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Medical Office Real Estate and Commercial Investment Trends in Western North Carolina
The commercial real estate market continues to shift, and investors are increasingly focused on property types that offer stability and long-term demand. One sector drawing attention nationwide is medical office real estate. While the data below reflects U.S. market trends, it provides helpful context for investors evaluating opportunities in Western North Carolina (WNC).
Why Medical Offices Are Outperforming Traditional Offices
According to an October 2025 CRE Daily brief, medical office loans are outperforming traditional office loans, with a Commercial Mortgage-Backed Securities (CMBS) delinquency rate nearly half that of conventional offices.
There are a couple of reasons why medical offices are outperforming traditional offices. Health care buildings are benefiting from structural demand drivers, mainly health care workforce expansion and demographic shifts. On the other hand, traditional offices are contending with limiting factors like ongoing space reductions and remote work adjustments.
On Aug. 28, 2025, the U.S. Bureau of Labor Statistics reported that health care-related fields are growing much faster than the average for all occupations from 2024 to 2034. CRE Daily notes that these healthcare jobs include physicians, dentists, and other occupations that are generally held in outpatient offices, driving the need for sustained demand for medical office space.
The aging U.S. population is also fueling health care demands. CRE Daily reports that Marcus & Millichap projects 7 million more Americans will be 65 and older in five years, adding an estimated 23 million annual doctor visits. This is expected to drive continued demand for outpatient services, benefiting medical office occupancy and rent rates.
What This Means for Commercial Investors in WNC
While these statistics are national in scope, they help explain why investors continue to prioritize essential, service-based commercial properties. In Western North Carolina, commercial opportunities extend beyond medical offices and include:
- Professional and traditional office space
- Warehouses and industrial properties
- Retail and mixed-use developments
- Flex space and land for commercial use
Local market knowledge is critical when evaluating how national trends translate at the regional level.
Commercial Expertise at CENTURY 21 Connected
Commercial real estate decisions require more than market data. They require local insight, strong negotiation skills, and a clear understanding of how each property fits into an investor’s overall strategy.
At CENTURY 21 Connected, our commercial real estate agents work hands-on with investors throughout Western North Carolina. Our team understands the nuances of the local market and provides guidance across all commercial asset types, including medical offices, professional office space, warehouses, retail, flex properties, and commercial land.
Whether you are acquiring your first commercial investment, expanding an existing portfolio, or preparing to sell, our agents take a strategic, relationship-driven approach to help you move forward with confidence.
CENTURY 21 Connected is proud to support commercial investors across Western North Carolina with experience, market knowledge, and a trusted network of professionals dedicated to your success.
