Dragon Medical One

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Dragon Medical One by Microsoft is a cloud-based speech recognition platform designed for healthcare professionals. It allows dictation directly into most EMR systems. The platform offers features like PowerMic Mobile support, auto-formatting, custom commands, and HIPAA-compliant cloud security.

~$99/user/mo (reseller, 1-yr term)

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Our take on Dragon Medical One

Dragon Medical One is Microsoft's (formerly Nuance's) cloud speech recognition for dictating clinical notes directly into an EHR. It suits clinicians who prefer to dictate and use voice commands and who can commit to an annual subscription. Microsoft now steers new buyers to Dragon Copilot, which adds ambient AI note drafting on the same Dragon foundation.

Also known as: Dragon Medical, DMO, Nuance Dragon Medical One, PowerMic Mobile · Reviewed by PracticeAll's healthcare IT team · Facts last verified October 2026 · How we review

Dragon Medical One key facts

Best for: Clinicians who dictate notes and want real-time speech recognition in the EHR
Practice size: Solo Practitioner, Small Group (2–9), Mid-Sized (10–49), Enterprise/Health System (50+)
Specialties: Multi-specialty, Nursing
Starting price: ~$99/user/mo (reseller, 1-yr term)
Pricing model: Per user/month
Deployment: Cloud, Windows, iOS, Android
HIPAA / BAA: Vendor states HIPAA compliance
Integrations: Epic, Oracle Health (Cerner), MEDITECH, works in most EHRs
Company: Microsoft (Nuance)
Headquarters: Redmond, Washington
Founded: 1975
Category: Medical Dictation & Transcription
Last verified: October 2026

Dragon Medical One feature checklist

Technology CoreTraditional Dictation

EHR Integration LevelPoint and Dictate

Device SupportDesktop Application, Smartphone App

Who Dragon Medical One is best for

Dragon Medical One (DMO) converts speech to text in real time inside the EHR, with a medical vocabulary, voice commands and reusable AutoTexts. Profiles live in the cloud, so they follow the clinician between workstations. Microsoft acquired Nuance in 2022 and in 2025 launched Dragon Copilot, which combines Dragon Medical One dictation with DAX ambient note generation. Microsoft's DMO page now promotes moving to Dragon Copilot, but Microsoft has not published an end-of-life date for DMO.

Best for

Physicians and other clinicians who already dictate and want real-time speech recognition
Practices on major EHRs (Epic, Oracle Health, MEDITECH and others) that want voice navigation and templates
Clinicians moving between exam rooms or sites, using PowerMic Mobile on a smartphone as the microphone
Organizations that may move to Dragon Copilot later and want to stay on the same Dragon platform

Not ideal for

Clinicians who want the note drafted automatically from the patient conversation (consider Dragon Copilot or an ambient scribe)
Buyers who want month-to-month pricing or a long free trial
Price-sensitive solo practices comparing it with lower-cost AI dictation tools

Dragon Medical One pros and cons

Pros

Established medical speech recognition; Microsoft notes Best in KLAS recognition for 2021 to 2026
Cloud profile follows the user across workstations; Microsoft says no voice profile training is required
AutoTexts and custom commands can be shared across users and departments
PowerMic Mobile turns a smartphone into a wireless dictation microphone
Microsoft offers a migration path to Dragon Copilot, which is built on the same dictation engine

Cons

Annual subscription terms; no published month-to-month option
Dictation only; it does not draft notes from the visit conversation
No price on Microsoft's own pages; pricing and onboarding fees come through resellers
Product direction is shifting to Dragon Copilot, so long-term roadmap questions are reasonable
Requires a reliable internet connection, since recognition runs in the cloud

Dragon Medical One pricing

Microsoft does not publish a DMO price on its product page as of 2026; the page offers a link to buy additional licenses. Reseller Speech Recognition Solutions lists $99 per user per month on a 1-year contract (12 monthly payments, or $1,188 paid up front), with longer contract periods available on request, plus a one-time $525 implementation fee that includes up to three hours of one-on-one setup and training. Other resellers set their own onboarding fees. Dragon Copilot is quoted separately.

Key features

Dragon Medical One: cloud speech recognition and voice commands inside the EHR
PowerMic Mobile: smartphone app used as a wireless microphone
AutoTexts: shareable templates and frequently used text inserted by voice
Voice commands and navigation for formatting notes and moving through the chart, with auto-punctuation and automatic accent detection

HIPAA, security and integrations

Microsoft's DMO page calls the product secure and notes Best in KLAS recognition from 2021 to 2026, but it does not list HIPAA attestations, SOC 2 reports or certifications for DMO specifically, and business associate agreement terms are not published on the product page. Ask Microsoft or your reseller for the BAA and current compliance documents before deployment.

DMO runs in Microsoft's cloud and dictates into most Windows applications and EHRs. Microsoft names specific workflows for Epic Haiku, Canto and Rover, Oracle Cerner PowerChart Touch, and MEDITECH Expanse and MConnect.

