Please choose from one of the forms below in order to add, change or terminate any providers within your group, or add/change/terminate a group.
If you are a practice wishing to join Physician Performance, or already participate but want to add new physicians or APPs, please click the link below and an Operations Administrator will be in contact with you.
Use this form to change demographic, non-demographic information or terminate a physician from Physician Performance who is no longer a part of your group. We have also posted files to help you update CAQH with new information.
Please fill out the attached form to make any changes or to terminate a physician from participation in your group.
Demographic and Non-demographic changes can include the following:
PPLLC ChangeTerm Form 7.30.2025 (pdf)
DownloadWe have also posted files to help you better understand how to update CAQH with updated physician information once you are notified that the physicians are approved by Physician Performance governance.