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Ledgr alternative: built around the clinician who holds the licenses
Ledgr describes itself as “credential lifecycle software for independent practice”: licenses, DEA, board certifications, CME, hospital privileges, payer enrollments and legal dates, for groups of 2 to 50 providers, with a solo plan. The Ledger is built for one clinician, with each license tracked against its board’s rules in 51 jurisdictions.
What Ledgr does, in their words
- NPI auto-fill from NPPES and CSV roster import.
- State-aware CME gaps with topic mandates, using Florida as their example, plus CE Broker transcript import.
- Source checks against NPPES and Florida DOH. Their FAQ lists Florida live, with Texas, California, New York and Georgia next.
- Hospital privileging, payer enrollment with a CAQH-ready roster export, and a legal calendar with an .ics feed.
- Nightly OIG LEIE and SAM.gov screening with a monthly attestation.
- Email and SMS alerts at 90, 60, 30 and 0 days, and a signed HIPAA BAA.
It suits independent practices, urgent cares, surgery centers and EM groups that run credentialing in-house. By their own FAQ, state verification is live in Florida today.
Where the Ledger differs
- Who owns the record. The Ledger belongs to the clinician. A group sees it through the Roster only at the access level the clinician picks, 1 to 4, and the clinician can revoke it.
- Every board. 51 jurisdictions, MD, DO, NP, PA, CRNA and CAA, each tracked against its own board’s rules, with the date we checked. One CME credit counts toward every state requirement it satisfies.
- Credentialing packet. Your documents named in hospital order plus a Word profile, shared by a link that expires in 7, 30 or 90 days.
Side by side
| Interstate Medicine Ledger | Ledgr | |
|---|---|---|
| Built for | One clinician. Groups use the Roster | Independent practices, 2 to 50 providers; Solo plan |
| Price, one clinician | $5 a month, billed yearly at $60, or $8 a month, billed monthly | $25 a month |
| Group price | Roster: $10 per clinician a month, admin access free | $21 per provider a month (2 to 19); $18 (20 and up) |
| Free trial | 30 days, card on file | 30 days, no card |
| CME rules by state | 51 jurisdictions, each board’s rules with the date checked | State-aware CME gaps; Florida detailed on their site |
| Hospital privileges, payer enrollment, legal calendar | No | Yes |
| Exclusion screening | Monthly: OIG LEIE, CMS lists, NPPES | Nightly: OIG LEIE and SAM.gov |
Ledgr details come from their own site (ledgr.health), read October 17, 2026. Prices as listed on their site, October 2026. Confirm with them before deciding. Out of date? Tell us.
Choose Ledgr if
You run an independent practice and need hospital privileging, payer enrollment with CAQH export, a legal calendar, nightly screening or a signed BAA. For a group of 20 or more, their listed per-provider price is also lower than the Roster’s.
Common questions
Is the Ledger cheaper than Ledgr for one clinician?
As listed in October 2026, Ledgr Solo is $25 a month. The Ledger is $5 a month, billed yearly at $60, or $8 a month, billed monthly.
Does the Ledger track hospital privileges or payer enrollment?
No. The Ledger tracks licenses, DEA and state controlled-substance registrations, board certification, life-support cards, malpractice coverage, work history and CME.
Which states does the Ledger cover?
All 51 jurisdictions, for MD, DO, NP, PA, CRNA and CAA, each tracked against its own board’s rules, with the date shown.
Try the Ledger free for 30 days
Every license, registration and CME credit in one record. $5 a month, billed yearly at $60, or $8 a month, billed monthly. 30 days free with a card on file.
Related: The Ledger · The Roster for groups · Florida CME requirements