There is no large market of licensing-only vendors for individual physicians; most "licensing software" companies sell only to hospitals, health systems or staffing agencies, not to a solo physician. Four services will take on an individual physician's state licence applications directly: Modio Health's XCS service (custom quote, assigns a dedicated specialist), DirectShifts (the only one with a published flat price, starting at $399 per state with bundle discounts), MedLicense.com (a consumer-facing licensing specialist, custom quote, states 140,000-plus licenses issued since 2001 as its own claim), and Credex Healthcare (licensing is one of three service lines alongside credentialing and billing, custom quote). FCVS, the Federation of State Medical Boards' own credential-banking service, is not a competitor to any of these; it is a utility every multi-state physician uses alongside a vendor or alone, with a published fee schedule starting at $395 for an initial application.
A second group, locum tenens staffing agencies like Barton Associates, CompHealth and Weatherby Healthcare, bundles free licensing help into taking a staffing assignment rather than selling it as a stand-alone service. A third group, enterprise platforms like Medallion, symplr/VerityStream, IntelliCentrics and MedTrainer, sells only to organizations and has no individual-physician signup path at all. Telesure is not itself a licensing vendor; it matches you with an independent specialist so you can compare scope, timeline and price across more than one option, including against any of the services below.
What kinds of licensing help actually exist for an individual physician?
Four distinct categories, and only one of them is a stand-alone service an individual physician can simply buy: a licensing concierge firm. The others are an official credential-banking utility (FCVS), a staffing-agency perk bundled into taking an assignment, and enterprise software that only sells to organizations and will not take an individual physician's signup at all.
| Category | Examples | Who can buy it | Pricing |
|---|---|---|---|
| Licensing concierge, direct to physician | Modio Health (XCS), DirectShifts, MedLicense.com, Credex Healthcare | Individual physicians, small groups | DirectShifts publishes $399/state; the rest are custom quotes |
| Official credential bank | FCVS (Federation of State Medical Boards) | Individual physicians directly | $395 initial application, $99 subsequent, $66 per additional state board designation |
| Staffing-agency perk | Barton Associates, CompHealth, Weatherby Healthcare | Only physicians taking a locum or permanent placement through that agency | Bundled free, not sold stand-alone |
| Enterprise credentialing software | Medallion, symplr/VerityStream, IntelliCentrics, MedTrainer | Hospitals, health systems, staffing firms only | Organization-level contracts; no individual signup found |
What is Modio Health's XCS service and who should choose it?
Modio Health's XCS (Extended Credentialing Services) assigns a dedicated licensing specialist to handle new applications, renewals, reinstatements and DEA registration for an individual physician, built on top of the same OneView platform Modio sells to organizations. Modio Health is owned by CHG Healthcare, a locum tenens staffing parent company, but XCS operates as a service any physician can engage directly, not only CHG's own locum placements. No per-state or per-licence price is published; pricing is a custom quote.
Choose Modio Health's XCS if
You want a dedicated specialist and an established credentialing platform behind the work, and you are comfortable going through a quote conversation rather than seeing a price up front.
What is DirectShifts and who should choose it?
DirectShifts is the only vendor in this category publishing a flat price: physician state licensing starts at $399 per state, down from a $500 list price, with additional discounts for bundling multiple states and for paying upfront. State board fees are separate and paid directly to the board either way. DirectShifts also publishes a 15-day refund policy, subject to its own terms.
Choose DirectShifts if
You want a published price before committing to anything, and you are licensing in enough states that the bundle discount matters.
What is MedLicense.com and who should choose it?
MedLicense.com is a consumer-facing licensing service built around individual physicians filling out a form directly, offering IMLC, telemedicine and direct state board applications. The company states on its own site that it has issued more than 140,000 licenses since 2001, a claim attributed to MedLicense.com itself rather than independently verified by any state board. No per-state price is published; pricing is a custom quote.
Choose MedLicense.com if
You want a service built specifically around individual physician licensing, with no credentialing or billing side business attached, and are comfortable requesting a quote.
What about Credex Healthcare?
Credex Healthcare runs three service lines, physician licensing, payer credentialing and billing, rather than specializing in licensing alone; licensing covers new applications, renewals, reactivations and DEA registration. No per-state or per-licence price is published on Credex Healthcare's own site; pricing is a custom quote.
Choose Credex Healthcare if
You want licensing, credentialing and billing handled by one vendor rather than separately, and a custom quote is an acceptable way to get a price.
What is FCVS and how does it fit alongside a vendor?
FCVS, the Federation Credentials Verification Service run by the Federation of State Medical Boards, is not a competing vendor; it is the official utility that banks a physician's primary-source-verified credentials for reuse across every state licence application. FSMB's own fee page states $395 for an initial physician application, $99 for a subsequent application, and $66 for each additional state board designation, plus smaller fees for IMG verification and extra profiles. Every multi-state physician encounters FCVS whether or not they also hire a vendor from the list above.
FCVS and a licensing concierge solve different problems. FCVS centralizes and verifies your credentials once; a concierge like DirectShifts, Modio Health, MedLicense.com or Credex Healthcare files the actual state-by-state applications and chases documents on your behalf. Most physicians licensing in several states use both.
What about locum staffing agencies like Barton Associates, CompHealth or Weatherby?
Barton Associates, CompHealth and Weatherby Healthcare each run a dedicated licensing and credentialing team, but only for physicians taking a locum tenens or permanent placement through that agency; it is a bundled perk of staffing, not a service sold on its own. If you are not taking an assignment through one of these agencies, their licensing help is not available to you as a stand-alone purchase.
Choose a staffing agency's bundled licensing if
You were already planning to take a locum tenens assignment and the free licensing help is a bonus, not your primary reason for choosing the agency.
Why don't enterprise platforms like Medallion or symplr show up here?
Because they do not sell to individual physicians at all; Medallion, symplr/VerityStream, IntelliCentrics and MedTrainer are credentialing and compliance software sold exclusively to hospitals, health systems and staffing firms, with no public individual-signup path found on any of their own sites. If you are a solo physician or a small practice, these are not an option regardless of price.
Where does Telesure fit?
Telesure is not a licensing vendor; it is a marketplace that matches you with an independent specialist so you can compare scope, timeline and price before committing to anyone, including any of the vendors above. An independent specialist works under your own name, the same as a concierge firm, but the specialist and the price are yours to choose rather than fixed by one company's package.
The real choice is published price versus a dedicated relationship. DirectShifts is the only one with a flat rate you can calculate before talking to anyone. Modio Health, MedLicense.com and Credex Healthcare trade that transparency for a quote conversation and, in Modio's case, an established platform behind the work. FCVS is not a choice at all; it is infrastructure every multi-state physician eventually uses.
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Juney Ham is the founder and CEO of Telesure, the marketplace that matches clinicians with independent licensing and credentialing specialists. Previously co-founder of Upside and CMO at Hired. Every regulatory figure on this page is taken from the issuing state board, compact commission or CMS and was verified on 19 October 2026. Fees and compact status change; confirm with the relevant board before relying on them.
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