Dragon Medical One alternatives

Microsoft Dragon Copilot — Microsoft's newer product that combines DMO dictation with ambient AI note generation.
VoiceboxMD — dictation plus an ambient scribe with published month-to-month pricing from $49.
Augnito — cloud medical speech recognition and AI documentation, another option for real-time dictation.
Dolbey — speech recognition and transcription workflow tools with published per-user annual pricing.
Freed — an ambient AI scribe for clinicians who would rather not dictate at all.

Compare Dragon Medical One

Dragon Medical One vs Dragon Copilot

More Medical Dictation & Transcription Software

Comparing options? See every product side by side in our Medical Dictation & Transcription software guide.

Freed

Freed is an ambient AI medical scribe for clinicians in solo and small group practices across specialties. It records the patient visit and drafts structured SOAP notes, patient letters and visit summaries, with customizable templates, ICD-10 and CPT code suggestions, and one-click note transfer to browser-based EHRs on higher-tier plans. It is priced per clinician per month.

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From $39/clinician/mo (billed annually)

Heidi Health

Heidi is an AI medical scribe that listens to patient visits and drafts clinical notes, referral letters, and patient recaps. It is used by doctors, nurses, and allied health professionals. Heidi offers a free plan with one seat and a weekly usage allowance, plus paid Clinician and Teams plans, and has apps for web, iOS, Android, macOS, and Windows.

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Free plan; paid from $110/mo (annual)

iMedat

iMedat is a U.S.-based human medical transcription service that converts clinician dictation into typed reports, letters and notes, usually within 24 hours. Practices upload audio files through their account, and transcripts go through quality review. It also offers recording-based virtual scribing, CDI support, and legal and insurance transcription.

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Contact for pricing

Microsoft Dragon Copilot

Microsoft Dragon Copilot is a clinical AI assistant that combines ambient note generation with voice dictation for physicians, nurses, and radiologists. It succeeds Dragon Medical One and DAX Copilot. It drafts specialty-specific notes, referral letters, and after-visit summaries, answers clinical questions with cited sources, and works inside EHRs such as Epic.

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Contact for pricing

Soniox

Soniox is a speech AI company offering real-time speech-to-text, translation and text-to-speech APIs in 60+ languages, plus a Soniox app for transcription and voice typing. It is general-purpose rather than medical-specific; developers use it for medical transcription and dictation products, and it lists HIPAA, SOC 2 Type 2 and ISO 27001 compliance.

No reviews yet — be the first

Free app plan; API from $0.10/audio hr

Suki

Suki is an AI assistant designed to help clinicians with tasks such as documentation, coding, and clinical reasoning. It aims to reduce administrative burden and allow clinicians to focus more on patient care. The platform integrates with major EHR systems and is accessible on desktop and mobile devices.

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Contact for pricing

Dragon Medical One FAQ

What is Dragon Medical One used for?

Physicians, nurses and other clinicians use Dragon Medical One to dictate notes directly into the EHR instead of typing. It recognizes medical terminology, supports voice commands to navigate and format notes, and inserts reusable AutoTexts. Because it runs in the cloud, a clinician's voice profile and vocabulary are available on any workstation where they sign in.

How much does Dragon Medical One cost?

Microsoft does not show a price on its DMO page, but reseller Speech Recognition Solutions lists $99 per user per month on a one-year contract, or $1,188 paid up front, with longer terms available on request. The same reseller charges a one-time $525 implementation fee that covers setup and training. There is no standard month-to-month plan, so confirm the term and fees with Microsoft or an authorized reseller.

Dragon Medical One vs Dragon Copilot: what is the difference?

Dragon Medical One is real-time dictation: you speak and it types. Dragon Copilot, announced by Microsoft in March 2025 and generally available in the U.S. from May 2025, combines DMO's dictation with DAX ambient listening that drafts the note from the patient conversation, plus AI tasks such as summaries and referral letters. Microsoft promotes migration from DMO to Dragon Copilot through its sales team.

Is Dragon Medical One being discontinued?

Microsoft has not announced an end-of-life date for Dragon Medical One. However, its DMO web page now promotes moving to Dragon Copilot, which signals where Microsoft's product investment is going. Existing DMO customers can keep using it, but practices signing multi-year terms should ask Microsoft about the roadmap and migration pricing.

Is Dragon Medical One good for small practices?

It can be. DMO works inside most EHRs, needs no voice profile training according to Microsoft, and its cloud profile follows the clinician across devices, which suits small practices that already dictate. The trade-offs for small practices are the annual commitment, reseller onboarding fees and a per-user cost higher than some newer AI dictation tools. Clinicians who want notes drafted automatically may get more value from an ambient scribe.

Is Dragon Medical One HIPAA compliant?

Microsoft describes Dragon Medical One as secure but does not publish a HIPAA attestation or business associate agreement on the DMO product page. Ask Microsoft or your reseller for the BAA and current security documentation before rollout, and confirm how audio and voice profile data are stored and retained.

Sources

Facts on this page were checked against these sources on October 2026.

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