Open your practice without the chaos.
PPS handles the credentialing, contracting, location analysis, EHR setup, billing, brand, and compliance work that gets a new practice open and billing — for physicians, NPs, therapists, and urgent care. From lease to first patient in months, not years.
- 17+ years
- 5,000+ practices launched
- 25+ new practices each month
- 100% U.S.-based
- A+ BBB rated
Where are you in your journey?
Most clients come to us at one of these stages. Pick yours and we’ll point you to the right resource.
From plan to first patient — handled.
We run the full launch playbook — strategy, build, operate. Pick where you need help, or let us run the whole thing.
PHASE 1 — PLAN
PHASE 2 — BUILD
PHASE 3 — OPEN & GROW
Practice Location Analysis
Market, demographics, competition, demand. The right ZIP code matters more than the right marketing.
Credentialing & Provider Enrollment
CAQH, NPI, PECOS, commercial panels, hospital privileges.
Revenue Cycle Management
Denial prevention, A/R, prior auth from claim one.
Compliance Setup
HIPAA, OSHA, regulatory readiness from day one.
EHR & Billing Setup
Selection, configuration, first-clean-claim readiness.
Provider Onboarding
Credentialing for your next hire — no billing gap.
Strategic Consulting
Entity setup, business plan, financial modeling.
Brand, Logo & Website
Credible patient-facing presence by opening day.
Operational Consulting
Scaling, refining, expansion strategy.
The honest answer to your two biggest questions.
Most start-up consultants won’t talk numbers until you’ve signed something. We will. Here’s what to expect — and you’ll get a real quote during the discovery call, before any commitment.
How much does it cost?
Most independent practices need [$XXXK–$XXXK] in startup capital, depending on specialty, location, and scope. PPS service fees typically range [$X,XXX–$XX,XXX] depending on what we handle for you. We’ll quote during the discovery call — and we won’t ask for a commitment until you have a clear number.
How long does it take?
From signed engagement to first patient is typically 4–8 months for a standard solo practice. The rate-limiting step is credentialing (60–90 days per commercial payer). With parallel workstreams, we compress what we can — you’ll get a realistic timeline at the end of the discovery call.
Why first-time practice owners switch to PPS.
Operators, not consultants.
Our leadership has actually started and run medical practices. Our services are designed around the pain points we’ve personally experienced.
25+ new practices each month.
This isn’t a side practice for us — it’s the core business. 5,000+ practices launched in 17 years.
One team, every workstream.
Credentialing, EHR, brand, billing, compliance — same firm, same project manager, no handoffs.
No surprises.
Fixed scope, fixed timeline, weekly check-ins. You always know where you are and what’s next.
A clear four-phase plan — from discovery to your first patient.
Timelines vary by specialty and state. We'll give you a realistic estimate during discovery
Discovery & roadmap.
Discovery call, gap analysis, custom roadmap with timeline and pricing. You leave knowing exactly what we’ll do, what you’ll do, and when you’ll open.
Foundation — entity, location, compliance.
Entity setup, location finalization, compliance documentation. Credentialing applications begin in parallel — they take the longest, so they start early.
Build — EHR, billing, brand, payer follow-up.
EHR and billing systems configured. Brand, logo, and website live. Credentialing and payer follow-up continue. By the end of Phase 3, you’re first-clean-claim ready.
Timelines vary by specialty and state. We'll give you a realistic estimate during discovery
A+
rated by the BBB
See 125+ reviews on Google
Find your start-up path.
Some start-ups have specialty-specific paths. If that’s you, jump directly to the right resource.
Free resources for first-time practice owners.
Medical Practice Start-Up Outline.
How much does it cost to start a medical practice?
How to select the best location for your new practice.
10 common mistakes when starting a practice.
10 key metrics for the best location.
Lean start-up method for new practices.
Frequently asked.
How much does it cost to start a practice?
Most independent practices need [$XXXK–$XXXK] in startup capital depending on specialty, location, and scope. PPS service fees are quoted upfront after the discovery call — no “it depends” runaround.
How long does it take from start to first patient?
Typically 4–8 months from signed engagement to first patient. The rate-limiting step is credentialing — some payers take 90+ days regardless of how fast you move.
Do you handle everything, or just credentialing?
Both. We can run the entire launch (credentialing, EHR, billing, brand, compliance, consulting) or plug into specific gaps. Most clients start with the full launch package.
Can I start a practice while still employed?
Yes — and most of our clients do. The first 60–90 days of credentialing and entity setup happen before you give notice. We’ll structure the timeline to protect your current income.
What’s the biggest mistake new practice owners make?
Underestimating credentialing timeline. Practices commit to lease and equipment before they’re enrolled with payers — then sit empty for 60–90 days. We sequence credentialing before everything else.
Should I open as a solo or join a group first?
Depends on capital, risk tolerance, and patient base. We’ll model both scenarios during discovery so you can decide on numbers, not gut feel.
From dream to first patient. Let’s start.
Download the free Start-Up Checklist or schedule a 30-minute discovery call. Either way, you’ll walk away with a realistic plan, a real cost estimate, and an honest timeline — at no cost.