Built for independent practice

Credentials,
kept current.

Licenses lapse, ACLS expires, malpractice renews, depositions get scheduled. Ledgr is the platform that tracks all of it — for every clinician in your practice — so you never miss a renewal or a court date again.

No credit card required Set up in an afternoon Cancel anytime
Add provider Live demo
Paste any real NPI to see the federal registry fill these fields in real time npiregistry.cms.hhs.gov
Multi-tenant by design
Row-level isolation per practice
HIPAA-ready
BAA infrastructure on every layer
Edge globally
Cloudflare workers, single-digit ms
Built by a physician
Practicing EM, in Tampa, FL
The problem

Hospital systems have credentialing software. Independent practices don't.

If you run a private practice, an emergency group, an urgent care chain, or a surgery center, you already know the drill. Renewals tracked in a shared Google Calendar. ACLS cards screenshotted into a Drive folder. CME logged across three platforms. Malpractice declaration pages stapled to an HR binder. Then one day a license lapses, a payer kicks you out of network, and you spend three weeks unwinding it.

Lapses cost money

A single expired DEA registration can suspend a clinician for 30 days. That is a six-figure revenue gap for a busy practice — before the malpractice insurer raises premiums.

Spreadsheets break in audits

State boards and payers do not accept a tab in a Google Sheet as proof of CME or insurance. They want a system of record with timestamps, documents, and an audit trail.

Legal dates get missed

Active cases mean depositions, mediations, and trial dates — sometimes years apart. Miss one and the consequences are personal. Ledgr keeps them on the same calendar as renewals.

The product

One screen for everything that expires, renews, or shows up on a calendar.

Open Ledgr in the morning, see your action queue. Renewals due, certifications expiring, depositions scheduled. Nothing else — no inbox, no chat, no alerts you have to clear. Just the next thing that matters.

Overview

Export + Provider
Team standing
Live
94%
12 providers across the practice
Urgent
3
Renewing
7
On track
38
Action queue4 items
MR
DEA Registration
BR3892417 · Maya Reyes, MD
Urgent
May 2816d
JK
FL Medical License
ME118293 · Jordan Kim, DO
Urgent
Jun 0423d
SP
ACLS Certification
AHA-22-44091 · Sara Patel, MD
Renew soon
Jul 1261d
AH
Malpractice (Cinco)
POL-CTI-08842 · Adeeb Saleh, DO
Renew soon
Aug 0181d
How it compares

Built for the practices the enterprise vendors forgot.

Medallion, Verity, and MD-Staff are excellent for hospital systems. They are not designed for the 12-clinician group, the 3-doctor urgent care, or the solo physician renting space in a shared OR. Here is what changes when you use Ledgr instead.

Capability
Ledgr
Medallion / Verity
Spreadsheets
Setup time
Self-serve in an afternoon
4–12 weeks, implementation team
Free, then ongoing pain
Pricing model
Per-provider, monthly, listed on the site
Custom enterprise, annual contract
Free, plus the cost of every miss
Designed for
Independent practice, urgent care, EM group, surgery center
Hospital system, ACO, payer network
Whoever opened the file last
NPI auto-fill on add-provider
Built in, sub-second from federal registry
Yes
Re-type every time
Renewal alerts
Email at 90 / 60 / 30 days, SMS opt-in
Yes
A calendar reminder, if you remembered to set one
Document storage
Encrypted, edge-cached, per-provider
Vendor-hosted
Drive folder, naming conventions optional
Audit trail
Per-action, timestamped, exportable
Yes
Revision history if you are lucky
CAQH-ready export
One click, structured CSV + JSON
Yes
Copy-paste per payer
Tenant data isolation
Row-level security in Postgres
Vendor-managed
“Don’t share the wrong tab.”
Legal events & depositions
First-class, on the same calendar as renewals
Usually a separate system
An inbox thread with defense counsel
Cancellation
Self-serve, export everything, 90-day data window
Annual contract minimum
Delete the file at your own risk
What it tracks

Every artifact that has a date on it.

Ledgr is opinionated about coverage. Out of the box, you get the credential kinds every independent practice actually deals with — including the ones spreadsheets forget.

