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Practice startup

Physician Practice Startup Services | PPS

End-to-end medical practice launch: entity, NPI, licensing, credentialing, payer contracts, EHR, billing, and policies. From decision to first billable patient.

Launching a physician-owned practice is 60 separate workstreams pretending to be one decision. Entity formation, NPI registration, state medical license (or licenses), DEA, malpractice, hospital privileges, payer credentialing, Medicare enrollment, CAQH, EHR selection and setup, billing platform, clearinghouse contracts, fee schedule modeling, policies and procedures, HIPAA program, OSHA program, office lease, staffing, marketing. Most physicians launching for the first time don’t know what they don’t know until they’re 90 days in and realize they missed three of these. PPS runs the whole launch as a managed program.

What’s included

  • Entity formation — PLLC or PC formation, EIN, state registration, operating agreement.
  • NPI registration — Type 1 (individual) and Type 2 (group) NPIs.
  • State medical licensing — see Medical Licensing.
  • DEA registration and state-controlled substance registration.
  • Malpractice insurance procurement — quotes from multiple carriers.
  • Payer credentialing — see Insurance Credentialing Services.
  • Medicare enrollment — see Medicare Provider Enrollment.
  • CAQH ProView — see CAQH Credentialing Services.
  • Hospital privileges where needed — see Hospital Enrollment Services.
  • EHR selection and setup — vendor selection support, contracting, implementation oversight.
  • Billing infrastructure — practice management software, clearinghouse setup.
  • Compliance program — HIPAA, OSHA, infection control, P&P manual.
  • Operational policies — financial policy, no-show policy, scheduling, intake workflow.

How it works

A startup engagement runs 4-9 months depending on how much is parallelizable. We work backward from your target first-patient date and build a Gantt that tells you what has to start when.

Months 1-2. Entity, NPI, licensing applications submitted, malpractice bound, payer enrollment kicks off, CAQH built.

Months 2-4. EHR selection, billing platform contracts, policies drafted, hospital privileges in flight.

Months 4-6. Credentialing in active follow-up phase, office build-out, staffing, soft launch prep.

Months 6-9. Final credentialing confirmations, billing infrastructure tested, first patient seen.

We’ll tell you up front whether your target launch date is realistic. Most physicians underestimate by 60-90 days.

Who this is for

  • Physicians leaving employed medicine to launch their own practice.
  • Physicians completing residency or fellowship and going straight to private practice.
  • Two-physician partnerships forming a new group.
  • Concierge/DPC physicians launching their first cash practice.

Realistic budget

Practice startup engagements typically run a flat or phased fee in the low-to-mid five figures depending on scope. Underlying third-party costs — malpractice, EHR, lease, build-out, staff — are separate and dwarf our fee. We’ll model those for you so you can size the runway you need.

Get started

Tell us your specialty, state, target launch date, and whether you have malpractice in place yet.

Start a startup scope call — or read about Insurance Credentialing Services for the credentialing component alone.