr. Misra personally reviews the medical information relevant to her opinions and independently develops her conclusions.

Her role is not to advocate for a predetermined result. Her role is to evaluate the medicine accurately, identify what the record supports, and communicate complex medical issues clearly.

Medical-legal services

Medical record review

Independent physician review of medical records, clinical timelines, laboratory data, diagnostic reports, medication histories, treatment decisions, documentation, and other relevant medical information.

Case screening and preliminary medical review

Early physician review to help counsel understand the medical issues in a potential matter, identify areas requiring further investigation, and determine whether the available record supports further expert evaluation.

Standard of care review

Independent analysis of physician care, clinical decision-making, diagnostic evaluation, treatment, follow-up, documentation, escalation of care, continuity of care, and related medical issues when within Dr. Misra's expertise.

Causation and medical analysis

Evaluation of the relationship between medical events, diagnoses, treatment, underlying disease, medications, clinical decisions, and alleged injuries or outcomes when appropriate to the matter.

Independent physician review

Objective medical review for matters requiring an independent physician assessment of the available clinical information.

Independent physician examinations

In-person examinations may be available when clinically and legally appropriate, within Dr. Misra's expertise, and agreed upon in advance. When the nature of an examination requires clinical assistance or an appropriate chaperone, Registered Nurse support may be arranged separately.

Attorney consultation

Telephone or video consultation regarding medical records, clinical issues, case strategy from a medical perspective, medical terminology, chronology, strengths or limitations of the medical evidence, and preparation for deposition or trial.

Written medical opinions and reports

Written opinions, reports, declarations, affidavits, chronologies, or other medical-legal work product may be provided when agreed upon as part of the engagement.

Deposition and trial testimony

Dr. Misra is available for deposition and trial testimony when retained for the matter and when scheduling permits.

Urgent or expedited review

Time-sensitive matters may be considered depending on scope, record volume, deadlines, and Dr. Misra's availability. Applicable deadlines should be disclosed with the initial inquiry.

Plaintiff and defense matters

Dr. Misra accepts appropriate matters from both plaintiff and defense counsel.

The retaining party does not determine the medical opinion. All conclusions are independently developed based on the medical record, applicable medical standards, clinical experience, relevant medical evidence, and the facts of the individual matter.

Physician-led review

Dr. Misra personally reviews the materials relevant to her expert opinions and independently formulates and authors her substantive medical analysis.

Expert opinions are not delegated to staff. Substantive expert opinions and reports are not generated by artificial intelligence.

Administrative or clinical support may be used when appropriate, but the physician opinion remains Dr. Misra's own.

Pricing

Professional fees

A one-hour minimum applies. Professional services are billed in one-hour increments. Any portion of an hour is billed as a full hour. Fees are not contingent on the outcome of a matter.

One-hour minimum

Physician medical-legal & expert services

$1,450 per hour

Applies to all professional physician time devoted to a matter.

  • Record review, case review & medical analysis
  • Telephone, video & attorney conferences
  • Opinions, reports, affidavits & declarations
  • Deposition & trial preparation and testimony
  • Independent physician examinations
  • Travel time and reserved professional time

Administrative services

$50 per hour

Administrative work related to a medical-legal matter is billed separately when applicable.

Registered Nurse services

$100 per hour

RN services are used only when clinically appropriate, such as when an in-person physician examination requires clinical assistance or an appropriate chaperone. RN services are not routinely added to record review, physician consultation, deposition, or testimony.

$1,450 per hour

The physician rate applies to all professional time devoted to a matter

  • Medical record review
  • Case review
  • Medical analysis
  • Research related to the matter
  • Telephone conferences
  • Video conferences
  • Attorney meetings
  • Email or written correspondence requiring physician review or response
  • Chronology review or preparation
  • Preparation of medical opinions
  • Report preparation
  • Affidavit or declaration preparation
  • Deposition preparation
  • Deposition testimony
  • Trial preparation
  • Trial testimony
  • Independent physician examinations
  • Waiting or reserved professional time when applicable
  • Travel time
  • Any other physician professional time devoted to the engagement

Retainers and payment

A signed engagement agreement and funded retainer are required before any professional work begins.

Dr. Misra does not begin substantive review before the required retainer has been received. Retainer funds are applied against professional fees and other agreed charges.

If the remaining retainer becomes insufficient to cover anticipated work, replenishment is required before additional work begins. Work may pause until the required replenishment has been received.

Additional advance funding may be required before substantial record review, reports, examinations, depositions, trial, travel, or other significant blocks of professional time are scheduled or performed.

Professional services are not contingent on the outcome of a matter. Payment is for Dr. Misra's professional time and expertise, not for any particular opinion, conclusion, or result.

How it works

How to retain Dr. Misra

A conflict check must be completed before substantive medical records, protected health information, or confidential case materials are transmitted.

