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Duet Research

The NP Practice EHR Report

We analyzed 1,000 NP-led primary care practices to see which EHR platforms they use - and what the data reveals about the state of independent primary care today.

0

0

NP-LED Practices Analyzed

0.00%

0.00%

Use Tebra

0.00%

0.00%

Use Athenahealth

0.00%

0.00%

Use Tebra or Athenahealth

EHR Market Breakdown

No single EHR dominates the market

No single EHR dominates the market

No single EHR dominates the market

While Tebra and Athenahealth lead, the data shows a highly fragmented market with multiple platforms serving significant portions of NP practices.

While Tebra and Athenahealth lead, the data shows a highly fragmented market with multiple platforms serving significant portions of NP practices.

EHR Platform

# of Practices

% of Total

Tebra

276

27.55%

Athenahealth

220

21.96%

eClinicalWorks

112

11.19%

Practice Fusion

88

8.78%

Charm

56

5.59%

NextGen

42

4.19%

Other (13 platforms)

206

20.74%

Key Findings

Fragmented market

No single EHR controls the NP space. The top two platforms account for 49.51% of practices.

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Platform ≠ performance

We found no consistent link between EHR platform and stronger revenue performance.

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Variation in adoption

Smaller and newer practices

often use newer. cloud-based platforms, while established practices tend to use legacy systems.

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Opportunity for optimization

Across all platforms, we

identified common areas where documentation and coding can be Improved.

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Key Insight

The EHR isn't the strategy. Workflow is.

The EHR isn't the strategy. Workflow is.

The EHR isn't the strategy. Workflow is.

The platform you use matters less than now you use it. Consistent documentation, coding accuracy, and regular oversight drive better financial outcomes - regardles: of which EHR platform you choose.

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What High-Performing Practices Do

Standarize

Documentation

Use consistent templates

and worktfows to capture. complete visit complexity.

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Review claims regularly

Audit both denials and

paid claims to identify missed revenue.

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Track coding patterns

Monitor downcoding

trends and address them

with payers.

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Leverage platform tools

Use built-in EHR features

for care gaps. quality

measures, and add-on service capture.

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Turn Data Into a Stronger Practice

Get a personalized review of your practice's opportunities.

Our team helps NP-owned practices improve documentation, optimize reimbursement, and build more sustainable operations.

Talk to a Duet Advisor

© 2026 Duet. All rights reserved.

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For NPs

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Contact us

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General Agreement

© 2026 Duet. All rights reserved.

Quick Links

Home

Community

About us

Blogs

What We Do

For NPs

NP-ACO

NP Nominations

For Payors

Support

FAQs

Contact us

Careers

NP Scholarships

General Agreement

© 2026 Duet. All rights reserved.