State medical licenses
Per-state issuance, expiration, and verification — FL DOH lookup on the roadmap.
50 states
DEA & controlled-substance
Schedule-by-schedule registrations, state CDS where applicable, renewal cadence per cycle.
3-year cycle
ACLS, ATLS, PALS, BLS
AHA certifications with issue and expire dates, card storage, and 60 / 30-day alerts.
2-year cycle
Board certification
ABEM, ABFM, ABIM — whatever your specialty board requires for the MOC cycle.
10-year cycle
CME hours
State, hospital, and board minimums tracked separately. See progress toward the next deadline.
Per-period totals
Malpractice policies
Carrier, limits, declaration pages, retroactive dates, tail coverage — in one place.
Per-provider
CAQH-ready data
Export the structured fields CAQH and CMS-855 need. Stop re-entering the same data per payer.
CSV + JSON
Active cases & legal events
Case number, jurisdiction, defense counsel, plus depositions and trial dates on one calendar.
Admin-only access
How it works

Set up in an afternoon. Forget about it on Monday.

No implementation team, no kick-off call, no consultant. You sign up, paste a few NPIs, upload a few PDFs, and the system does the rest.

1

Add your providers

Paste an NPI and the federal registry auto-fills name, type, specialty, and state. Repeat for the rest of your team. 90 seconds per provider.

2

Drop in their credentials

Upload license PDFs, ACLS cards, malpractice declaration pages, CME certificates. The system stores documents, tracks expirations, and computes status automatically.

3

Let it run

Email alerts at 90, 60, and 30 days before any expiration. A daily action queue showing what is next. CAQH-ready exports on demand.

Pricing

Honest, per-provider pricing. No contracts. No platform fees.

One subscription per practice, billed monthly. Cancel any time. Upgrade or downgrade as you hire or rightsize.

Solo

Solo

For independent clinicians tracking their own credentials — locums, moonlighters, solo practices.
$19/ month
  • 1 provider, unlimited credentials
  • Email alerts at 90 / 60 / 30 days
  • Document upload & secure storage
  • NPI auto-fill from NPPES
  • CAQH-ready CSV export
Start Solo trial
Volume

Network

For multi-site groups and management services organizations with 20+ providers.
$14/ provider / month
  • Everything in Practice
  • Bulk CSV provider import
  • Multi-site organization rollup
  • Priority support & onboarding call
  • Custom CSV/JSON export schemas
Talk to founder

All plans include a 30-day free trial. No credit card required. NPDB Continuous Query is an optional add-on at cost.

I am an emergency physician. I lived this problem before I built the tool. Renewals, depositions, CME audits — I tracked all of it across a Google Sheet, a paper folder, and an email thread with my malpractice broker. Ledgr is what I wanted to exist. I built it for the way an independent practice actually runs.
Adeeb Saleh, DO Founder · practicing emergency physician · Tampa, FL
Common questions

Answered honestly.

How is this different from Medallion or Verity?+
Those platforms target hospital systems and large enterprise networks. Ledgr is built for the practice that does not have a credentialing department — the office manager who already wears three hats. Setup is self-serve in an afternoon, not an implementation project. Pricing is per provider per month, not enterprise.
Is Ledgr HIPAA-compliant?+
The infrastructure is HIPAA-ready. Supabase and Cloudflare both offer Business Associate Agreements on the plans we run. We can sign a BAA with practices on request. We do not store full PHI — the system holds provider-level credential data, not patient records.
What happens to my data if I cancel?+
You can export everything as CSV and JSON at any time, including all credentials, providers, cases, and document URLs. If you cancel, your data stays accessible for 90 days, then is removed on request. No lock-in.
Does Ledgr verify licenses against state boards automatically?+
Today we integrate with the federal NPI registry for auto-fill on add-provider. State-board verification is on the near-term roadmap, starting with the Florida Department of Health and expanding to states with free APIs. For verification needs Ledgr does not yet cover, the platform makes the workflow obvious and tracks the verification record as a stored document.
Can clinicians manage their own credentials, or is this admin-only?+
Both. Practice admins manage the full org. Each clinician can be given a login that lets them update their own credentials and view their own legal calendar — without seeing teammates' data. Cases and litigation are admin-only by default.
Do you integrate with my EMR?+
No, and we do not plan to. EMRs handle patient encounters. Ledgr handles provider credentials. We complement, not replace, anything your EMR does. The two surfaces never need to talk.
Who built this?+
Ledgr is built by Adeeb Saleh, DO, a practicing emergency physician based in Tampa. He runs two other clinician-facing platforms (Lavena Health, Pannl Health). Ledgr is the platform he wanted for his own practice.

Stop tracking renewals on a sticky note.

30-day free trial. Set up your first provider in 90 seconds. Cancel any time, export everything.