Which EHRs Should a Dermatology Health AI Startup Integrate With in 2026?

Dermatology EHR software is highly fragmented, spanning 25 EHR and EMR systems across dermatology-first, multi-specialty, and aesthetics platforms such as ModMed, Nextech and EZDERM.

The market is large enough for that fragmentation to matter. Projecting the global dermatology market at $59.52 billion in 2026, with a 10.24% CAGR through 2032. A 2025 Journal of Drugs in Dermatology study counted 16,156 dermatology clinicians in the US in 2023.

Tross builds EHR and payer portal integrations for healthtech companies, so supporting another dermatology EHR does not have to become another integration project.

Key takeaways

• Dermatology has its own EHR requirements. Images, lesion tracking, body maps, pathology, procedures and cosmetic workflows make specialty depth important.

• The market is not just three vendors. Our 2026 map includes 25 dermatology EHR and EMR systems.

• Public integration paths vary widely. ModMed, Nextech, DrChrono, Greenway Health, NextGen Healthcare, CureMD and EZDERM all publish API, FHIR, developer or partner integration information.

• AI overlap matters. Several vendors now sell their own AI scribe or documentation products, including ModMed, Nextech, CareCloud, CureMD, Derm-Cloud, PatientNow, Pabau, PracticeStudio and PrognoCIS.

What makes dermatology EHR software different?

Dermatology is unusually visual and procedure-heavy. A dermatology EHR or dermatology EMR often needs to support clinical photography, precise body-location documentation, lesion tracking, biopsy and pathology workflows, procedure notes, cosmetic treatments and high patient volume. Current vendor pages from ModMed, eClinicalWorks and PrognoCIS all emphasize these specialty-specific workflows.

How to use this list

1. Start with your buyer. Medical dermatology, cosmetic dermatology, med spas and multi-specialty groups use different software mixes.

2. Separate dermatology-first systems from general EHRs. ModMed, Nextech, EZDERM, Derm-Cloud, eDerm and Legend are built around dermatology workflows. Others serve many specialties.

3. Check the integration path early. A public FHIR endpoint does not always mean broad write access. Some vendors offer patient-facing FHIR only, while others expose proprietary APIs, partner programs or HL7 interfaces.

4. Check AI overlap. If you sell an AI scribe, coding assistant or workflow tool, note which EHR vendors already bundle a competing AI product.

5. Plan for the long tail. Even if your first customers cluster around a few EHRs, the next customer can still be on a smaller system.

Where to start

The right shortlist depends on the type of dermatology customer you sell to.

• Medical and surgical dermatology: start by evaluating dermatology-first systems such as ModMed, Nextech, EZDERM, Derm-Cloud, eDerm and Legend EHR.

• Aesthetic and cosmetic dermatology: include Aesthetic Record, PatientNow and Pabau, which combine clinical records with aesthetics-oriented workflows.

• Multi-specialty groups: look at systems such as AdvancedMD, CureMD, NextGen Healthcare, OmniMD, Practice Fusion and RXNT.

Dermatology EHRs and EMRs

What to do next

Once you have your shortlist, each additional EHR still brings its own login, data model and maintenance surface. Tross handles EHR and payer portal integrations for healthtech teams, including read and write workflows, so product teams can ship without maintaining every connection themselves.

Dermatology EHRs - public APIs or developer paths

Several vendors in this list publish a clear integration path, but the capabilities are not equivalent.

• ModMed: its developer portal lists a Certified FHIR API, a proprietary EMA API and HL7 options. ModMed says the proprietary API supports read, search, create and update for many resources, while its Certified FHIR API is currently read/search only. Developer docs

• Nextech: publishes a developer portal, SMART on FHIR documentation, FHIR R4 APIs and a third-party API access process. Developer portal

• DrChrono: publishes an OAuth 2.0 API for EHR data and application integrations. API docs

• Greenway Health: publishes a read-only FHIR API and a proprietary GAPI that supports reads and writes across clinical and financial data. API overview

• NextGen Healthcare: publishes public API documentation for NextGen Enterprise and NextGen Office, including FHIR-based patient access APIs. API docs

• CureMD: publishes FHIR documentation and offers custom integrations through FHIR-compliant APIs and HL7 interfaces. Integration page

• EZDERM: opened its previously closed API to preferred technology partners in March 2026 and says it is moving toward a broader open API model. API announcement

Dermatology EHR vs dermatology EMR

In practice, buyers often use dermatology EHR and dermatology EMR interchangeably. EMR traditionally refers to the digital record inside one practice, while EHR implies a record designed to exchange information across organizations. For integration planning, the more important question is what data and workflows the product actually exposes.

Best Dermatology EHR

There is no single best dermatology EHR for every practice. A medical dermatology group may prioritize lesion mapping, pathology and Mohs workflows. A cosmetic practice may care more about photography, memberships, payments and aesthetic treatment workflows. A multi-specialty group may value a broader enterprise EHR. For a healthtech company, the best EHR to integrate with first is usually the one used by the customers you are actively selling to, followed by the systems that appear most often in your pipeline.

What this means for healthcare AI companies

The integration problem is broader than choosing one large EHR. Each system can have a different authentication flow, data model, API surface, partner process and write-back path. Public FHIR access may be enough for some read use cases but not for structured clinical write-back. That is why an integration roadmap should be based on the exact workflow your product needs, not simply whether an EHR advertises an API.

If you are choosing how to connect across these systems, see our comparison of API platforms for EHRs and payers.

Frequently asked questions

What is a dermatology EHR?

A dermatology EHR is an electronic health record system designed or configured for dermatology workflows such as skin exams, body mapping, clinical photography, lesion tracking, biopsies, pathology, procedures and cosmetic treatments.

Which dermatology EHRs have APIs?

ModMed, Nextech, DrChrono, Greenway Health, NextGen Healthcare, CureMD and EZDERM all publish public API, FHIR, developer or partner integration information.

Do dermatology EHR vendors sell their own AI tools?

Yes. Examples include ModMed Scribe, Nextech Cora Scribe, Aesthetic Record ChartSmart AI, CareCloud cirrusAI, CureMD AI Medical Scribe, Derm-Cloud AI tools, PatientNow AI Scribe, Pabau Scribe, PracticeStudio Alma AI and PrognoCIS PrognoAI.

Should a healthcare AI company integrate with the biggest EHR first?

Not automatically. Start with the EHRs your current and near-term customers use. Then expand based on pipeline frequency, workflow requirements and the cost of supporting each integration.

Sources

1. Dermatology Market - Global Forecast 2026-2032 - 360iResearch (2026)

2. An Analysis of Trends of United States Dermatology Clinician Workforce From 2016 to 2023 - Journal of Drugs in Dermatology

3. ModMed API Getting Started - ModMed

4. Developers Portal - Nextech

5. API Documentation - DrChrono

6. Greenway Health APIs - An Overview - Greenway Health

7. Public API Documentation - NextGen Healthcare

8. Healthcare Data Interoperability and Integration Solutions - CureMD

9. EZDERM Opens API to Preferred Partners - EZDERM (2026)

10. ModMed Scribe - ModMed

11. Nextech Launches Cora Scribe - Nextech (2026)

12. ChartSmart AI - Aesthetic Record

13. AI for Dermatology Practices - Derm-Cloud

14. Pabau Scribe - Pabau

15. AI Scribe - PatientNow

16. PrognoAI - PrognoCIS