What Duet does

Duet is a US-based healthcare platform and services company founded in 2023 and headquartered in New York that supports Nurse Practitioner (NP)-owned primary care practices across the country. The company's core offering is an EHR-agnostic platform that integrates with 12+ major independent EHR systems (including Tebra, Athenahealth, eClinicalWorks, Practice Fusion, AdvancedMD, NextGen, Elation, and DrChrono) to deliver billing optimization, continuous coding review, automated patient recall, online review collection, care management including Remote Patient Monitoring, and analytics — without requiring practices to migrate EHRs. Services are tiered across three practice stages: Launching (0-500 patients) covers business planning, credentialing, EHR setup, and website/SEO; Scaling (500-3,000 patients) adds patient recall, reviews, RPM/CCM, financial planning, and bookkeeping; Optimizing (3,000+ patients) layers in value-based care participation and contract negotiation. The platform is paired with a dedicated practice advisor model.

Duet's commercial model is freemium-led: aspiring NP owners can join the free Founder's Circle coaching community, and existing practices can request a free opportunity analysis benchmarking their billing, coding, and revenue against 100+ peer clinics. Paid engagement is subscription-based and quote-priced. Beyond practice management SaaS, Duet operates the first NP-led Accountable Care Organization (NP-ACO), enabling NP-owned practices to participate in Medicare shared savings programs with NP-led governance and practice waivers — a structural first-mover advantage. The company also aggregates demand across its 500+ practice network to negotiate collective payer contracts and preferred pricing with vendors such as Henry Schein (medical supplies) and Berxi (malpractice coverage), and partners with 13+ state NP associations for distribution.

Distribution is sales-led and community-led: prospects enter via a "Start Your Journey" contact form segmented by buyer stage, complemented by AANP national conference presence, regional dinners, Duet Collabs virtual meetups, and an Executive Council of accomplished NP owners who advocate within the network. Founded and led by Jonathan Goldberg (CEO), with clinical leadership from Wendy Wright, DNP (Chief Clinical Officer) and operations led by Charles Donner (COO), Duet raised a 2025 round from Hustle Fund and RiverPark Ventures and reports operations across at least 26 states with Full Practice Authority.

Name

Duet

Legal name

Duet

Website

https://joinduet.com

Company type

Private

Founded year

2023

Operating status

Operating

Headcount range

11–50 employees

Short description

Duet is a US-based platform and services company that helps Nurse Practitioner-owned primary care practices optimize billing, coding, patient engagement, and value-based care participation through an EHR-agnostic platform, the first NP-led ACO, and a 500+ practice network.

Ownership category

akta.pro rank

Product category

Healthcare Practice Management

NAICS

Nursing and Residential Care Facilities (623)

SIC

Services-Health Services (8000)

akta.pro primary industry

Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)

akta.pro secondary industries

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ), Independent Primary Care Practices (HLAFAGAA)

Keywords

• Nurse practitioner practice management
• Medical billing optimization
• Value-based care ACO
• Primary care support services
• Healthcare revenue cycle

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Practice Management Services: Comprehensive billing, coding, and revenue cycle management services for NP-owned practices. Services adapt to practice stage from launching (0-500 patients) through scaling (500-3,000) to optimizing (3,000+). Includes credentialing, financial planning, and practice advisor support.
2. Value-Based Care / ACO Participation: NP-led ACO participation enabling Medicare shared savings. Duet handles ACO infrastructure, reporting, and compliance while practices share in savings. No cost to join for high-performing practices.
3. Network Benefits and Preferred Pricing: Duet negotiates collective contracts with insurers recognizing NP care quality. Also provides preferred vendor pricing on medical supplies (Henry Schein), CE credits, and professional liability coverage (Berxi) for network members.
4. Credentialing and Setup Services: Business planning, EHR setup, credentialing, website development, and SEO/marketing setup for practices launching. Part of the 0-500 patient stage services.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels9 records

Core offering

Duet provides a platform-plus-services offering for Nurse Practitioner-owned primary care practices, delivering billing optimization, accurate coding, patient recall automation, contract negotiation with insurers, care management, financial planning, and value-based care enablement. Its centerpiece is the NP-ACO, the first Accountable Care Organization specifically built for NP-owned practices to participate in Medicare shared savings programs.

Product overview

Duet is a platform-plus-services offering designed specifically for Nurse Practitioner-owned primary care practices. The core Duet platform provides billing optimization, accurate coding, and patient engagement tools, supported by a dedicated practice advisor. Services are organized by practice stage: Launching (0-500 patients) includes Business Planning, EHR, Credentialing, Website, SEO & Marketing, and Practice Advisor; Scaling (500-3,000 patients) adds Patient Recall, Online Reviews, Care Management (RPM/CCM), Financial Planning, and Bookkeeping; and Optimizing (3,000+ patients) focuses on Value-Based Care and Contract Negotiations. The ecosystem also includes the NP-ACO (the first NP-led Accountable Care Organization), Founders Circle (free coaching community), Duet Collabs (monthly virtual meetups), State Association Membership Sponsorship, and Annual Events at AANP. The platform integrates with major EHR systems including Tebra, Athenahealth, eClinicalWorks, and others.

