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 runs 1.9% of independent ambulatory practices. athenahealth runs 24.4%. The market-share figures you have read count hospitals; this one does not.
Compare →The two most common systems in independent primary care, and they lead different specialties.
Compare →First and second by installed base in independent practices, and they split the map by state.
Compare →A market-leading platform against a system built for small independent practices. The size of the vendor is not the question here. Fit is.
Compare →Two systems aimed squarely at the one-to-ten-provider independent practice.
Compare →The budget end of the market: what you give up, and what you do not.
Compare →They meet head-on in ophthalmology and optometry, and the gap is wider than either vendor's marketing suggests.
Compare →The specialty-native choice in eye care and dermatology, from two vendors that build nothing else.
Compare →Third and fourth overall — but they barely compete for the same practice.
Compare →Veradigm owns the sub-specialties. eClinicalWorks owns general practice. Which one you are decides the answer.
Compare →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.