Credential lifecycle · independent practice

Credentialing,
on autopilot.

One missed renewal stops the billing — quietly, mid-shift. Ledgr tracks every license, DEA, cert, CME hour, privilege, and payer enrollment, and verifies them against federal sources. At 1/20th the enterprise price.

$50K
lost per 90-day credentialing delay
0.8s
to fill a clinician from the federal registry
< 8h
annual admin for an 8-provider group
Live federal lookup
try
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Specialty—
State—
NPPES—
OIG LEIE—
Verifiedjust now
Verified against NPPESOIG LEIESAM.govState boardsCMS Open Payments Refreshed nightly
The gap

Hospitals have credentialing software. Independent practices have a spreadsheet.

The 50,000 private practices, EM groups, urgent cares, and surgery centers in the US run credentialing on memory and a shared calendar. One lapse stops the billing while patients keep coming.

The license that lapsed Friday

A Florida license expired over the weekend. Ten days of shift coverage got rearranged before anyone noticed.

The cert nobody renewed

An ACLS card silently expired. Hospital privileges were quietly suspended; claims bounced weeks later.

The court date that vanished

A deposition reminder went to a staff member who left months ago. The calendar that should have caught it never existed.

Symplr · VerityStream · MD-StaffHealth systems — sales-ledEnterprise~$500
Medallion · Modio · VerifiableTelehealth, multi-stateMid-market~$300
CredentialMyDoc · MedTrainerBudget toolsBudget~$100
LedgrIndependent practices, 2–50 providersProduct-led$18–25

Competitor figures are approximate per-provider list pricing — enterprise credentialing is quote-based and rarely public. Ledgr's pricing is exact and on this page.

Platform

Everything a credential needs, in one place.

Licenses, DEA, board certs, life-support cards, CME, malpractice, hospital privileges, payer enrollments, and legal dates — tracked, verified, and watched so nothing lapses.

NPI auto-fill

Paste a 10-digit NPI; the federal registry returns name, type, taxonomy, and state in under a second. Adding a clinician takes one field, not one afternoon.

Ledge, your built-in assistant

Ask anything about your practice in plain English. Ledge answers from your live data, takes you straight to the fix — and, with your confirmation, handles routine updates like logging a renewal.

Primary-source verification

One click re-confirms a provider against NPPES and FL DOH, stamping a tamper-evident verified badge.

State-aware CME gaps

Tracks the cycle plus topic mandates — Florida’s Medical Errors, HIV/AIDS, controlled-substance hours — to the hour. Import a CE Broker transcript and every activity reconciles automatically, deduping re-imports.

Hospital privileging

Active-staff, courtesy, and telemedicine privileges per facility — with reappointment dates surfaced early.

Payer enrollment & CAQH

Medicare and commercial enrollments with revalidation dates, plus a one-click CAQH-ready roster export.

Federal exclusion screening

Nightly OIG LEIE + SAM.gov cross-checks with a dated, printable attestation each month.

Legal calendar & .ics

Every deposition, mediation, and court date on one timeline — subscribable as a live .ics feed.

Provider portal

Each clinician gets a scoped view of their own credentials and a token-gated upload link.

AI document parsing

Drop a license PDF or ACLS photo; Ledgr reads the identifier, issuer, and expiration and pre-fills it.

Milestone alerts & audit-day PDF

Email/SMS at 90/60/30/0 days, plus a one-click signed compliance binder when a surveyor walks in.

Live

The actual dashboard, moving.

The whole practice in one view — what’s current, the renewals flowing in, the verifications running on their own. Not a diagram. The product.

dashboard.ledgr.health Synced 2m ago
Overview
12 / 12 screened clear
Practice pulse 57% current
57%current
Current40
Renewing15
Urgent10
Lapsed5
Credentialing watch 2 overdue
MH
Marcus Han, MD
St. Joseph’s · reappt
Overdue
EB
Emma Brennan, MD
Tampa General · reappt
Jun 30
SR
Sarah Reyes, MD
Medicare · revalidation
Jul 15
DM
Devon McGrath, MD
AdventHealth · reappt
Jul 15
AS
Adeeb Saleh, DO
Brandon ASC · reappt
Aug 20
JO
James Okonkwo, MD
FL License · source
Verified
Providers · compliance
NWNaomi Whitfield, MD
LCLiu Chen, MD
PNPriya Nair, DO
FL CME · Dr. Okonkwo
22/40
18 hours to go
Medical Errors, HIV/AIDS & controlled-substance topics tracked to the hour.
FL License · verified · FL DOH
Security & compliance

Patient-data security, taken seriously.

