About · Cyrus K. Greco
Founder

Cyrus
Greco.

Founder of Keystone Scaling — a growth firm building patient acquisition systems for a small portfolio of independent medical practices.

Based
New York
Founded
2026
Focus
Independent practices
Cyrus K. Greco
Cyrus K. Greco
FOUNDER · NYC
2026 —
Firm
Keystone
The thread

A decade of pattern recognition, applied to an industry built on craft.

Chapter 01 · 2020
DTCPaid acquisitionOps

Building businesses before building a résumé.

Started in direct-to-consumer ecommerce — scaling operations, studying paid acquisition, and watching what separates brands that compound from brands that stall.

Customer psychology and operational discipline matter more than the product on the shelf.

What I believe

The real edge in service businesses isn't a new tactic or platform. It's obsessive execution on fundamentals.

01

Execution over tactics

A new platform won't save a practice with a broken intake. Fundamentals — response time, handoffs, follow-through — outperform every shiny object.

02

Tight beats big

Independent operators can outperform billion-dollar competitors when their systems are tighter than the competition's budget is deep.

03

Revenue, not leads

Most agencies are lead brokers. Real growth partners measure success by revenue generated and treatment plans paid — not form fills delivered.

04

Fewer clients, better work

Building a great company means working with fewer clients well, not more clients poorly. Depth compounds. Breadth dilutes.

How I operate

A specific way of working.

Based
New York
Eastern time
Model
Boutique
High-touch, by design
Cohort
A few
Practices at a time, not dozens
Obsessed
Follow-through
Systems, speed, discipline
Book a discovery callBook a discovery callBook a discovery callBook a discovery callBook a discovery callBook a discovery callBook a discovery callBook a discovery call
Start the conversation

We take on a small number of practices each quarter.

Thirty-minute discovery call. We'll tell you whether we can help — and whether we're the right fit — before anything else is discussed.

Status
Limited spots this quarter.