Physicians & Medical Practices
Credentialing for Physicians & Outpatient Medical Practices
Commercial payer, Medicare, and Medicaid enrollment for physicians and outpatient practices nationwide, with each application, follow-up step, and payer response documented.
Reviewed by Ryan Berg · Updated July 2026
Choose Your Situation
Choose the credentialing path that matches your practice
Select the sentence that is closest to your situation. The full price stays visible, and fixed packages go directly to checkout.
Start Here
Choose what is changing in your practice.
Select one situation to see the best-fit package, the full price, what is included, and the direct purchase option.
Recommended package
First Practice Launch
Build the business, payer, EHR, portal, scheduling, and billing foundation together.
Full price$6,000 total, paid once or as six $1,000 monthly payments
Included work and fit boundary
We handle: A 90-day guided implementation project for providers starting from zero or with the practice formed but the operating foundation unfinished.
This must be true: For a licensed provider who is not already operating. Awaiting licensure, already operating, or uncertain-fit buyers should ask the AI Concierge first.
Recommended package
New Provider Credentialing & Contracting
Prepare and manage credentialing for up to five commercial payers under the clinic’s existing contracts.
Full price$3,000
Included work and fit boundary
We handle: Application preparation, roster or affiliation work, payer follow-up, and status tracking for one provider.
This must be true: The clinic must already hold executed group contracts with every selected payer. The provider completes and attests their own CAQH/DataSpring Provider Data Portal profile; we never request a CAQH password.
Recommended package
Move Existing Payer Contracts to a New Practice or Tax ID
Move up to five existing commercial payer relationships to your new practice billing organization.
Full price$2,500
Included work and fit boundary
We handle: Payer transition work, group NPI and Tax ID updates, portal coordination, and EFT/ERA re-enrollment for one provider.
This must be true: The provider must already participate with each selected payer. Payer timing, effective dates, and approval are not guaranteed.
Recommended package
Direct Payer Contracting & Credentialing
Build up to five new commercial payer relationships for one formed practice and one provider.
Full price$4,000
Included work and fit boundary
We handle: Group contracting, individual credentialing, payer follow-up, and status tracking for one provider and up to five selected commercial payers.
This must be true: The practice must already have an EIN and Type 2 NPI. Payer participation, timing, effective dates, and approval remain outside our control.
Ongoing or Complex Work
Need software or a broader transition?
Leave a group or platform
Go Independent
Scoped after a Fit CallStill uncertain? Ask the AI Concierge
Relevant Experience
Grounded in real medical-practice operations.
AdvanceAPractice’s physician work is grounded in Ryan Berg’s experience with hospital professional billing at OHSU, nationwide outpatient practice support at Clinicient, multi-provider physiatry revenue cycle at Rehabilitation Medicine Associates, and finance leadership during Timber Dental’s growth from two to six clinics.
Behavioral health remains our deepest specialty. For physicians and outpatient practices, we focus on work our experience directly supports: credentialing and payer enrollment, professional billing and A/R, reporting, workflow, and owner-level operations. If a need requires specialty coding expertise outside that scope, we say so before an engagement begins.
Meet the operator behind the work, review our medical billing and revenue-cycle approach, or see our Portland and Oregon practice support.
Beyond a Fixed Package
Complex work receives a written scope and price first.
Billing, aging A/R, denials, facilities, ownership changes, multiple entities, and broader operations depend on the work already in motion. We review those facts before quoting and explain the included work, boundaries, price, and start conditions in writing before you commit.
Questions We Get
Physician Credentialing Questions
How much does physician credentialing cost?
It depends on where you are starting. Moving payer relationships you already hold to a new practice or Tax ID is $2,500 per provider for up to five commercial payers. A first-time provider joining a clinic that already holds signed group contracts is $3,000 flat. A formed practice with its own EIN and Type 2 NPI going direct to payers is $4,000 flat. Additional commercial payers are $350 each. Medicare or Medicaid in any state is $500, added on top of a commercial package.
How long does physician credentialing take?
Plan on 60 to 120 days per payer. That range is set by the payers and the state, not by us. Some move quickly and some sit. We file complete applications, track each one, and tell you where every payer stands instead of leaving you to guess. Nobody can promise you an approval date.
Do you credential psychiatrists and other MD and DO providers?
Yes. Our deepest experience is psychiatry, PMHNP, and behavioral health, and that work carries straight into physician credentialing and outpatient medical practices. Same payers, same portals, same enrollment mechanics.
Can you move my payer contracts to a new practice or Tax ID?
Yes, as long as you are already credentialed. That is the entity and Tax ID transition, $2,500 per provider for up to five commercial payers. Payer contracts are tied to the credentialed entity and Tax ID, so they do not follow you automatically when you form a new one.
Who completes the CAQH/DataSpring attestation?
You do. We are added as your authorized practice manager and we keep your CAQH practice data, locations, identifiers, and re-attestation dates current. You complete and attest your own profile. We never ask for your password.
When does the work actually start?
In-scope work begins within three business days after onboarding is complete. The clock starts when your completed information and required documents are received, not on the day you sign.
Every price above is published on the packages and pricing page. If your situation does not fit one of them, we scope it and put the price in writing before the work begins.
Comparing quotes? We broke the whole market down here: what physician credentialing services cost.