A signed HIPAA Business Associate Agreement covers the data layer, every record is encrypted and isolated per practice, and two-factor authentication guards every sign-in. Built to stay ahead of the 2025 NCQA cadence, not just meet it.

Signed HIPAA BAA

Protected health information lives on HIPAA-compliant infrastructure under a signed Business Associate Agreement — and we counter-sign a BAA with your practice.

Two-factor authentication

Time-based 2FA (authenticator app) for every clinician and admin. Group owners can require it across the whole practice in one switch.

Encrypted, end to end

AES-256 at rest and TLS in transit. Documents sit in private object storage reached only through short-lived signed URLs.

Isolated per practice

Row-level Postgres security scopes every query to your organization. One practice can never see another's data, enforced at the database.

Screened nightly

OIG LEIE + SAM.gov every night — ahead of the every-30-days the standard requires — flagged before a claim goes out.

Audit-logged by default

A forensic log on every change, SHA-256-signed PSV packets, and a one-click audit-day binder when a surveyor walks in.

HIPAA BAA signed Two-factor auth AES-256 encryption Per-tenant RLS SOC 2 Type II infrastructure Ledgr SOC 2 · in progress
Pricing

Per provider, per month. No contracts.

Free for the first 30 days — every feature, no card. Past 20 providers the per-seat price drops automatically.

Solo
$25/ month
For a solo clinician getting fully credentialed.
  • NPI auto-fill + OIG LEIE screening
  • Email alerts (90/60/30/0)
  • CME gap tracking + audit PDF
  • CSV / JSON export
Start Solo trial
Practice · popular
$21/ provider / mo
For groups of 2–19 — practices, urgent cares, surgery centers.
  • Everything in Solo, for the team
  • Team roles + SMS alerts
  • Privileging + payer/CAQH export
  • Provider portal + legal calendar
Start Practice trial
Network
$18/ provider / mo
For groups of 20+, multi-state networks & IPAs.
  • Everything in Practice
  • Multi-location & SSO
  • HIPAA BAA included
  • Priority onboarding
Talk to us

HIPAA BAA available for any group that requires one · cancel anytime from the dashboard

Why it exists
“I built Ledgr for my own clinic first. If you’ve ever covered a Friday shift you didn’t plan to cover — because someone’s card lapsed and nobody caught it — you already understand the whole product.”
AS
Adeeb Saleh, DO
Founder · EM physician · Tampa
FAQ

The honest answers.

No marketing-speak. If Ledgr isn’t right for your practice, we’ll tell you.

Is Ledgr a credentialing service?+
No. Ledgr tracks credentials and verifies them against primary sources (federal registries, plus Florida DOH live, more states quarterly). It’s not a CVO that files applications — think of it as a verified spreadsheet that never forgets a date.
Is the NPI auto-fill really live?+
Yes — the demo at the top hits the federal NPPES registry directly. The response time you see is real. Try any valid 10-digit NPI.
Which state boards are verified today?+
Florida (DOH MQA) is live; Texas, California, New York, and Georgia are next. Even before a state goes live, Ledgr still tracks the expiration and renewal cycle.
How does CME gap detection work?+
Log it by hand or import your CE Broker compliance transcript — Ledgr reads every activity, dedupes re-imports, and maps it to the license cycle and the state’s topic mandates. For Florida that’s the 40-hour cycle plus Medical Errors, HIV/AIDS, and controlled-substance requirements — it shows exactly how many hours are short, per topic.
What about HIPAA and security?+
Protected health information runs on HIPAA-compliant infrastructure under a signed Business Associate Agreement, and we counter-sign a BAA with your practice. Everything is encrypted at rest (AES-256) and in transit, isolated per practice with row-level Postgres security, and audit-logged on every change. Two-factor authentication is available to every user, and group owners can require it across the practice. The underlying infrastructure is SOC 2 Type II certified; Ledgr’s own SOC 2 audit is in progress — we don’t claim certifications we haven’t earned.
How fast can we onboard a roster?+
Bulk-import a CSV — a full-name column is the only requirement; NPI rows auto-enrich from the federal registry in parallel. A 30-clinician practice is up in an afternoon.
Get started

Stop chasing renewals.

Every feature, free for 30 days. No card. Add your roster in an afternoon — or drop your email and we’ll send a magic link.

Or create an account now · I read every email — Adeeb