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. Fixed projects show their full price. Credentialing totals are calculated from every selected provider and payer path.
Start Here
Select One Situation.
We will show the best-fit package, full price, included work, scope boundary, and purchase link.
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 business setup unfinished.
This must be true: For a licensed provider who is not already operating. If licensure is pending, the practice is already open, or the fit is uncertain, ask Practice Concierge first.
Recommended Package
New Provider Credentialing & Contracting
Prepare and manage credentialing for the selected commercial payers under the clinic’s existing signed contracts.
Pricing$600 per selected commercial payer, per provider
Included Work And Fit Boundary
We handle: Application preparation, roster or affiliation work, payer follow-up, and status tracking for each selected 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 profile; we never request a CAQH password.
Recommended Package
Move Existing Payer Relationships To A New Practice Or Tax ID
Move the selected existing commercial payer relationships to your new practice billing organization.
Pricing$500 per selected commercial payer, per provider
Included Work And Fit Boundary
We handle: Payer transition work, group NPI and Tax ID updates, portal coordination, and EFT/ERA re-enrollment for each selected 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 the selected new commercial payer relationships for the formed practice and each selected rendering provider.
Pricing$800 per selected commercial payer, per provider
Included Work And Fit Boundary
We handle: Organizational contracting, rendering-provider credentialing and linking, portals, EFT/ERA, directory verification, managed follow-up, and status tracking.
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 Practice 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 an existing payer relationship to a new practice or Tax ID is $500 per selected commercial payer, per provider. Adding a provider under a signed contract the clinic already holds is $600 per selected commercial payer, per provider. Getting the formed practice's own commercial contracts is $800 per selected commercial payer, per provider. Those rates apply to payers one through five; eligible payers six through nine are $350 each per provider in the same engagement, or the complete payer-six-through-ten block is $1,500 per provider. Each government enrollment path is $500 per provider and may be purchased by itself.
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, when the provider already participates with each selected payer. Existing Payer Relationship Transition is $500 per selected commercial payer, per provider, for payers one through five. Payer relationships are tied to the practice billing organization and Tax ID, so the applicable payer process must be confirmed rather than assumed.
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.