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EMR head-to-head comparisons

Ten of the matchups practices actually run, each with what the federal registry says about where the two vendors really stand — not what their marketing says.

Want a different pairing? Build your own from all 81 vendors — pick any three and compare them side by side.

Epic logovsathenahealth logo
Epic vs athenahealth

Epic runs 1.9% of independent ambulatory practices. athenahealth runs 24.4%. The market-share figures you have read count hospitals; this one does not.

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athenahealth logovseClinicalWorks logo
athenahealth vs eClinicalWorks

The two most common systems in independent primary care, and they lead different specialties.

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Oracle Health (Cerner) logovsathenahealth logo
Oracle Health (Cerner) vs athenahealth

First and second by installed base in independent practices, and they split the map by state.

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athenahealth logovsAdvancedMD logo
athenahealth vs AdvancedMD

A market-leading platform against a system built for small independent practices. The size of the vendor is not the question here. Fit is.

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Tebra logovsAdvancedMD logo
Tebra (Kareo) vs AdvancedMD

Two systems aimed squarely at the one-to-ten-provider independent practice.

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Practice Fusion logovsTebra logo
Practice Fusion vs Tebra (Kareo)

The budget end of the market: what you give up, and what you do not.

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NextGen Healthcare logovsModernizing Medicine logo
NextGen vs Modernizing Medicine

They meet head-on in ophthalmology and optometry, and the gap is wider than either vendor's marketing suggests.

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Modernizing Medicine logovsCompulink logo
Modernizing Medicine vs Compulink

The specialty-native choice in eye care and dermatology, from two vendors that build nothing else.

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eClinicalWorks logovsNextGen Healthcare logo
eClinicalWorks vs NextGen

Third and fourth overall — but they barely compete for the same practice.

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Allscripts (Veradigm) logovseClinicalWorks logo
Veradigm (Allscripts) vs eClinicalWorks

Veradigm owns the sub-specialties. eClinicalWorks owns general practice. Which one you are decides the answer.

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Market-share figures come from our analysis of the federal NPPES registry, July 2026 (n=37,310). Full tables on the open data page; method and limits on our methodology page.