PPS a Metolius Health company
Since 2008 · FL · TX · CA Start my launch plan
Physician Practice Specialists · A launch, documented
One launch, start to finish · an illustrative composite drawn from 6,000+ real ones

Dr. R. left the system on a Tuesday.

An employed internist with a two-year non-compete, no panel she can take with her, and an income gap she has to cross before the first payer pays. This is what a practice launch looks like when a specialist runs the file. Follow the 118 days.

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Day 1Chapter one

The filing

Dr. R. signs the engagement letter between clinic sessions at the hospital she is leaving. That same afternoon, Maria — the PPS specialist in Florida who will own this file for the next four months — opens it: entity, EIN, group NPI, all sequenced on one page. By Friday, Maria has the PLLC filed with the state and the group NPI requested. Dr. R. did neither. She read a two-line note saying both were done, and went back to clinic.

Exhibit AEntity filing · receipt
State Corporations Division
ENTITYR——— INTERNAL MEDICINE PLLC
TYPEDOMESTIC PLLC
FILE NO.L-26-004417
FILEDDAY 4 · 11:02 AM
GROUP NPI (NPI-2)REQUESTED — SAME DAY
PREPARED BY: M. REYES · PPSDETAILS ILLUSTRATIVE
Filed
Day 12Chapter two

Licensing, in parallel

Nothing waits for anything else. While the entity ink dries, Maria runs the licensing lane: the license verification is ordered, the DEA registration moves to the new address, the state and local registrations are filed. Every line on the slip carries a date and an owner — and the owner is never Dr. R. She is still seeing a full schedule at the job she's leaving. That is the point.

Exhibit BLicensing tracker · slip
Licensing Lane — Worked Daily
MEDICAL LICENSEVERIFIED · DAY 9
DEA REGISTRATIONADDRESS MOVED · DAY 11
STATE REGISTRATIONSFILED · DAY 12
NEXT FOLLOW-UPDAY 19 · ON CALENDAR
OWNER: M. REYES · PPSDETAILS ILLUSTRATIVE
In motion
Day 34Chapter three

The attestation

One profile feeds every payer, so Maria builds it once and builds it clean — CV, work history, malpractice certificate, the documents gathered in week one. Dr. R.'s part is a single attestation, signed on her phone between patients. The same week, applications go out to all fourteen payers at once — not one at a time. That single habit is most of what "~120 days" means at PPS instead of a year.

Exhibit CCAQH attestation · receipt
Attestation Accepted
PROFILECAQH · BUILT BY PPS
SIGNEDDAY 34 · 2:16 PM
DOCUMENTSCOMPLETE · NO GAPS
APPLICATIONS QUEUED14 PAYERS · SAME WEEK
FILED BY: M. REYES · PPSDETAILS ILLUSTRATIVE
Attested
Day 61Chapter four

The first yes

Medicare answers first. The approval lands in Maria's morning queue on a Thursday; she calls Dr. R. before lunch. It cleared on first pass — as 98% of PPS applications do — and the effective date is set. Thirteen files are still in review, each with a next-follow-up date Maria works, not watches. Dr. R. has given her notice. The far edge of the income gap is now a date on paper.

Exhibit DPayer notice · enrollment
Enrollment Approved
PAYERMEDICARE PART B
DISPOSITIONAPPROVED — FIRST PASS
EFFECTIVE DATESET · DAY 61
REMAINING IN REVIEW13 FILES · ALL DATED
WORKED BY: M. REYES · PPSDETAILS ILLUSTRATIVE
Approved
Day 90Chapter five

Doors open

The practice opens on a Monday with twelve patients on the schedule. The EHR and clearinghouse were wired in week nine — before the doors, not after — so the first visit's claim is scrubbed and out the same night. Dr. R. spends opening day in exam rooms. Maria spends it the way she has spent the last ninety: working the file.

Exhibit EOpening day · schedule
Schedule — Day 90 · Monday
8:00NEW PATIENT · ESTABLISH CARE
8:40NEW PATIENT · ESTABLISH CARE
9:20ANNUAL PHYSICAL
10:00NEW PATIENT · TRANSFER OF CARE
BOOKED12 · DAY ONE
CLAIMS OUT: SAME NIGHT · SCRUBBEDDETAILS ILLUSTRATIVE
Doors open
Day 118Chapter six

The first remittance

It is a Tuesday again. The first remittance posts — the opening-week claims, paid clean on first pass, no adjustments. One hundred and eighteen days from engagement letter to money moving into the practice's own account, and every one of those days is in this file: dated, stamped, owned by someone whose job was to move it.

