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.
Epic
athenahealth
User rating
4.4/5 · 453 reviews
3.8/5 · 911 reviews
Practice sizes served
50+
2–5, 6–15, 16–50, 50+
Smallest practice served
50+
2–5
System type
Enterprise, All-in-One, Cloud-Based
Cloud-Based, All-in-One, Small Practice
Specialties served
28 of 30
26 of 30
Published price
Quote only — not published
Quote only — not published
Share of identified providers
1.9% (n=698)
24.4% (n=9,098)
Where they stand in independent practice
Across the 37,310 providers whose EMR is identifiable in the federal registry, Epic accounts for 1.9% and athenahealth for 24.4%.
Epic
1.9%
athenahealth
24.4%
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.
Specialty
Epic
athenahealth
n
Family Medicine
—
32.1%
10,004
Orthopedics
—
31.1%
1,220
Internal Medicine
—
30.8%
3,659
Cardiology
—
25.5%
1,360
Pediatrics
—
25.2%
1,433
Otolaryngology (ENT)
—
24.5%
368
Endocrinology
—
23.2%
220
Obstetrics & Gynecology
—
23.1%
2,175
Neurology
—
21.8%
619
Gastroenterology
—
21.6%
486
Nephrology
—
21.3%
239
General Surgery
—
20.4%
1,904
Physical Therapy
—
20.3%
413
Podiatry
—
18.5%
303
Urology
—
17.6%
391
Pulmonology
—
17.3%
548
Emergency Medicine
11.4%
15.1%
405
Occupational Therapy
—
7.1%
85
Which one to shortlist
Choose Epic if…
You are joining, or merging into, a hospital or health system.
Users rate it higher — 4.4/5 across 453 reviews, against 3.8/5.
Your specialty is one of 3 that Epic serves and athenahealth does not, including Occupational Therapy, Speech Therapy, Optometry.
Choose athenahealth if…
Your practice is smaller than Epic sells to. athenahealth lists 2–5 as its smallest tier, against 50+.
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.
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Other comparisons
athenahealth vs eClinicalWorksOracle Health (Cerner) vs athenahealthathenahealth vs AdvancedMDTebra (Kareo) vs AdvancedMDPractice Fusion vs Tebra (Kareo)NextGen vs Modernizing MedicineModernizing Medicine vs CompulinkeClinicalWorks vs NextGenVeradigm (Allscripts) vs eClinicalWorks
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.