  1. 01

    Step 1

    Send an inquiry for a conflict check

    Email [email protected] with only the information necessary to conduct the conflict check. Please do not send substantive medical records.

    • Case name
    • Names of the parties
    • Law firms involved
    • Relevant physicians or healthcare organizations, when applicable
    • Jurisdiction
    • General nature of the matter
    • Requested scope of work
    • Relevant deadlines
  2. 02

    Step 2

    The matter is cleared

    Once the matter has been cleared, the engagement agreement, retainer requirements, fee schedule, and secure record-transfer instructions will be provided.

  3. 03

    Step 3

    Engagement agreement and retainer

    Work begins only after the engagement agreement has been executed and the required retainer has been funded.

Secure records and communication

After the conflict check and engagement are completed, secure instructions will be provided for transmitting medical records and other confidential case materials.

Please do not send medical records, protected health information, or confidential case documents through the general website contact form or ordinary initial inquiry email.

Submitting an inquiry or completing a conflict check does not by itself retain Dr. Misra or create a physician-patient, attorney-client, or expert-client relationship. An engagement exists only after the applicable engagement agreement has been executed and the required retainer has been funded.

Travel, reserved time, and cancellations

Travel

Travel time is professional time and is billed at $1,450 per hour.

Travel expenses are separate and are paid in addition to professional fees. Travel-related expenses may include airfare, lodging, ground transportation, mileage, parking, meals, baggage, and other reasonable expenses required for the engagement.

Travel arrangements and anticipated expenses must be agreed upon and funded in advance.

Reserved time, depositions, trials, and cancellations

Depositions, trial testimony, examinations, hearings, travel days, and other scheduled appearances reserve professional time that is unavailable for other work. Advance payment will be required to reserve this time.

Late cancellation or rescheduling will result in a cancellation charge based on the amount of professional time reserved. For full-day reservations, the applicable full-day reserved fee may remain due when cancellation occurs within the cancellation period specified in the engagement agreement.

Non-refundable travel expenses remain the responsibility of the retaining party.

The detailed cancellation periods, reserved-time requirements, advance-payment requirements, and related contractual provisions are included in the formal engagement agreement.

Frequently asked questions

Do you accept plaintiff and defense matters?

Yes. Dr. Misra accepts appropriate matters from both plaintiff and defense counsel and independently evaluates the medical evidence.

What is Dr. Misra's professional rate?

$1,450 per hour. There is a one-hour minimum. Professional time is billed in one-hour increments, and any portion of an hour is billed as a full hour.

Is testimony billed differently?

No. Unless otherwise agreed in writing, Dr. Misra's physician professional rate is $1,450 per hour for review, consultation, preparation, deposition, testimony, examination, waiting or reserved professional time when applicable, and travel time.

Is a retainer required?

Yes. A funded retainer and signed engagement agreement are required before professional work begins.

What happens if the retainer runs low?

The retainer must be replenished before additional professional work is performed.

Can records be sent with the initial inquiry?

No. A conflict check should be completed before substantive medical records, protected health information, or confidential case materials are transmitted.

Does Dr. Misra perform independent physician examinations?

Yes, when the requested examination is clinically and legally appropriate, falls within her expertise, and is agreed upon in advance.

When would an RN be involved?

RN support may be required for certain in-person examinations when clinical assistance or an appropriate chaperone is necessary. RN time is billed at $100 per hour.

Does Dr. Misra accept cases involving other physicians?

Yes. Each matter is evaluated independently based on the medicine, applicable standards, and the facts of the individual case.

Does Dr. Misra review matters involving independently practicing non-physician clinicians?

Yes, when the medical issues, clinical care, and scope-of-practice questions fall within her expertise.

Does Dr. Misra work with both California and New York matters?

Dr. Misra is licensed in California and New York. Matters from other jurisdictions may also be considered when appropriate to the requested expert role.

Does Dr. Misra accept urgent matters?

Potentially. Expedited or time-sensitive matters are considered based on the scope of work, volume of records, applicable deadlines, and scheduling availability.

Does Dr. Misra travel?

Yes, by prior arrangement. Travel time is billed at $1,450 per hour. Travel expenses are separate.

Does retaining Dr. Misra guarantee a favorable opinion?

No. Dr. Misra provides independent medical analysis. Retention does not guarantee any particular opinion, conclusion, or litigation outcome.

Practice, writing & teaching

Media, publications, education, and professional leadership

Forbes Health · CBS News · U.S. News

Press and media features

Featured eight times in Forbes Health, on CBS News Los Angeles, and in U.S. News & World Report, Men's Health, and Newsweek, with op-eds in the San Francisco Examiner and International Business Times.

Read more

Medical-Legal & Expert Witness Inquiry

For new matters and conflict checks, please provide the names of the parties, law firms involved, general nature of the matter, requested scope of work, jurisdiction, and applicable deadlines. Please do not transmit substantive medical records, protected health information, or confidential case materials until the conflict check has been completed.