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New & expanding practices

Practice startup

Opening or expanding a practice? Entity setup, credentialing from zero, payer contracting, and the operational backbone to launch clean — without a year of guesswork.

01 — The problem

Starting a practice means doing a dozen unfamiliar things in the right order, on a deadline, while also seeing patients. Miss the credentialing window and you open with no way to bill. Most new owners learn this the expensive way.

02 — What we do

How Metolius runs it.

01

Entity & operational setup

The business scaffolding — entity formation guidance, NPIs, tax IDs, and the operational checklist that gets you to opening day.

02

Credentialing from zero

Full credentialing and payer enrollment built from scratch so you're billable on day one, not month six.

03

Payer contracting

Initial payer contracts negotiated and executed, including Medicare enrollment and commercial agreements.

04

Platform from the start

PracticeOS configured before you open, so revenue cycle, reporting, and dashboards are live from your first claim.

03 — Outcomes
  • Billable from opening day, not months later
  • A sequenced launch plan instead of guesswork
  • Payer contracts in place before patients arrive
  • Operational systems running from claim one

Opening clean is cheaper than fixing it later. Practice startup is where the Metolius portfolio is most valuable — every service you’ll need, sequenced and delivered before your doors open.

FAQ

Common questions.

How early should we engage you before opening?

As early as possible — credentialing and payer enrollment have long lead times. Engaging 4–6 months ahead of your target open date is ideal so you can bill from day one.

Do you only serve primary care?

Metolius focuses on independent primary care, but our startup and credentialing services through Physician Practice Specialists support a broader range of specialties.

Let's talk about your practice.