Differentiator

Problem solved

Functional benefit

Brands

• NP-ACO: Duet's Accountable Care Organization specifically designed for NP-owned practices to participate in Medicare shared savings programs.
• Founder's Circle
• Duet Collabs

Products and services

• Duet Core Platform EHR-agnostic practice management platform for NP-owned primary care practices, providing billing optimization, accurate coding review, automated patient recall, care gap detection, and analytics, backed by a dedicated practice advisor.
• NP-ACO The first Accountable Care Organization specifically designed for NP-owned practices, enabling participation in Medicare shared savings programs with NP-led governance and direct savings distribution to participating practices.
• Business Planning and Launch Services End-to-end launch services for NPs opening new independent primary care practices (0-500 patients), including business planning, EHR setup, credentialing, website creation, and SEO/marketing support to launch successfully on a budget.
• Patient Recall and Online Review Automation Automated patient recall tools to keep practice calendars full and reduce no-shows, combined with hands-free 5-star online review collection after every visit.
• Care Management (RPM and CCM) Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) services for practices with 500-3,000 patients, including high-risk patient engagement between visits to reduce ED utilization and improve outcomes.
• Value-Based Care and Contract Negotiation Services for established NP practices (3,000+ patients) to participate in advanced value-based care models and negotiate exclusive contracts with insurers that recognize the quality and impact of NP-led care, leveraging network outcome data.
• Financial Planning and Bookkeeping Financial planning and bookkeeping services to help NP practices manage revenue operations and optimize profitability across the scaling and optimizing practice stages.
• Founder's Circle Community Free coaching community offering regular sessions with seasoned NP owners, custom resources, and a supportive peer network for nurse practitioners considering or beginning independent practice ownership.
• Free Opportunity Analysis Free opportunity analysis comparing an existing NP practice's billing, coding, and key revenue metrics against 100+ other clinics to identify revenue and operational improvement opportunities.

Quantifiable outcome

• Practices report 9.0/10 patient satisfaction scores
• +8 more outcomes

Named customers11 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• Massachusetts Coalition of NPscoreStrategic or Co-development PartnerState NP association partnership supporting independent NP practice in Massachusetts. Duet partners with the association to help members access practice support services and provides sponsored membership benefits to qualifying non-member NP practice owners.
• Nurse Practitioners of OregoncoreStrategic or Co-development PartnerState NP association partnership in one of the nation's most progressive NP states for practice authority. Supports NP-owned practice in Oregon through association collaboration and Duet's service offerings.
• NH Nurse Practitioner AssociationcoreStrategic or Co-development PartnerState NP association partnership expanding NP access to care across New Hampshire. Duet collaborates with the association to support member practices and provide sponsored membership pathways.
• FLANP (Florida Association of Nurse Practitioners)coreStrategic or Co-development PartnerState NP association partnership expanding independent NP practice across Florida, the fastest-growing NP market in the country. Supports FLANP members with practice management services.
• DNPs of ColorcoreStrategic or Co-development PartnerNational organization centering equity and representation in advanced practice nursing leadership. Duet partners to support diverse NP practice owners and advance equity in healthcare leadership.
• Illinois NP NetworkcoreStrategic or Co-development PartnerState NP association partnership building community and advocating for NPs across Illinois. Duet provides practice support services to network members through this partnership.
• NPACE (Nurse Practitioner Associate for Continuing Education)minorGTM or Marketing PartnerContinuing education provider that keeps NPs at the leading edge of clinical practice. Duet network members receive access to CE credits through this vendor partner relationship.
• BerximinorGTM or Marketing PartnerProfessional liability coverage provider built for healthcare practitioners. Duet network members receive access to straightforward coverage options through preferred pricing.
• The Nurse Practitioner JournalminorGTM or Marketing PartnerThe leading clinical journal for nurse practitioners nationwide. Partnered for content and professional development resources for Duet network members.
• Henry ScheinminorGTM or Marketing PartnerMedical supplies and equipment distributor. Duet network members receive preferred pricing on medical supplies and equipment through this vendor partnership.

Scale indicators12 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Evolent Health: Large public value-based specialty care enablement company. Overlapping in ACO/value-based care infrastructure and payer contracting, but broader portfolio (specialty, oncology, cardiology) rather than NP primary care focus.
• Cano Health (now Privia-acquired assets): Value-based primary care provider serving Medicare populations with employed-provider model. Relevant comparable for the Medicare-focused NP patient base and risk-bearing economics, though operated as owned clinics rather than independent practice enablement.

Direct peers

• Vytalize Health: Value-based care platform helping independent primary care practices transition to risk-bearing arrangements, especially in Medicare Advantage. Similar ACO enablement and practice-level population health focus.
• Aledade: Large-scale ACO network operator for independent primary care practices, with similar MSSP/REACH ACO enablement and value-based care contracting. Duet is a narrower NP-focused analogue of Aledade's physician-focused network model.
• Privia Health: Public company providing practice management, ACO, and value-based care enablement to independent primary care providers. Closely comparable business model of supporting independent practices with RCM, population health, and payer contracting, though Privia serves physician-led practices rather than NP-owned.
• Agilon Health: Public value-based primary care platform partnering with independent PCPs to take global risk via Medicare Advantage and ACO REACH. Comparable in enabling independent practices to participate in shared-savings and capitation arrangements.
• Pearl Health: Tech-enabled value-based care platform for independent primary care physicians participating in MSSP and ACO REACH. Closely comparable in empowering independent practices with ACO infrastructure, analytics, and risk-bearing capability.

Emerging players

• Collaborating Docs: Platform connecting NPs with collaborative physicians across all 50 states. Duet's listed technology partner and direct adjacency addressing the same NP-practice-founding journey, though focused on the collaborating physician relationship rather than full RCM/ACO.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds1 record

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Duet