eClinicalWorks vs NextGen
Third and fourth overall — but they barely compete for the same practice.
Where they stand in independent practice
Across the 37,310 providers whose EMR is identifiable in the federal registry, eClinicalWorks accounts for 15.2% and NextGen for 13.4%.
Where they meet, by specialty
Specialties in which at least one of the two is a registry top-three system. A dash means that vendor is not in the top three for that specialty — not that it is absent from the market.
Which one to shortlist
- Your practice is smaller than NextGen Healthcare sells to. eClinicalWorks lists 1 (solo) as its smallest tier, against 2–5.
- You want charting, scheduling and billing from one vendor rather than stitched together.
- You want a number before you talk to sales. eClinicalWorks publishes $449–$599 per provider / month; NextGen Healthcare quotes privately.
- You want templates built for your specialty rather than configured into a general system.
- Users rate it higher — 4.0/5 across 1,281 reviews, against 3.3/5.
Get a real comparison for your practice
Everything above is what we can say about these two in general. What we cannot tell you from a page is what either costs at your provider count, in your specialty. Tell us and we will get you quotes from the vendors that actually fit — free, and we never charge practices.
Tell Us About Your Practice
Other comparisons
Share figures are EMR Match Research analysis of the CMS NPPES Direct-endpoint data, July 2026 dissemination (n=37,310 identified providers) — the same source as our open data page, so the two can never disagree. This measures the EMR identified by the Direct-messaging endpoint a practice registered with the federal NPPES registry. Vendors that sell mainly to small independent practices are systematically under-represented, because small practices are the least likely to have registered an endpoint at all. Read it as a floor, not as installed base. Ratings and prices are as published by the review source and the vendor; sourcing on our methodology page.