Lepore's billing method for his practice can be unorthodox. Once, when a patient from South Africa didn't have cash or insurance to offer him after Lepore performed an appendectomy, Lepore told the patient, "You work at a good cookie place. Every week, bring me a couple of cookies." Another patient who had an interest in running was informed that if she participated in a marathon, Lepore would chop her bill in half. She did and the bill was decreased.

A lighthouse on Nantucket
Peter N. Spotts