Head to head · free

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.

Epic logoEpic
athenahealth logoathenahealth
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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EMR/EHRMedical BillingScheduling
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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.