NextGen Healthcare vs eClinicalWorks

Side-by-side from the Top 11 ranking of The 11 Best EHR Software for Medical Practices (2026). Last verified June 15, 2026.

The short answer

eClinicalWorks ranks higher on Top 11 (#4 vs #5) for Physicians and practice managers choosing an electronic health records system. A feature-rich, unified platform for small to mid-sized private practices.

At a glance

NextGen HealthcareeClinicalWorks
Top 11 rank#5 / The 11 Best EHR Software for Medical Practices (2026)#4 / The 11 Best EHR Software for Medical Practices (2026)
Score (out of 9.4)8.48.6
Best forSpecialty practices needing customizationAll-in-one for SMB practices
Pricing$$$ ($379 to $649/mo/provider)$$$ ($449 to $699/mo/provider)
HQAtlanta, GA, USAWestborough, MA, USA
Founded19741999

NextGen Healthcare

Best for specialty practices that require highly customizable clinical templates.

www.nextgen.com

See full entry in The 11 Best EHR Software for Medical Practices (2026)

eClinicalWorks

A feature-rich, unified platform for small to mid-sized private practices.

www.eclinicalworks.com

See full entry in The 11 Best EHR Software for Medical Practices (2026)

Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.