"I never called a payer. Not once. Someone whose whole job was my file was calling them for me — that's what I was actually buying."
— Dr. R. · Illustrative composite
Exhibit FRemittance · posted
First Remittance Posted
PAYERMEDICARE PART B
BATCHOPENING WEEK · ALL CLAIMS
DISPOSITIONPAID · CLEAN · FIRST PASS
ADJUSTMENTSNONE
POSTEDDAY 118 — TUESDAY
RCM: PPS · U.S.-BASED TEAMDETAILS ILLUSTRATIVE
Paid

Dr. R. is an illustrative composite of PPS launches; dates and details vary by state and specialty. Her 118 days sit inside the honest ~120-day start-to-effective frame we quote every client — no launch is promised faster than the payers actually move.

From one story to your file

Every launch gets this file.

The 118 days you just read are not a highlight reel — they're the standard structure of a PPS engagement. Three service lanes, one file, one named specialist accountable for all of it.

Lane one

Practice Startup

Entity, EIN and NPI-2, fee schedules and contracting, EHR and clearinghouse — sequenced so credentialing is already moving long before your doors open — not started after them.

6,000+independent practices launched since 2008
Lane two

Credentialing

CAQH, PECOS, commercial and government payers, group rosters and re-attestation — every application filed together and worked to effective.

98%first-pass rate across 100,000+ applications
Lane three

Revenue Cycle

Coding review, claims, denials worked to resolution, AR follow-up — run by U.S.-based teams from the first claim onward.

96%clean-claim rate across PPS-managed revenue cycle
Open my file
~120days · start to effective

The honest number, told straight.

Payers take their ~120 days no matter who you hire — the difference is whether those days are a black box or a file someone works for you. We sequence the launch so the clock runs once, in parallel, from day one. Nobody credible can promise you faster payers. We promise you a worked file.

Software vs. service

Credentialing software hands you a login. We hand it to a specialist.

Platforms give you a dashboard and a to-do list — and the to-do list is yours. PPS gives you people who do the work: 100,000+ applications, 6,000+ practices, one accountable team, since 2008. Dr. R. never learned the paperwork. That was the product.

The hands on the file

The people who work your file.

Every PPS engagement is run by named specialists in our Florida, Texas, and California offices — the same people, Day 1 to remittance. The "Maria" in the story has a real counterpart on every launch.

Photo · original
Maria ReyesIllustrative
Credentialing lead
"Reads every application before it leaves the building — then works the payer until it clears."
Florida office
Photo · original
Sam WhitfieldIllustrative
Startup strategist
"Walks every new practice through Day 1 — entity, NPIs, and the whole launch plan on one page."
Texas office
Photo · original
Grace LinIllustrative
RCM lead
"Answers her clients' calls herself — and works a denial like it's her own money."
California office

Specialists shown are illustrative — you're introduced to your actual team, by name, at onboarding.

Get my specialist
Meet April · AI practice advisor

Ask April. Then a real person takes it.

Ask anything about your launch, credentialing, or billing — a straight answer in seconds, no form. When you're ready, April hands you to the PPS specialist who'll actually do the work.

"What does my Day 1 look like, in my state and specialty?"
"Which payers take longest for internal medicine?"
Escalates real decisions to a human specialist — never guesses.
Hand me to a specialist
A question, answered
"What actually happens in my first week?"
Your specialist files the entity and requests your group NPI — usually inside the first four days. You sign one engagement letter and, later, one attestation. That's your whole to-do list. Want the day-by-day for your state and specialty?
April drafts · a named specialist owns your file
Track record

Eighteen years. Fifty states. The record behind the story.

Founded in 2008, Physician Practice Specialists has built a national operation around one number that matters most to a new practice: time to first clean payment.

2008
Founded — roughly 18 years serving independent physicians
100,000+
Credentialing applications filed and tracked to effective
6,000+
Practices launched across all 50 states
4.5★
Average across 191 genuine Google Business reviews
98% first-pass credentialing 96% RCM clean-claim rate 30+ specialties U.S.-based offices · FL · TX · CA ★★★★½ · 191 Google reviews
The next launch is yours

Your Day 1 is a Tuesday away.

Tell us your specialty, your states, and your target go-live date. We'll map your own 118 days — and start filing, usually before your entity paperwork is even dry.

Day 0Your file · intake slip

A real specialist reviews this — not a bot. We answer the phone.

No long-term lock-in to start · U.S.-based teams · Florida · Texas · California