Practice Fusion vs Tebra (Kareo)
The budget end of the market: what you give up, and what you do not.
Which practice each is built for
These two do not divide by size of vendor. They divide by size of practice. Both start at 1 (solo), so the split is at the top end: Practice Fusion serves up to 6–15, Tebra up to 6–15.
The registry puts Practice Fusion at 1% and Tebra (Kareo) at 0.3%. 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. Both of these sell mainly to small independent practices, so those figures understate both of them — and there is no way to know by how much. They are not a ranking. Compare them on fit instead.
Which one to shortlist
- You want a number before you talk to sales. Practice Fusion publishes $199 per provider / month; Tebra quotes privately.
- You want charting, scheduling and billing from one vendor rather than stitched together.
- Your specialty is one of 5 that Tebra serves and Practice Fusion does not, including Occupational Therapy, Speech Therapy, Optometry.
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
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.